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近年来,在治疗脑缺血方面,神经保护剂和治疗靶点的开发取得了新进展。

Recent advances in the development of neuroprotective agents and therapeutic targets in the treatment of cerebral ischemia.

机构信息

Department of Neurosurgery, Changhai Hospital, Second Military Medical University, Shanghai, 200433, People's Republic of China.

Department of Neurosurgery, Changhai Hospital, Second Military Medical University, Shanghai, 200433, People's Republic of China.

出版信息

Eur J Med Chem. 2019 Jan 15;162:132-146. doi: 10.1016/j.ejmech.2018.11.014. Epub 2018 Nov 7.

Abstract

Stroke is a central nervous system disease that seriously affects people's quality of life and has the second highest rate of morbidity and mortality in the world. At present, clinical treatment strategies for acute ischemic stroke are mainly thrombolytic and thrombectomy therapy. However, these strategies are not able to protect patients from ischemic injuries. Therefore, treatment should further focus on methods that improve the survival rate of neurons around the ischemic area and neurological function. This article reviews current research and developments regarding small molecular compounds, including natural products and newly synthesized compounds that have neuroprotective effects and potential molecular targets for the recovery of post-ischemic stroke neural function that have been identified through lab investigations conducted during the last five years. Although pre-clinical studies of these compounds may not be immediately successful, current findings suggest that these therapeutic targets and neuroprotective agents are promising.

摘要

中风是一种中枢神经系统疾病,严重影响人们的生活质量,其发病率和死亡率在全球范围内仅次于癌症。目前,急性缺血性中风的临床治疗策略主要是溶栓和血栓切除术治疗。然而,这些策略并不能保护患者免受缺血损伤。因此,治疗应进一步侧重于提高缺血区域周围神经元存活率和神经功能的方法。本文综述了近五年来通过实验室研究发现的具有神经保护作用和潜在的分子靶点的小分子化合物,包括天然产物和新合成的化合物,这些化合物可能对改善中风后神经功能恢复具有潜在的治疗作用。虽然这些化合物的临床前研究可能不会立即成功,但目前的研究结果表明,这些治疗靶点和神经保护剂具有很大的应用前景。

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