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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.
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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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Citations
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Reactive Oxygen Species in Metabolic and Inflammatory Signaling.

TL;DR: The role of ROS in the regulation metabolic/inflammatory diseases including atherosclerosis, diabetes mellitus, and stroke is highlighted and the balance ROS signaling plays in both physiology and pathophysiology is understood.
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The Pharmacological Potential of Rutin.

TL;DR: The present review highlights current information and health-promoting effects of rutin and safety pharmacology issues and SAR of the same have also been discussed.
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Stroke and the immune system: from pathophysiology to new therapeutic strategies

TL;DR: Development of novel and effective therapeutic strategies for stroke will require further investigation of pathways in the immune system and inflammatory responses in terms of their temporal profile (before, during, and after stroke) and risk-to-benefit therapeutic ratio of modulating them.
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The role of extracellular histone in organ injury

TL;DR: Drugs that block the release of histone, neutralise circulating histone or block histone signal transduction provide significant protection from mortality in animal models of acute organ injury but warrant further research to inform future clinical applications.
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Angiogenesis, neurogenesis and neuroplasticity in ischemic stroke.

TL;DR: These findings suggest that blood vessels play an important role as a scaffold for NPCs migration toward the damaged brain region, and the origin of newly formed vessels and the pathogenic role of neovascularization and neurogenesis are important unresolved issues in the understanding of the mechanisms after stroke.
References
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Systemic Inflammatory Parameters in Patients With Atherosclerosis of the Coronary and Peripheral Arteries

TL;DR: Increased plasma levels of CRP, SAA, IL-6, TGF-beta, neopterin, and procalcitonin constitute an inflammatory signature of advanced atherosclerosis and are correlated with the extent of disease but do not provide discriminatory diagnostic power over and above established risk factors.
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Caspase pathways, neuronal apoptosis, and CNS injury.

TL;DR: Evidence is provided for the potential therapeutic use of caspase inhibitors in the setting of acute and chronic CNS injury, and for their role in mediating cell death in chronic neurodegenerative conditions such as Alzheimer's disease, Huntington’s disease, and amyotrophic lateral sclerosis.
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Caspases as treatment targets in stroke and neurodegenerative diseases.

TL;DR: The evidence and the potential importance of caspase inhibition to cerebral ischemia are reviewed and an emerging body of data implicating caspases in cell death accompanying neurodegenerative disorders is summarized.
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Microglia and macrophages are the major source of tumor necrosis factor in permanent middle cerebral artery occlusion in mice

TL;DR: To a time-restricted microglial/macrophage production of TNF in focal cerebral ischemia in mice, nonradioactive in situ hybridization for murine TNF mRNA was performed and translation of T NF mRNA into bioactive protein was demonstrated in the neocortex of C57Bl/6 mice subjected to permanent middle cerebral artery occlusion.
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Cytosolic Calcium Oscillations in Astrocytes May Regulate Exocytotic Release of Glutamate

TL;DR: The fast activation of NMDARs in the sensor cells and the dependence of glutamate release on the functional integrity of both synaptobrevin and vacuolar H+ ATPase suggest that astrocytes are endowed with an exocytotic mechanism of glutamateRelease that resembles that of neurons.
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