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脑活素治疗中风、神经退行性疾病和创伤性脑损伤:文献回顾与结果。

Cerebrolysin for stroke, neurodegeneration, and traumatic brain injury: review of the literature and outcomes.

机构信息

Department of Neurosurgery, Desert Regional Medical Center, 1150 N. Indian Canyon Drive, Palm Springs, CA, 92262, USA.

School of Medicine, Universidad Anáhuac Querétaro, Santiago de Querétaro, Mexico.

出版信息

Neurol Sci. 2021 Apr;42(4):1345-1353. doi: 10.1007/s10072-021-05089-2. Epub 2021 Jan 30.

DOI:10.1007/s10072-021-05089-2
PMID:33515100
Abstract

Cerebrolysin therapy has the potential to significantly aid in the treatment of a wide variety of debilitating neurological diseases including ischemic strokes, neurodegenerative disorders, and traumatic brain injuries. Although Cerebrolysin is not approved for use in the USA, it is used clinically in over 50 countries worldwide. In this review, we focus on outlining the role that Cerebrolysin has in stimulating the molecular signaling pathways that are critical for neurological regeneration and support. An extensive evaluation of these signaling pathways reveals that Cerebrolysin has the potential to intervene in a diverse array of pathophysiological causes of neurological diseases. In the clinical setting, Cerebrolysin is generally safe for human use and has provided functional improvement when used as an adjunct treatment. However, our literature review revealed inconsistent results, as several clinical studies suggested that Cerebrolysin treatment has minor clinical relevance and did not have significant advantages over a placebo. In conclusion, we found that Cerebrolysin therapy can potentially play a major role in the treatment of many neurological diseases. Nevertheless, there remains much to be elucidated about the efficacy of this treatment for specific neurological conditions, and more robust clinical data is needed to reach a consensus and properly define the therapeutic role of Cerebrolysin.

摘要

脑活素治疗具有显著辅助治疗多种使人虚弱的神经疾病的潜力,包括缺血性中风、神经退行性疾病和外伤性脑损伤。尽管脑活素未获美国批准使用,但它在全球 50 多个国家得到临床应用。在这篇综述中,我们重点概述脑活素在刺激对神经再生和支持至关重要的分子信号通路方面的作用。对这些信号通路的广泛评估表明,脑活素有潜力干预神经疾病的多种病理生理病因。在临床环境中,脑活素通常对人体使用安全,并在用作辅助治疗时提供功能改善。然而,我们的文献综述显示结果不一致,因为几项临床研究表明,脑活素治疗的临床相关性较小,并且与安慰剂相比没有显著优势。总之,我们发现脑活素治疗可能在治疗许多神经疾病方面发挥重要作用。然而,对于这种治疗方法对特定神经疾病的疗效仍有许多需要阐明的地方,需要更有力的临床数据来达成共识并正确定义脑活素的治疗作用。

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J Rehabil Med. 2020 Feb 27;52(2):jrm00025. doi: 10.2340/16501977-2654.
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Neuropsychiatr Dis Treat. 2018 Dec 27;15:127-135. doi: 10.2147/NDT.S186865. eCollection 2019.
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Neurochem Res. 2025 Mar 24;50(2):123. doi: 10.1007/s11064-025-04376-0.
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