Hu Xin, Tao Chuanyuan, Gan Qi, Zheng Jun, Li Hao, You Chao
Department of Neurosurgery, West China Hospital, Sichuan University, 37 Guoxue Alley, Chengdu, Sichuan 610041, China.
Oxid Med Cell Longev. 2016;2016:3215391. doi: 10.1155/2016/3215391. Epub 2015 Dec 30.
Intracerebral hemorrhage (ICH) is associated with the highest mortality and morbidity despite only constituting approximately 10-15% of all strokes. Complex underlying mechanisms consisting of cytotoxic, excitotoxic, and inflammatory effects of intraparenchymal blood are responsible for its highly damaging effects. Oxidative stress (OS) also plays an important role in brain injury after ICH but attracts less attention than other factors. Increasing evidence has demonstrated that the metabolite axis of hemoglobin-heme-iron is the key contributor to oxidative brain damage after ICH, although other factors, such as neuroinflammation and prooxidases, are involved. This review will discuss the sources, possible molecular mechanisms, and potential therapeutic targets of OS in ICH.
脑出血(ICH)仅占所有中风的约10-15%,但其死亡率和发病率却是最高的。脑实质内血液的细胞毒性、兴奋性毒性和炎症作用等复杂的潜在机制是其造成高度损害的原因。氧化应激(OS)在脑出血后的脑损伤中也起重要作用,但比其他因素受到的关注较少。越来越多的证据表明,血红蛋白-血红素-铁的代谢轴是脑出血后氧化脑损伤的关键因素,尽管还涉及其他因素,如神经炎症和促氧化酶。本文综述将讨论脑出血中氧化应激的来源、可能的分子机制和潜在治疗靶点。
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