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Journal ArticleDOI

Pathophysiologic mechanisms of acute ischemic stroke: An overview with emphasis on therapeutic significance beyond thrombolysis

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TLDR
The objective of this review is to critically evaluate the major mechanisms underlying stroke pathophysiology, with emphasis on potential novel targets for designing newer therapeutic modalities.
About
This article is published in Pathophysiology.The article was published on 2010-06-01. It has received 492 citations till now. The article focuses on the topics: Ischemic cascade & Stroke.

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Therapeutic potential of treatment with the flavonoid rutin after cortical focal ischemia in rats

TL;DR: The results suggest rutin as an efficient drug to treat brain ischemia since it was able to promote significant recovery of sensorimotor loss, which was correlated to the reduction of neurodegeneration in the periphery of cortical injury.
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Association of Neutrophil-to-Lymphocyte Ratio and Lymphocyte-to-Monocyte Ratio with Treatment Modalities of Acute Ischaemic Stroke: A Pilot Study

TL;DR: NLR in IS patients treated using thrombectomy following thrombolysis was markedly higher than that in other treatment groups, which was associated with increased severity of the disease in these patients, therefore, patients with higher NLR may be expected to have more severe stroke.
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SCH58261 the Selective Adenosine A 2A Receptor Blocker Modulates Ischemia Reperfusion Injury Following Bilateral Carotid Occlusion: Role of Inflammatory Mediators

TL;DR: Results from the present study point towards the importance of central blockade of adenosine A2A receptor in ameliorating hippocampal damage following IR injury by halting inflammatory cascades as well as modulating excitotoxicity.
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Multiple biomarkers covering distinct pathways for predicting outcomes after ischemic stroke.

TL;DR: Investigation of the prognostic significance of multiple novel biomarkers in combination after ischemic stroke found a clear gradient relationship between the numbers of elevated novel biomarker and risk of major disability, mortality, and vascular events.
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“Three Hits” Hypothesis for Developmental Origins of Health and Diseases in View of Cardiovascular Abnormalities

TL;DR: The “Three hits” hypothesis is proposed that highlights the importance of intrauterine and early postnatal factors as contributors to FOAD, which could be significant for early prevention and treatments of FOAD.
References
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Atherosclerosis — An Inflammatory Disease

TL;DR: Atherosclerosis is an inflammatory disease as discussed by the authors, and it is a major cause of death in the United States, Europe, and much of Asia, despite changes in lifestyle and use of new pharmacologic approaches to lower plasma cholesterol concentrations.
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Direct Proinflammatory Effect of C-Reactive Protein on Human Endothelial Cells

TL;DR: The hypothesis that CRP may play a direct role in promoting the inflammatory component of atherosclerosis and present a potential target for the treatment of Atherosclerosis is supported.
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p53 Has a Direct Apoptogenic Role at the Mitochondria

TL;DR: Evidence that p53 translocation to the mitochondria occurs in vivo in irradiated thymocytes is provided and it is shown that the p53 protein can directly induce permeabilization of the outer mitochondrial membrane by forming complexes with the protective BclXL and Bcl2 proteins, resulting in cytochrome c release.
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Glutamate-mediated astrocyte-neuron signalling.

TL;DR: Astrocytes regulate neuronal calcium levels through the calcium-dependent release of glutamate, and an NMDA (N-methyl-d-aspartate) receptor-mediated increase in neuronal calcium is demonstrated.
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