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中风后出血性转化和脑水肿中新兴的诊断标志物及治疗靶点

Emerging diagnostic markers and therapeutic targets in post-stroke hemorrhagic transformation and brain edema.

作者信息

Yao Ying, Liu Fei, Gu Zhaowen, Wang Jingyu, Xu Lintao, Yu Yue, Cai Jing, Ren Reng

机构信息

Department of Neuroscience Intensive Care Unit, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.

Department of Neurosurgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.

出版信息

Front Mol Neurosci. 2023 Dec 21;16:1286351. doi: 10.3389/fnmol.2023.1286351. eCollection 2023.

Abstract

Stroke is a devastating condition that can lead to significant morbidity and mortality. The aftermath of a stroke, particularly hemorrhagic transformation (HT) and brain edema, can significantly impact the prognosis of patients. Early detection and effective management of these complications are crucial for improving outcomes in stroke patients. This review highlights the emerging diagnostic markers and therapeutic targets including claudin, occludin, zonula occluden, s100β, albumin, MMP-9, MMP-2, MMP-12, IL-1β, TNF-α, IL-6, IFN-γ, TGF-β, IL-10, IL-4, IL-13, MCP-1/CCL2, CXCL2, CXCL8, CXCL12, CCL5, CX3CL1, ICAM-1, VCAM-1, P-selectin, E-selectin, PECAM-1/CD31, JAMs, HMGB1, vWF, VEGF, ROS, NAC, and AQP4. The clinical significance and implications of these biomarkers were also discussed.

摘要

中风是一种具有破坏性的疾病,可导致严重的发病率和死亡率。中风的后果,尤其是出血性转化(HT)和脑水肿,会对患者的预后产生重大影响。早期发现和有效处理这些并发症对于改善中风患者的预后至关重要。本综述重点介绍了包括紧密连接蛋白、闭合蛋白、小带闭合蛋白、S100β、白蛋白、基质金属蛋白酶-9、基质金属蛋白酶-2、基质金属蛋白酶-12、白细胞介素-1β、肿瘤坏死因子-α、白细胞介素-6、干扰素-γ、转化生长因子-β、白细胞介素-10、白细胞介素-4、白细胞介素-13、单核细胞趋化蛋白-1/CCL2、CXCL2、CXCL8、CXCL12、CCL5、CX3CL1、细胞间黏附分子-1、血管细胞黏附分子-1、P-选择素、E-选择素、血小板内皮细胞黏附分子-1/CD31、连接黏附分子、高迁移率族蛋白B1、血管性血友病因子、血管内皮生长因子、活性氧、N-乙酰半胱氨酸和水通道蛋白4在内的新兴诊断标志物和治疗靶点。还讨论了这些生物标志物的临床意义和影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54d7/10764516/eaf5cf6ab072/fnmol-16-1286351-g001.jpg

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