Article
Chemistry, Multidisciplinary
Zhuoran Wang, Yue Zhao, Yaxin Hou, Guoheng Tang, Ruofei Zhang, Yili Yang, Xiyun Yan, Kelong Fan
Summary: In this study, a novel peptide-templated manganese dioxide nanozyme (PNzyme/MnO2) was developed, which combines the thrombolytic activity of functional peptides and the reactive oxygen species scavenging ability of nanozymes. The PNzyme/MnO2 showed promising potential in prolonging blood circulation, exerting strong thrombolytic action, reducing ischemic damages in brain tissues, and inhibiting astrocyte activation and proinflammatory cytokine secretion. These findings suggest that the PNzyme/MnO2 nanozyme could be a novel therapeutic agent for ischemic stroke.
ADVANCED MATERIALS
(2023)
Review
Chemistry, Multidisciplinary
Jianglong Kong, Runxuan Chu, Yi Wang
Summary: Stroke is a major cause of death and disability worldwide. Neuroprotective therapy, combined with thrombolytic therapy, is an important treatment for stroke.
ADVANCED FUNCTIONAL MATERIALS
(2022)
Article
Neurosciences
Xiuji Kan, Zeya Yan, Fei Wang, Xinyu Tao, Tao Xue, Zhouqing Chen, Zhong Wang, Gang Chen
Summary: Remote ischemic conditioning (RIC) is a remote, transient, and noninvasive procedure that provides temporary ischemia and reperfusion. This study conducted a comprehensive meta-analysis to evaluate the efficacy and safety of RIC for acute ischemic stroke. The results showed that RIC could reduce stroke recurrence, improve patients' prognosis, and did not cause other adverse events except for relatively benign RIC-related adverse events.
CNS NEUROSCIENCE & THERAPEUTICS
(2023)
Review
Biochemistry & Molecular Biology
Matteo Haupt, Stefan T. Gerner, Mathias Baehr, Thorsten R. Doeppner
Summary: Ischemic stroke is a leading cause of death and disability globally, requiring urgent development of neuroprotective approaches due to limited treatment options. This study provides an overview of current research in neuroprotective stroke treatment, including traditional drugs targeting inflammation, cell death, and excitotoxicity, as well as stem-cell-based and extracellular vesicle-based methods. The review also discusses the potential of the microbiota-gut-brain axis as a target for future neuroprotective therapies.
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2023)
Review
Clinical Neurology
Hassan Kobeissi, Sherief Ghozy, Bilal Turfe, Cem Bilgin, Ramanathan Kadirvel, David F. F. Kallmes, Waleed Brinjikji, Alejandro A. A. Rabinstein
Summary: Through a meta-analysis of randomized controlled trials (RCTs), we found that tenecteplase and alteplase have similar safety and efficacy for the treatment of acute ischemic stroke (AIS).
FRONTIERS IN NEUROLOGY
(2023)
Article
Biochemistry & Molecular Biology
Sebastian Andone, Lenard Farczadi, Silvia Imre, Rodica Balasa
Summary: This study aimed to analyze the impact of an extended lipid profile, including fatty acids as potential neuroprotective biomarkers, on the outcome of ischemic stroke patients. The results revealed a negative correlation between serum cholesterol and triglycerides with the prognosis of stroke patients, while eicosapentaenoic acid showed potential neuroprotective effects in preventing severe ischemic stroke.
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2022)
Review
Pharmacology & Pharmacy
Leilei Zhang, Jingying Ma, Fan Yang, Sishi Li, Wangran Ma, Xiang Chang, Lin Yang
Summary: Ischemic stroke is a recurring and disabling condition with limited treatment options. Quercetin, a flavonoid found in fruits and vegetables, has been shown to have neuroprotective effects in pre-clinical studies on patients with ischemic brain injury. However, its specific mechanism of action is still unknown. This review aims to explore the potential value of quercetin in treating ischemic brain injury by examining published data on its plant sources, pharmacological effects, and metabolic processes.
FRONTIERS IN PHARMACOLOGY
(2022)
Article
Clinical Neurology
Chung-Yao Chen, Chia-Ling Chen, Chung-Chieh Yu
Summary: This study found that trazodone treatment significantly improved sleep quality and severity of OSA in post-stroke patients, especially during rapid eye movement sleep. Patients who responded well to the treatment showed a significant reduction in apnea-hypopnea index after the therapy.
JOURNAL OF NEUROLOGY
(2021)
Review
Biochemistry & Molecular Biology
Karol Chojnowski, Mikolaj Opielka, Wojciech Nazar, Przemyslaw Kowianski, Ryszard T. Smolenski
Summary: Guanosine is a nucleotide metabolite that acts as a neuroprotective agent in neurological disorders, particularly in brain ischemia, by counteracting destructive events, regulating inflammatory processes, and activating prosurvival signaling pathways. Studies have shown promising results in vivo, with guanosine therapy leading to decreased infarct volume, improved neurological outcomes, and stimulation of neuroregeneration.
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2021)
Review
Pharmacology & Pharmacy
Huan Wang, Kaili Ye, Dan Li, Yuxin Liu, Deren Wang
Summary: This article confirms that NBP can help acute ischemic stroke patients regain the ability to perform activities of daily living, reduce their neurological deficit, and short-term death rates, based on an updated systematic review and meta-analysis. However, the available evidence on whether NBP reduces the risk of long-term death or dependence after ischemic stroke remains insufficient.
FRONTIERS IN PHARMACOLOGY
(2022)
Article
Chemistry, Medicinal
Yi-Li Chen, Yu-Chen Chen, Lin-An Xiong, Qu-Yang Huang, Ting-Ting Gong, Yan Chen, Lie-Feng Ma, Luo Fang, Zha-Jun Zhan
Summary: Compounds of natural sources are widely discovered in the treatment of ischemic stroke. Alpha-mangostin, a natural prenylated xanthone, has therapeutic potential, but its direct application is limited. Therefore, structural modification of alpha-mangostin was necessary. 34 alpha-mangostin phenylcarbamoyl derivatives were synthesized and evaluated, with compound 2 showing the most therapeutic potential and proving to have powerful effects in animal models.
EUROPEAN JOURNAL OF MEDICINAL CHEMISTRY
(2023)
Review
Clinical Neurology
Yang Jiang, Zhenquan Liu, Yan Liao, Shuyong Sun, Yajie Dai, Yibo Tang
Summary: Ischemic stroke is difficult to treat due to its complex pathological mechanisms, limited treatment options, and microcirculation disorders. Therefore, finding suitable pathways and targets from the pathological mechanism is crucial for the development of effective treatments.
FRONTIERS IN NEUROLOGY
(2022)
Article
Endocrinology & Metabolism
Kuniyasu Niizuma, Shin-Ichiro Osawa, Hidenori Endo, Shin-Ichi Izumi, Kota Ataka, Akihiro Hirakawa, Masao Iwano, Teiji Tominaga
Summary: This randomized placebo-controlled trial demonstrated that CL2020, an allogenic Muse cell-based product, may be an effective treatment for subacute ischemic stroke, improving patients' condition and safety.
JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM
(2023)
Article
Clinical Neurology
Kirtipal Bhatia, Vardhmaan Jain, Devika Aggarwal, Muthiah Vaduganathan, Sameer Arora, Zeeshan Hussain, Guneesh Uberoi, Alfonso Tafur, Cen Zhang, Mark Ricciardi, Arman Qamar
Summary: This study found that early initiation of short-term DAPT following high-risk transient ischemic attack or mild-moderate ischemic stroke can reduce the risk of recurrent stroke while increasing the risk of major bleeding.
Review
Clinical Neurology
Meng Lu, Yujiao Wang, Xin Yin, Yuanyuan Li, Hongyan Li
Summary: Remote limb ischemic postconditioning (RIPostC) reduces vascular injury and improves cognitive evaluation in patients with ischemic stroke, demonstrating its safe and effective cerebral protective effect.
FRONTIERS IN NEUROLOGY
(2022)