Department of Internal Medicine, University of Genoa, Viale Benedetto XV, 6, 16132, Genoa, Italy.
IRCCS Ospedale Policlinico San Martino Genoa, Italian Cardiovascular Network, Largo Rosanna Benzi 10, 16132, Genoa, Italy.
Intern Emerg Med. 2023 Apr;18(3):723-732. doi: 10.1007/s11739-023-03201-2. Epub 2023 Feb 6.
Ischemic stroke remains the second leading cause of death and among the major causes of morbidity worldwide. Therapeutic options are currently limited to early reperfusion strategies, while pharmacological neuroprotective strategies despite showing promising results in the experimental setting constantly failed to enter the clinical arena. Inflammation plays an important role in the pathophysiology of ischemic stroke and mediators of inflammation have been longtime investigated as possible prognostic marker and therapeutic target for stroke patients. Here, we summarized available evidence on the role of cytokines, soluble adhesion molecules and adipokines in the pathophysiology, prognosis and therapy of ischemic stroke.
缺血性脑卒中仍然是全球第二大致死原因和主要致残原因之一。目前的治疗选择仅限于早期再灌注策略,尽管神经保护药理学策略在实验环境中显示出有前景的结果,但始终未能进入临床领域。炎症在缺血性脑卒中的病理生理学中起着重要作用,炎症介质一直被作为脑卒中患者的可能预后标志物和治疗靶点进行研究。在这里,我们总结了细胞因子、可溶性黏附分子和脂肪因子在缺血性脑卒中的病理生理学、预后和治疗中的作用的现有证据。