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静脉注射免疫球蛋白治疗缺血性脑损伤

Targeting ischemic brain injury with intravenous immunoglobulin.

作者信息

Arumugam Thiruma V, Selvaraj Pradeep K, Woodruff Trent M, Mattson Mark P

机构信息

Texas Tech University Health Sciences Center, Department of Pharmaceutical Sciences, School of Pharmacy, Amarillo, Texas 79106, USA.

出版信息

Expert Opin Ther Targets. 2008 Jan;12(1):19-29. doi: 10.1517/14728222.12.1.19.

DOI:10.1517/14728222.12.1.19
PMID:18076367
Abstract

BACKGROUND

Intravenous immunoglobulin (IVIG) is a therapeutic modality approved for the treatment of autoimmune disorders.

OBJECTIVE

This review discusses how IVIG can prevent brain damage following ischemic stroke and discuss the potential mechanisms of action.

METHODS

Medline and the world wide web were searched and the relevant literature was classified under the following categories: IVIG, IVIG mechanism of action, and ischemic stroke injury mechanisms.

RESULTS/CONCLUSION: Brain ischemia induces an inflammatory response that contributes to neuronal cell death. Because of its ability to block multiple molecular events, IVIG may have particularly strong neuroprotective action against ischemic brain injury. In light of the extensive clinical experience with IVIG for other indications, development of clinical trials to evaluate the use of IVIG in human stroke patients are warranted.

摘要

背景

静脉注射免疫球蛋白(IVIG)是一种被批准用于治疗自身免疫性疾病的治疗方式。

目的

本综述讨论IVIG如何预防缺血性中风后的脑损伤,并探讨其潜在作用机制。

方法

检索了医学文献数据库(Medline)和万维网,并将相关文献分类如下:IVIG、IVIG作用机制和缺血性中风损伤机制。

结果/结论:脑缺血会引发炎症反应,导致神经元细胞死亡。由于IVIG能够阻断多种分子事件,它可能对缺血性脑损伤具有特别强的神经保护作用。鉴于IVIG在其他适应症方面有着广泛的临床经验,开展临床试验以评估IVIG在人类中风患者中的应用是有必要的。

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1
Targeting ischemic brain injury with intravenous immunoglobulin.静脉注射免疫球蛋白治疗缺血性脑损伤
Expert Opin Ther Targets. 2008 Jan;12(1):19-29. doi: 10.1517/14728222.12.1.19.
2
Neuronal low-density lipoprotein receptor-related protein 1 (LRP1) enhances the anti-apoptotic effect of intravenous immunoglobulin (IVIg) in ischemic stroke.神经元低密度脂蛋白受体相关蛋白1(LRP1)增强静脉注射免疫球蛋白(IVIg)对缺血性中风的抗凋亡作用。
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Early administration of MPC-n(IVIg) selectively accumulates in ischemic areas to protect inflammation-induced brain damage from ischemic stroke.早期给予 MPC-n(IVIg)可选择性地在缺血区域积聚,以保护炎症诱导的脑损伤免受缺血性中风的影响。
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Intravenous immunoglobulin (IVIg) dampens neuronal toll-like receptor-mediated responses in ischemia.静脉注射免疫球蛋白(IVIg)可抑制缺血时神经元Toll样受体介导的反应。
J Neuroinflammation. 2015 Apr 15;12:73. doi: 10.1186/s12974-015-0294-8.
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Combination Therapy with Low-Dose IVIG and a C1-esterase Inhibitor Ameliorates Brain Damage and Functional Deficits in Experimental Ischemic Stroke.低剂量静脉注射免疫球蛋白和 C1 酯酶抑制剂联合治疗改善实验性缺血性脑卒中的脑损伤和功能障碍。
Neuromolecular Med. 2018 Mar;20(1):63-72. doi: 10.1007/s12017-017-8474-6. Epub 2018 Jan 3.
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Akt is a molecular target for signal transduction therapy in brain ischemic insult.Akt是脑缺血性损伤信号转导治疗的分子靶点。
J Pharmacol Sci. 2003 Aug;92(4):317-27. doi: 10.1254/jphs.92.317.
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GLT-1 Upregulation as a Potential Therapeutic Target for Ischemic Brain Injury.GLT-1 上调作为治疗缺血性脑损伤的潜在靶点。
Curr Pharm Des. 2017;23(33):5045-5055. doi: 10.2174/1381612823666170622103852.
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Therapeutic Potential of Intravenous Immunoglobulin in Acute Brain Injury.静脉注射免疫球蛋白在急性脑损伤中的治疗潜力
Front Immunol. 2017 Jul 31;8:875. doi: 10.3389/fimmu.2017.00875. eCollection 2017.
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Protein transduction technology offers novel therapeutic approach for brain ischemia.蛋白质转导技术为脑缺血提供了新的治疗方法。
Trends Pharmacol Sci. 2003 May;24(5):216-8. doi: 10.1016/S0165-6147(03)00074-9.
10
[Use of high dose intravenous immunoglobulin in neurologic disease].[大剂量静脉注射免疫球蛋白在神经系统疾病中的应用]
Pol Merkur Lekarski. 2005 Jul;19(109):98-101.

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Life (Basel). 2022 Aug 16;12(8):1244. doi: 10.3390/life12081244.
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Noscapine alleviates cerebral damage in ischemia-reperfusion injury in rats.纳布啡减轻大鼠脑缺血再灌注损伤中的脑损伤。
Naunyn Schmiedebergs Arch Pharmacol. 2021 Apr;394(4):669-683. doi: 10.1007/s00210-020-02005-x. Epub 2020 Oct 27.
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MiR-149 Aggravates Pyroptosis in Myocardial Ischemia-Reperfusion Damage via Silencing FoxO3.
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The Role of Mast Cells in Stroke.肥大细胞在中风中的作用。
Cells. 2019 May 10;8(5):437. doi: 10.3390/cells8050437.
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The role of NLRP3 inflammasome in stroke and central poststroke pain.NLRP3炎性小体在中风及中风后中枢性疼痛中的作用。
Medicine (Baltimore). 2018 Aug;97(33):e11861. doi: 10.1097/MD.0000000000011861.
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Hexahydrocurcumin protects against cerebral ischemia/reperfusion injury, attenuates inflammation, and improves antioxidant defenses in a rat stroke model.六氢姜黄素可保护大鼠免受脑缺血/再灌注损伤,减轻炎症反应,并改善抗氧化防御能力。
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IVIG activates FcγRIIB-SHIP1-PIP3 Pathway to stabilize mast cells and suppress inflammation after ICH in mice.静脉注射免疫球蛋白通过激活 FcγRIIB-SHIP1-PIP3 通路稳定脑出血后小鼠的肥大细胞并抑制炎症反应。
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Semax, an analog of ACTH, regulates expression of immune response genes during ischemic brain injury in rats.促皮质素释放因子(Semax),一种促肾上腺皮质激素(ACTH)类似物,可调节大鼠缺血性脑损伤期间免疫反应基因的表达。
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