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线粒体移植作为一种针对脑缺血和脑缺血/再灌注损伤的潜在治疗策略的最新综述。

An Updated Review of Mitochondrial Transplantation as a Potential Therapeutic Strategy Against Cerebral Ischemia and Cerebral Ischemia/Reperfusion Injury.

作者信息

Huang Huatuo, Oo Thura Tun, Apaijai Nattayaporn, Chattipakorn Nipon, Chattipakorn Siriporn C

机构信息

Neurophysiology Unit, Cardiac Electrophysiology Research and Training Center, Faculty of Medicine, Chiang Mai University, 50200, Chiang Mai, Thailand.

Cardiac Electrophysiology Unit, Department of Physiology, Faculty of Medicine, Chiang Mai University, 50200, Chiang Mai, Thailand.

出版信息

Mol Neurobiol. 2023 Apr;60(4):1865-1883. doi: 10.1007/s12035-022-03200-y. Epub 2023 Jan 3.

Abstract

Regardless of the progress made in the pathogenesis of ischemic stroke, it remains a leading cause of adult disability and death. To date, the most effective treatment for ischemic stroke is the timely recanalization of the occluded artery. However, the short time window and reperfusion injury have greatly limited its application and efficacy. Mitochondrial dysfunction and ATP depletion have become regarded as being hallmarks of neuropathophysiology following ischemic stroke. Mitochondrial transplantation is a novel potential therapeutic intervention for ischemic stroke that has sparked widespread concern during the past few years. This review summarizes and discusses the effects of mitochondrial transplantation in in vitro and in vivo ischemic stroke models. In addition, pharmacological interventions promoting mitochondrial transplantation are reviewed and discussed. We also discuss the potential challenges to the clinical application of mitochondrial transplantation in the treatment of ischemic stroke.

摘要

尽管在缺血性中风的发病机制方面取得了进展,但它仍然是成人残疾和死亡的主要原因。迄今为止,缺血性中风最有效的治疗方法是及时使闭塞的动脉再通。然而,较短的时间窗和再灌注损伤极大地限制了其应用和疗效。线粒体功能障碍和ATP耗竭已被视为缺血性中风后神经病理生理学的标志。线粒体移植是一种针对缺血性中风的新型潜在治疗干预措施,在过去几年中引起了广泛关注。本文综述并讨论了线粒体移植在体外和体内缺血性中风模型中的作用。此外,还综述并讨论了促进线粒体移植的药理学干预措施。我们还讨论了线粒体移植在缺血性中风治疗临床应用中可能面临的挑战。

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