Department of Neurology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province, China.
Department of Neurosurgery & Brain and Nerve Research Laboratory, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province, China.
Med Gas Res. 2022 Jul-Sep;12(3):73-76. doi: 10.4103/2045-9912.330689.
Cerebral ischemia/reperfusion injury is an important factor leading to poor prognosis in ischemic stroke patients. Therefore, it is particularly important to find effective remedial measures to promote the health of patients to return to society. Isoflurane is a safe and reliable anesthetic gas with a long history of clinical application. In recent years, its protection function to human body has been widely recognized, and nowadays isoflurane for cerebral protection has been widely studied, and the stable effect of isoflurane has satisfied many researchers. Basic studies have shown that isoflurane's protection of brain tissue after ischemia/reperfusion involves a variety of signaling pathways and effector molecules. Even though many signaling pathways have been described, more and more studies focus on exploring their mechanisms of action, in order to provide strong evidence for clinical application. This could prompt the introduction of isoflurane therapy to clinical patients as soon as possible. In this paper, several confirmed signaling pathways will be reviewed to find possible strategies for clinical treatment.
脑缺血/再灌注损伤是导致缺血性脑卒中患者预后不良的重要因素。因此,寻找有效的补救措施,促进患者康复回归社会尤为重要。异氟醚是一种安全可靠的麻醉气体,临床应用历史悠久。近年来,其对人体的保护功能得到了广泛的认可,目前异氟醚的脑保护作用已得到广泛研究,异氟醚的稳定作用满足了许多研究人员的需求。基础研究表明,异氟醚对缺血/再灌注后脑组织的保护作用涉及多种信号通路和效应分子。尽管已经描述了许多信号通路,但越来越多的研究集中在探索它们的作用机制上,以便为临床应用提供有力证据。这可能会促使异氟醚治疗尽快应用于临床患者。本文将综述几种已证实的信号通路,以期找到可能的临床治疗策略。