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靶向神经发生以寻求缺血性中风的新疗法。

Targeting Neurogenesis in Seeking Novel Treatments for Ischemic Stroke.

作者信息

Nagase Takayuki, Kin Kyohei, Yasuhara Takao

机构信息

Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama 700-8558, Japan.

出版信息

Biomedicines. 2023 Oct 13;11(10):2773. doi: 10.3390/biomedicines11102773.

Abstract

The interruption of cerebral blood flow leads to ischemic cell death and results in ischemic stroke. Although ischemic stroke is one of the most important causes of long-term disability and mortality, limited treatments are available for functional recovery. Therefore, extensive research has been conducted to identify novel treatments. Neurogenesis is regarded as a fundamental mechanism of neural plasticity. Therefore, therapeutic strategies targeting neurogenesis are thought to be promising. Basic research has found that therapeutic intervention including cell therapy, rehabilitation, and pharmacotherapy increased neurogenesis and was accompanied by functional recovery after ischemic stroke. In this review, we consolidated the current knowledge of the relationship between neurogenesis and treatment for ischemic stroke. It revealed that many treatments for ischemic stroke, including clinical and preclinical ones, have enhanced brain repair and functional recovery post-stroke along with neurogenesis. However, the intricate mechanisms of neurogenesis and its impact on stroke recovery remain areas of extensive research, with numerous factors and pathways involved. Understanding neurogenesis will lead to more effective stroke treatments, benefiting not only stroke patients but also those with other neurological disorders. Further research is essential to bridge the gap between preclinical discoveries and clinical implementation.

摘要

脑血流中断会导致缺血性细胞死亡,并引发缺血性中风。尽管缺血性中风是导致长期残疾和死亡的最重要原因之一,但针对功能恢复的治疗方法却很有限。因此,人们进行了广泛的研究以寻找新的治疗方法。神经发生被认为是神经可塑性的一种基本机制。因此,针对神经发生的治疗策略被认为具有前景。基础研究发现,包括细胞治疗、康复治疗和药物治疗在内的治疗干预可增加神经发生,并在缺血性中风后伴随着功能恢复。在这篇综述中,我们整合了目前关于神经发生与缺血性中风治疗之间关系的知识。结果显示,许多针对缺血性中风的治疗方法,包括临床和临床前的治疗,都在促进神经发生的同时增强了中风后的脑修复和功能恢复。然而,神经发生的复杂机制及其对中风恢复的影响仍是广泛研究的领域,涉及众多因素和途径。了解神经发生将带来更有效的中风治疗方法,不仅使中风患者受益,也使其他神经系统疾病患者受益。进一步的研究对于弥合临床前发现与临床应用之间的差距至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59b8/10604112/4df3abe8710e/biomedicines-11-02773-g001.jpg

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