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丙泊酚缓解脑缺血/再灌注损伤的研究进展。

Research progress of propofol in alleviating cerebral ischemia/reperfusion injury.

机构信息

Basic Medical College, Xinxiang Medical University, 601, Jin Sui Avenue, Xinxiang, Henan, China.

Zhengzhou Central Hospital, Zhengzhou, China.

出版信息

Pharmacol Rep. 2024 Oct;76(5):962-980. doi: 10.1007/s43440-024-00620-6. Epub 2024 Jul 2.

Abstract

Ischemic stroke is a leading cause of adult disability and death worldwide. The primary treatment for cerebral ischemia patients is to restore blood supply to the ischemic region as quickly as possible. However, in most cases, more severe tissue damage occurs, which is known as cerebral ischemia/reperfusion (I/R) injury. The pathological mechanisms of brain I/R injury include mitochondrial dysfunction, oxidative stress, excitotoxicity, calcium overload, neuroinflammation, programmed cell death and others. Propofol (2,6-diisopropylphenol), a short-acting intravenous anesthetic, possesses not only sedative and hypnotic effects but also immunomodulatory and neuroprotective effects. Numerous studies have reported the protective properties of propofol during brain I/R injury. In this review, we summarize the potential protective mechanisms of propofol to provide insights for its better clinical application in alleviating cerebral I/R injury.

摘要

缺血性脑卒中是全球范围内导致成年人残疾和死亡的主要原因。脑缺血患者的主要治疗方法是尽快恢复缺血区域的血液供应。然而,在大多数情况下,会发生更严重的组织损伤,这被称为脑缺血/再灌注(I/R)损伤。脑 I/R 损伤的病理机制包括线粒体功能障碍、氧化应激、兴奋性毒性、钙超载、神经炎症、细胞程序性死亡等。异丙酚(2,6-二异丙基苯酚),一种短效静脉麻醉剂,不仅具有镇静和催眠作用,而且具有免疫调节和神经保护作用。大量研究报道了异丙酚在脑 I/R 损伤中的保护作用。在这篇综述中,我们总结了异丙酚的潜在保护机制,为其在缓解脑 I/R 损伤中的更好临床应用提供了依据。

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