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基于生物技术的治疗药物在脑卒中管理中的应用。

Biotechnology-based therapeutics for management of cerebral stroke.

机构信息

Shobhaben Pratapbhai Patel School of Pharmacy & Technology Management, SVKMs NMIMS, V.L.Mehta Road, Vile Parle (W), Mumbai, Maharashtra, 400056, India.

Shobhaben Pratapbhai Patel School of Pharmacy & Technology Management, SVKMs NMIMS, V.L.Mehta Road, Vile Parle (W), Mumbai, Maharashtra, 400056, India.

出版信息

Eur J Pharmacol. 2021 Dec 15;913:174638. doi: 10.1016/j.ejphar.2021.174638. Epub 2021 Nov 18.

DOI:10.1016/j.ejphar.2021.174638
PMID:34801531
Abstract

Cerebral stroke, commonly caused due to hindrance in blood flow, is broadly classified into two categories-ischemic and haemorrhagic strokes. The onset of stroke triggers multiple mechanisms causing inflammation, generation of free radicals and protein damage leading to apoptosis of neuronal cells. The current therapies available for cerebral strokes involve use of complex surgical treatments and tissue plasminogen activator which increases the risk of internal bleeding, brain edema and cerebral damage, thereby restricting their use in clinical setting. The alarming need to develop safe, effective, target specific systems which, promote neuronal growth and reduce cerebral inflammation can be accomplished with use of biotechnological approaches. The article gives an insight to biotechnology-based advancements for tissue plasminogen activators, cell penetrating peptides, growth factors, ribonucleic acid systems and monoclonal antibodies for cerebral stroke. We also emphasis on challenges and future perspective of biotechnology-based therapeutics for better management of stroke.

摘要

脑卒中,通常由血流受阻引起,广泛分为缺血性卒中和出血性卒中两类。脑卒中的发作引发多种机制,导致炎症、自由基生成和蛋白质损伤,从而导致神经元细胞凋亡。目前用于治疗脑卒中的方法包括使用复杂的手术治疗和组织型纤溶酶原激活物,这会增加内出血、脑水肿和脑损伤的风险,从而限制了它们在临床环境中的应用。因此,迫切需要开发安全、有效、靶向特定系统,促进神经元生长并减轻脑炎症,这可以通过生物技术方法来实现。本文介绍了基于生物技术的组织型纤溶酶原激活物、细胞穿透肽、生长因子、核糖核酸系统和单克隆抗体在治疗脑卒中方面的进展。我们还强调了基于生物技术的治疗方法在更好地管理脑卒中方面所面临的挑战和未来展望。

相似文献

1
Biotechnology-based therapeutics for management of cerebral stroke.基于生物技术的治疗药物在脑卒中管理中的应用。
Eur J Pharmacol. 2021 Dec 15;913:174638. doi: 10.1016/j.ejphar.2021.174638. Epub 2021 Nov 18.
2
Phosphorylated recombinant HSP27 protects the brain and attenuates blood-brain barrier disruption following stroke in mice receiving intravenous tissue-plasminogen activator.磷酸化重组 HSP27 可保护大脑,并减轻接受静脉注射组织型纤溶酶原激活物的中风小鼠血脑屏障的破坏。
PLoS One. 2018 May 24;13(5):e0198039. doi: 10.1371/journal.pone.0198039. eCollection 2018.
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Targeting vascular inflammation in ischemic stroke: Recent developments on novel immunomodulatory approaches.靶向缺血性脑卒中的血管炎症:新型免疫调节方法的最新进展。
Eur J Pharmacol. 2018 Aug 15;833:531-544. doi: 10.1016/j.ejphar.2018.06.028. Epub 2018 Jun 20.
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Sub-acute systemic erythropoietin administration reduces ischemic brain injury in an age-dependent manner.亚急性全身性给予促红细胞生成素可依年龄依赖性方式减轻缺血性脑损伤。
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Combination treatment with N-acetyl-seryl-aspartyl-lysyl-proline and tissue plasminogen activator provides potent neuroprotection in rats after stroke.N-乙酰丝氨酰-天冬氨酰-赖氨酰-脯氨酸与组织型纤溶酶原激活剂联合治疗可为中风后的大鼠提供有效的神经保护作用。
Stroke. 2014 Apr;45(4):1108-14. doi: 10.1161/STROKEAHA.113.004399. Epub 2014 Feb 18.
6
Pinocembrin Protects Blood-Brain Barrier Function and Expands the Therapeutic Time Window for Tissue-Type Plasminogen Activator Treatment in a Rat Thromboembolic Stroke Model.乔松素通过保护血脑屏障功能为组织型纤溶酶原激活物治疗扩展治疗时间窗,改善大鼠血栓性脑卒中模型的预后。
Biomed Res Int. 2018 Apr 22;2018:8943210. doi: 10.1155/2018/8943210. eCollection 2018.
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Thrombolysis and neuroprotection in cerebral ischemia.脑缺血中的溶栓与神经保护
Cerebrovasc Dis. 2006;21 Suppl 2:118-26. doi: 10.1159/000091711. Epub 2006 May 2.
8
Combination therapy with liposomal neuroprotectants and tissue plasminogen activator for treatment of ischemic stroke.脂质体神经保护剂与组织型纤溶酶原激活剂联合治疗缺血性中风。
FASEB J. 2017 May;31(5):1879-1890. doi: 10.1096/fj.201601209R. Epub 2017 Jan 12.
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Opening the window: Ischemic postconditioning reduces the hyperemic response of delayed tissue plasminogen activator and extends its therapeutic time window in an embolic stroke model.开窗:缺血后适应可降低延迟性组织型纤溶酶原激活剂的充血反应并延长其在栓塞性中风模型中的治疗时间窗。
Eur J Pharmacol. 2015 Oct 5;764:55-62. doi: 10.1016/j.ejphar.2015.06.043. Epub 2015 Jun 27.
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Lycium barbarum extracts protect the brain from blood-brain barrier disruption and cerebral edema in experimental stroke.枸杞提取物可保护大脑免受实验性中风血脑屏障破坏和脑水肿的影响。
PLoS One. 2012;7(3):e33596. doi: 10.1371/journal.pone.0033596. Epub 2012 Mar 16.

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Platinum-based chemotherapies-induced nephrotoxicity: mechanisms, potential treatments, and management.铂类化疗药物所致肾毒性:机制、潜在治疗方法及管理
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Molecular subtype identification of cerebral ischemic stroke based on ferroptosis-related genes.
基于铁死亡相关基因的脑缺血性卒中分子亚型鉴定
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Advances in Antibody-Based Therapeutics for Cerebral Ischemia.基于抗体的脑缺血治疗方法的进展
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Plasma levels of BDNF and EGF are reduced in acute stroke patients.急性中风患者的血浆脑源性神经营养因子(BDNF)和表皮生长因子(EGF)水平降低。
Heliyon. 2022 Jun 10;8(6):e09661. doi: 10.1016/j.heliyon.2022.e09661. eCollection 2022 Jun.