Azizi Fateme, Askari Sahar, Javadpour Pegah, Hadjighassem Mahmoudreza, Ghasemi Rasoul
Department of Neuroscience and Addiction Studies, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Department of Physiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
EXCLI J. 2020 Dec 11;19:1590-1606. doi: 10.17179/excli2020-3025. eCollection 2020.
Currently, stroke is a common and devastating condition, which is sometimes associated with permanent cerebral damages. Although in early time after stroke, the related treatments are mainly focused on the restoration of cerebral blood flow (CBF), at the same time, some changes are commencing that continue for a long time and need to be specially noticed. Previous studies have proposed several molecular mechanisms in these post-stroke events. Exosomes are a type of vesicle, which are formed and secreted by most cells as a mean to transfer cellular constituents such as proteins, DNA and/or RNA to distant cells. Therefore, they are considered as a novel mechanism of cellular communication. Herein, we reviewed the current knowledge on cascades, which are activated after stroke and consequently lead to the reorganization and/or continuance of tissue damage and development of other disorders such as Neurodegenerative diseases (ND). Thereafter, we summarized the latest proofs about the possible participation of exosomes in transferring some components such as proteins and micro-RNAs (miRs), from the affected areas to other parts of the brain and eventually cause the above-mentioned post-stroke events.
目前,中风是一种常见且具有破坏性的病症,有时会导致永久性脑损伤。尽管在中风后的早期,相关治疗主要集中在恢复脑血流量(CBF),但与此同时,一些持续很长时间且需要特别关注的变化正在开始。先前的研究已经提出了这些中风后事件中的几种分子机制。外泌体是一种囊泡,由大多数细胞形成并分泌,作为将蛋白质、DNA和/或RNA等细胞成分转移到远处细胞的一种方式。因此,它们被认为是一种新型的细胞通讯机制。在此,我们综述了目前关于中风后激活的级联反应的知识,这些级联反应会导致组织损伤的重组和/或持续,并引发其他疾病如神经退行性疾病(ND)的发展。此后,我们总结了关于外泌体可能参与将蛋白质和微小RNA(miRs)等一些成分从受影响区域转移到大脑其他部位并最终导致上述中风后事件的最新证据。