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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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Apoptosis in neurodegenerative disorders

TL;DR: There is supportive, but not definitive, evidence for apoptosis in a number of neurodegenerative disorders, and tissue culture models, animal models and human pathological studies are discussed.
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The identification of vesicular glutamate transporter 3 suggests novel modes of signaling by glutamate.

TL;DR: The distribution and subcellular location of VGLUT3 suggest novel modes of signaling by glutamate, and the dendritic expression of V GLUT3 by particular neurons also indicates the potential for retrograde synaptic signaling.
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RANTES: a versatile and controversial chemokine

TL;DR: The activity of the chemokine RANTES is a powerful leukocyte activator, a feature potentially relevant in a range of inflammatory disorders and critically dependent on its ability to self-aggregate and bind to glycosaminoglycans.
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Matrix Metalloproteinases Increase Very Early During Experimental Focal Cerebral Ischemia

TL;DR: Findings highlight the early potential role of MMP-2 in the degradation of basal lamina leading to neuronal injury, and an association of M MP-9 with hemorrhagic transformation after focal cerebral ischemia, which is highly correlated with the extent of neuron injury and the number of injured neurons.
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Matrix Metalloproteinase-9 Pretreatment Level Predicts Intracranial Hemorrhagic Complications After Thrombolysis in Human Stroke

TL;DR: It is suggested that MMP determination may increase the safety profile for thrombolysis and, in the future, anti-MMP drugs might be combined with t-PA to prevent hemorrhagic complications.
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