Journal of Cerebral Blood Flow and Metabolism最新文献

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In vivo assessment of the influence of general anaesthetics on transmembrane water cycling in the brain. 全身麻醉对脑内跨膜水循环影响的体内评价。
IF 4.9 2区 医学
Journal of Cerebral Blood Flow and Metabolism Pub Date : 2024-12-24 DOI: 10.1177/0271678X241309783
Eleonora Cavallari, Elena Lorenzi, Enza Di Gregorio, Giuseppe Ferrauto, Silvio Aime, Giorgio Vallortigara, Angelo Bifone
{"title":"In vivo assessment of the influence of general anaesthetics on transmembrane water cycling in the brain.","authors":"Eleonora Cavallari, Elena Lorenzi, Enza Di Gregorio, Giuseppe Ferrauto, Silvio Aime, Giorgio Vallortigara, Angelo Bifone","doi":"10.1177/0271678X241309783","DOIUrl":"10.1177/0271678X241309783","url":null,"abstract":"<p><p>This study presents the first in vivo measurement of transcytolemmal water exchange in the brain using a novel Magnetic Resonance technique. We extend previous applications of Chemical Exchange Saturation Transfer (CEST) to examine water exchange across cellular membranes in late-stage chicken embryo brains. The immature blood-brain barrier at this stage allows Gadolinium-Based Contrast Agents (GBCAs) to penetrate the brain's interstitial space, sensitizing the CEST effect to water exchange between intra- and extracellular environments. Exchange rates were measured in the awake brain and under different anaesthetic regimens, including isoflurane and ketamine/xylazine. Results show that brain water exchange is dominated by activity-dependent mechanisms, with anaesthesia reducing exchange rates by over an order of magnitude. These findings suggest that anaesthetics may impact neuronal and glial function by interfering with active transport mechanisms, potentially altering brain water homeostasis. This study highlights the utility of CEST MRI for studying dynamic biological processes in vivo.</p>","PeriodicalId":15325,"journal":{"name":"Journal of Cerebral Blood Flow and Metabolism","volume":" ","pages":"271678X241309783"},"PeriodicalIF":4.9,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142885358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gut microbiota-mediated choline metabolism exacerbates cognitive impairment induced by chronic cerebral hypoperfusion. 肠道微生物介导的胆碱代谢加剧慢性脑灌注不足引起的认知障碍。
IF 4.9 2区 医学
Journal of Cerebral Blood Flow and Metabolism Pub Date : 2024-12-24 DOI: 10.1177/0271678X241309777
Xiao Li, Yueran Ren, Xuxuan Gao, Huidi Wang, Jiafeng Zhang, Jiahui Xie, Jingru Liang, Boxin Zhao, Hongwei Zhou, Jia Yin
{"title":"Gut microbiota-mediated choline metabolism exacerbates cognitive impairment induced by chronic cerebral hypoperfusion.","authors":"Xiao Li, Yueran Ren, Xuxuan Gao, Huidi Wang, Jiafeng Zhang, Jiahui Xie, Jingru Liang, Boxin Zhao, Hongwei Zhou, Jia Yin","doi":"10.1177/0271678X241309777","DOIUrl":"https://doi.org/10.1177/0271678X241309777","url":null,"abstract":"<p><p>Chronic cerebral hypoperfusion (CCH) is a crucial mechanism causing vascular cognitive impairment (VCI). Choline is metabolized by gut microbiota into trimethylamine N-oxide (TMAO), a risk factor of cardiovascular diseases and cognitive impairment. However, the impact of choline-TMAO pathway on CCH-induced VCI is elusive. We performed a cross-sectional clinical study to investigate the relationship between the choline-TMAO pathway and cognitive outcome and used a bilateral common carotid artery occlusion rat model to explore the effect of a choline-rich diet on cognition and underlying mechanisms. Plasma choline and TMAO levels were negatively correlated with cognitive scores in CCH patients. A choline-rich diet exacerbated CCH-induced cognitive impairment by encouraging the proliferation of choline-metabolizing bacteria in the gut and subsequent generation of TMAO. The choline-TMAO pathway, mediated by gut microbiota, exacerbates cognitive impairment induced by CCH. Targeted dietary choline regulation based on gut microbiota modulation may ameliorate long-term cognitive impairment.</p>","PeriodicalId":15325,"journal":{"name":"Journal of Cerebral Blood Flow and Metabolism","volume":" ","pages":"271678X241309777"},"PeriodicalIF":4.9,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142884853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Aeromedical evacuation-relevant hypobaria following traumatic brain injury in rats contributes to cerebral blood flow depression, altered neurochemistry, and increased neuroinflammation. 大鼠外伤性脑损伤后航空医疗后送相关的低压导致脑血流抑制、神经化学改变和神经炎症增加。
IF 4.9 2区 医学
Journal of Cerebral Blood Flow and Metabolism Pub Date : 2024-12-18 DOI: 10.1177/0271678X241299985
Julie L Proctor, Su Xu, Sijia Guo, Boris Piskoun, Catriona Miller, Steven Roys, Rao P Gullapalli, Gary Fiskum
{"title":"Aeromedical evacuation-relevant hypobaria following traumatic brain injury in rats contributes to cerebral blood flow depression, altered neurochemistry, and increased neuroinflammation.","authors":"Julie L Proctor, Su Xu, Sijia Guo, Boris Piskoun, Catriona Miller, Steven Roys, Rao P Gullapalli, Gary Fiskum","doi":"10.1177/0271678X241299985","DOIUrl":"10.1177/0271678X241299985","url":null,"abstract":"<p><p>Aircraft cabins are routinely pressurized to the equivalent of 8000 ft altitude. Exposure of lab animals to aeromedical evacuation relevant hypobaria after traumatic brain injury worsens neurological outcomes, which is paradoxically exacerbated by hyperoxia. This study tested the hypothesis that exposure of rats to hypobaria following cortical impact reduces cerebral blood flow, increases neuroinflammation, and alters brain neurochemistry. Rats were exposed to simulated ground (normobaric) or air (hypobaric 8000 ft) transport, under normoxia or hyperoxia, 24 hr after trauma. Hypobaria exposure resulted in lower cerebral blood flow to the contralateral cortex and bilateral thalamus during flight and increased delayed cortical inflammation (ED1 immunoreactivity) at 14 days post injury. Impacted rats exposed to hypobaria had higher cortical creatine levels compared rats maintained at sea level. Exposure to the combination of hyperoxia and hypobaria resulted in the greatest reduction in cortical blood flow and total creatine during flight which persisted up to two weeks. In conclusion, hypoperfusion during hypobaria exposure could contribute to worsening of neuroinflammation and neurochemical imbalances. The presence of excessive O<sub>2</sub> during hypobaria results in long-term suppression of cerebral blood flow, indicating that supplemental O<sub>2</sub> should be titrated during hypobaria to maintain normoxia.</p>","PeriodicalId":15325,"journal":{"name":"Journal of Cerebral Blood Flow and Metabolism","volume":" ","pages":"271678X241299985"},"PeriodicalIF":4.9,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11656461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evidence of cortical vascular impairments in early stage of Alzheimer's transgenic mice: Optical imaging. 阿尔茨海默病转基因小鼠早期皮层血管损伤的证据:光学成像。
IF 4.9 2区 医学
Journal of Cerebral Blood Flow and Metabolism Pub Date : 2024-12-18 DOI: 10.1177/0271678X241304893
Hyomin Jeong, Yingtian Pan, Firoz Akhter, Nora D Volkow, Donghui Zhu, Congwu Du
{"title":"Evidence of cortical vascular impairments in early stage of Alzheimer's transgenic mice: Optical imaging.","authors":"Hyomin Jeong, Yingtian Pan, Firoz Akhter, Nora D Volkow, Donghui Zhu, Congwu Du","doi":"10.1177/0271678X241304893","DOIUrl":"https://doi.org/10.1177/0271678X241304893","url":null,"abstract":"<p><p>Alzheimer's disease (AD), a neurodegenerative disorder with progressive cognitive decline, remains clinically challenging with limited understanding of etiology and interventions. Clinical studies have reported vascular defects prior to other pathological manifestations of AD, leading to the \"Vascular Hypothesis\" for the disorder. However, <i>in vivo</i> assessments of cerebral vasculature in AD rodent models have been constrained by limited spatiotemporal resolution or field of view of conventional imaging. We herein employed two <i>in vivo</i> imaging technologies, Dual-Wavelength Imaging and Optical Coherence Doppler Tomography, to evaluate cerebrovascular reactivity (CVR) to vasoconstrictive cocaine and vasodilatory hypercapnia challenges and to detect resting 3D cerebral blood flow (CBF) in living transgenic AD mice at capillary resolution. Results showed that CVR to cocaine and hypercapnia was significantly attenuated in 7-10 months old AD mice vs controls, indicating reduced vascular flexibility and reactivity. Additionally, in the AD mice, arterial CBF velocities were slower and the microvascular density in cortex was decreased compared to controls. These results reveal significant vascular impairments including reduced CVR and resting CBF in early-staged AD mice. Hence, this cutting-edge <i>in vivo</i> optical imaging offers an innovative venue for detecting early neurovascular dysfunction in AD brain with translational potential.</p>","PeriodicalId":15325,"journal":{"name":"Journal of Cerebral Blood Flow and Metabolism","volume":" ","pages":"271678X241304893"},"PeriodicalIF":4.9,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Astrocytic mitochondrial transfer to brain endothelial cells and pericytes in vivo increases with aging. 体内星形细胞线粒体向脑内皮细胞和周细胞的转移随着年龄的增长而增加。
IF 4.9 2区 医学
Journal of Cerebral Blood Flow and Metabolism Pub Date : 2024-12-12 DOI: 10.1177/0271678X241306054
Gopal V Velmurugan, Hemendra J Vekaria, Samir P Patel, Patrick G Sullivan, W Brad Hubbard
{"title":"Astrocytic mitochondrial transfer to brain endothelial cells and pericytes <i>in vivo</i> increases with aging.","authors":"Gopal V Velmurugan, Hemendra J Vekaria, Samir P Patel, Patrick G Sullivan, W Brad Hubbard","doi":"10.1177/0271678X241306054","DOIUrl":"10.1177/0271678X241306054","url":null,"abstract":"<p><p>Intercellular mitochondrial transfer (IMT) is an intriguing biological phenomenon where mitochondria are transferred between different cells and notably, cell types. IMT is physiological, occurring in normal conditions, but also is utilized to deliver healthy mitochondria to cells in distress. Transferred mitochondria can be integrated to improve cellular metabolism, and mitochondrial function. Research on the mitochondrial transfer axis between astrocytes and brain capillaries <i>in vivo</i> is limited by the cellular heterogeneity of the neurovascular unit. To this end, we developed an inducible mouse model that expresses mitochondrial Dendra2 only in astrocytes and then isolated brain capillaries to remove all intact astrocytes. This method allows the visualization of <i>in vivo</i> astrocyte- endothelial cell (EC) and astrocyte-pericyte IMT. We demonstrate evidence of astrocyte-EC and astrocyte-pericyte mitochondrial transfer within brain capillaries. We also show that healthy aging enhances mitochondrial transfer from astrocytes to brain capillaries, revealing a potential link between brain aging and cellular mitochondrial dynamics. Finally, we observe that astrocyte-derived extracellular vesicles transfer mitochondria to brain microvascular endothelial cells, showing the potential route of <i>in vivo</i> IMT. These results represent a breakthrough in our understanding of IMT in the brain and a new target in brain aging and neurovascular metabolism.</p>","PeriodicalId":15325,"journal":{"name":"Journal of Cerebral Blood Flow and Metabolism","volume":" ","pages":"271678X241306054"},"PeriodicalIF":4.9,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142818221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Oxidative stress and chronic cerebral hypoperfusion: An overview from preclinical rodent models. 氧化应激和慢性脑灌注不足:临床前啮齿动物模型的综述。
IF 4.9 2区 医学
Journal of Cerebral Blood Flow and Metabolism Pub Date : 2024-12-12 DOI: 10.1177/0271678X241305899
Shintaro Kimura, Maho Iwata, Hajime Takase, Eng H Lo, Ken Arai
{"title":"Oxidative stress and chronic cerebral hypoperfusion: An overview from preclinical rodent models.","authors":"Shintaro Kimura, Maho Iwata, Hajime Takase, Eng H Lo, Ken Arai","doi":"10.1177/0271678X241305899","DOIUrl":"10.1177/0271678X241305899","url":null,"abstract":"<p><p>Chronic cerebral hypoperfusion (CCH) is an important clinical condition characterized by a prolonged reduction in cerebral blood flow that contributes to several neurodegenerative diseases, including vascular dementia and Alzheimer's disease. A number of rodent models of CCH have been developed that mimic the human pathological conditions of reduced cerebral perfusion. These models have been instrumental in elucidating the molecular and cellular mechanisms involved in CCH-induced brain damage. Oxidative stress is induced by perturbations in cellular pathways caused by CCH, including mitochondrial dysfunction, ion pump dysfunction, and adenosine triphosphate (ATP) depletion. The deleterious stress leads to the accumulation of reactive oxygen species (ROS) and exacerbates damage to neuronal structures, significantly impairing cognitive function. Among the various therapeutic strategies being evaluated, edaravone, a potent antioxidant, is emerging as a promising drug due to its neuroprotective properties against oxidative stress. Initially approved for use in ischemic stroke, research using rodent CCH models has shown that edaravone has significant efficacy in scavenging free radicals and ameliorating oxidative stress-induced neuronal damage under CCH conditions. This mini-review summarizes the current literature on the rodent models of CCH and then discusses the therapeutic potential of edaravone to reduce neuronal and vascular damage caused by CCH-induced oxidative stress.</p>","PeriodicalId":15325,"journal":{"name":"Journal of Cerebral Blood Flow and Metabolism","volume":" ","pages":"271678X241305899"},"PeriodicalIF":4.9,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11635795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Longitudinal changes in white matter free water in cerebral small vessel disease: Relationship to cerebral blood flow and white matter fiber alterations. 脑小血管疾病中白质游离水的纵向变化:与脑血流和白质纤维改变的关系
IF 4.9 2区 医学
Journal of Cerebral Blood Flow and Metabolism Pub Date : 2024-12-09 DOI: 10.1177/0271678X241305480
Miao Lin, Shuyue Wang, Hui Hong, Yao Zhang, Linyun Xie, Lei Cui, Lingyun Liu, Yeerfan Jiaerken, Xinfeng Yu, Minming Zhang, Alberto De Luca, Ruiting Zhang, Peiyu Huang
{"title":"Longitudinal changes in white matter free water in cerebral small vessel disease: Relationship to cerebral blood flow and white matter fiber alterations.","authors":"Miao Lin, Shuyue Wang, Hui Hong, Yao Zhang, Linyun Xie, Lei Cui, Lingyun Liu, Yeerfan Jiaerken, Xinfeng Yu, Minming Zhang, Alberto De Luca, Ruiting Zhang, Peiyu Huang","doi":"10.1177/0271678X241305480","DOIUrl":"10.1177/0271678X241305480","url":null,"abstract":"<p><p>White matter (WM) free water (FW) is a potential imaging marker for cerebral small vessel disease (CSVD). This study aimed to characterize longitudinal changes in WM FW and investigate factors contributing to its elevation in CSVD. We included 80 CSVD patients and 40 normal controls (NCs) with multi-modality MRI data. Cerebral blood flow (CBF) was measured, and fiber alterations were assessed using total apparent fiber density (AFD<sub>t</sub>). FW were extracted from whole WM, white matter hyperintensities (WMH) and normal-appearing WM (NAWM). Baseline and longitudinal FW elevation were compared between patients and NCs, and between WMH and NAWM. We investigated whether baseline vascular risk factor score, CBF, and AFD<sub>t</sub> could predict longitudinal FW elevation. Association between cognition and WM FW in CSVD was also assessed. Results shown that FW was higher and increased faster in CSVD compared to NCs and in WMH compared to NAWM. Baseline AFD<sub>t</sub> predicted longitudinal FW elevation in CSVD patients, while CBF predicted FW changes only in controls. WM FW was associated with cognitive impairment. These findings suggest that CSVD is associated with a faster increase in WM FW. Hypoperfusion and WM fiber alterations might accelerate FW elevation, which is associated with cognitive decline.</p>","PeriodicalId":15325,"journal":{"name":"Journal of Cerebral Blood Flow and Metabolism","volume":" ","pages":"271678X241305480"},"PeriodicalIF":4.9,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142800249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Single-cell RNA sequencing in stroke and traumatic brain injury: Current achievements, challenges, and future perspectives on transcriptomic profiling. 单细胞RNA测序在中风和创伤性脑损伤:转录组学分析的当前成就、挑战和未来展望。
IF 4.9 2区 医学
Journal of Cerebral Blood Flow and Metabolism Pub Date : 2024-12-09 DOI: 10.1177/0271678X241305914
Ruyu Shi, Huaijun Chen, Wenting Zhang, Rehana K Leak, Dequan Lou, Kong Chen, Jun Chen
{"title":"Single-cell RNA sequencing in stroke and traumatic brain injury: Current achievements, challenges, and future perspectives on transcriptomic profiling.","authors":"Ruyu Shi, Huaijun Chen, Wenting Zhang, Rehana K Leak, Dequan Lou, Kong Chen, Jun Chen","doi":"10.1177/0271678X241305914","DOIUrl":"10.1177/0271678X241305914","url":null,"abstract":"<p><p>Single-cell RNA sequencing (scRNA-seq) is a high-throughput transcriptomic approach with the power to identify rare cells, discover new cellular subclusters, and describe novel genes. scRNA-seq can simultaneously reveal dynamic shifts in cellular phenotypes and heterogeneities in cellular subtypes. Since the publication of the first protocol on scRNA-seq in 2009, this evolving technology has continued to improve, through the use of cell-specific barcodes, adoption of droplet-based systems, and development of advanced computational methods. Despite induction of the cellular stress response during the tissue dissociation process, scRNA-seq remains a popular technology, and commercially available scRNA-seq methods have been applied to the brain. Recent advances in spatial transcriptomics now allow the researcher to capture the positional context of transcriptional activity, strengthening our knowledge of cellular organization and cell-cell interactions in spatially intact tissues. A combination of spatial transcriptomic data with proteomic, metabolomic, or chromatin accessibility data is a promising direction for future research. Herein, we provide an overview of the workflow, data analyses methods, and pros and cons of scRNA-seq technology. We also summarize the latest achievements of scRNA-seq in stroke and acute traumatic brain injury, and describe future applications of scRNA-seq and spatial transcriptomics.</p>","PeriodicalId":15325,"journal":{"name":"Journal of Cerebral Blood Flow and Metabolism","volume":" ","pages":"271678X241305914"},"PeriodicalIF":4.9,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142794855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Leveraging Mendelian randomization to inform drug discovery and development for ischemic stroke. 利用孟德尔随机化为缺血性中风的药物发现和开发提供信息。
IF 4.9 2区 医学
Journal of Cerebral Blood Flow and Metabolism Pub Date : 2024-12-04 DOI: 10.1177/0271678X241305916
Iyas Daghlas, Dipender Gill
{"title":"Leveraging Mendelian randomization to inform drug discovery and development for ischemic stroke.","authors":"Iyas Daghlas, Dipender Gill","doi":"10.1177/0271678X241305916","DOIUrl":"10.1177/0271678X241305916","url":null,"abstract":"<p><p>Discovery and development of efficacious and safe pharmacological therapies is fraught with challenges. As proteins constitute the majority of drug targets and are encoded by genes, naturally occurring genetic variation within populations can provide valuable insights to inform drug discovery and development efforts. The drug target Mendelian randomization (MR) paradigm leverages these principles to investigate the causal effects of drug targets in humans. This review examines the application of drug target MR in informing the efficacy and development of therapeutics for ischemic stroke prevention and treatment. We consider applications of MR for existing and novel treatment strategies, including targeting blood pressure, lipid metabolism, coagulation, inflammation and glycemic control. Several of these genetically supported targets are under evaluation in late-stage clinical trials. Methodological limitations of drug target MR are addressed, followed by an outline of future research directions. We anticipate that careful application of drug target MR will enhance the efficiency of drug development for ischemic stroke, consequently accelerating the delivery of effective medications to patients.</p>","PeriodicalId":15325,"journal":{"name":"Journal of Cerebral Blood Flow and Metabolism","volume":" ","pages":"271678X241305916"},"PeriodicalIF":4.9,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11615907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Long lasting argon neuroprotection in a non-human primate model of transient endovascular ischemic stroke. 短暂性血管内缺血性中风的非人类灵长类动物模型中持久的氩气神经保护作用。
IF 4.9 2区 医学
Journal of Cerebral Blood Flow and Metabolism Pub Date : 2024-12-04 DOI: 10.1177/0271678X241297798
Sandra González Torrecilla, Alisée Delbrel, Laura Giacomino, David Meunier, Julien Sein, Luc Renaud, Pauline Brige, Philippe Garrigue, Jean Francois Hak, Benjamin Guillet, Hervé Brunel, Géraldine Farjot, Thomas Brochier, Lionel Velly
{"title":"Long lasting argon neuroprotection in a non-human primate model of transient endovascular ischemic stroke.","authors":"Sandra González Torrecilla, Alisée Delbrel, Laura Giacomino, David Meunier, Julien Sein, Luc Renaud, Pauline Brige, Philippe Garrigue, Jean Francois Hak, Benjamin Guillet, Hervé Brunel, Géraldine Farjot, Thomas Brochier, Lionel Velly","doi":"10.1177/0271678X241297798","DOIUrl":"10.1177/0271678X241297798","url":null,"abstract":"<p><p>In the past decade, noble gases have emerged as highly promising neuroprotective agents. Previous studies have demonstrated the efficacy of argon neuroprotection in rodent models of cerebral ischemia. The objective of the present pre-clinical study was to confirm the neuroprotective effect of argon in a non-human primate model of endovascular ischemic stroke. Thirteen adult <i>Macaca mulatta</i> were subjected to a focal cerebral ischemia induced by a transient (90 min) middle cerebral artery occlusion (tMCAO). The monkeys were randomly allocated to a control group (n = 8) and an argon group (n = 5). Pre-mixed gas (40-60 oxygen-argon) was applied 30 min after the onset of tMCAO to 30 min after reperfusion. Infarct volumes were measured from the MRI scans conducted 1 hour and 1 month after the reperfusion. A clinical neurological assessment was performed 24 hours and 1 month after tMCAO. Our results show that Argon dramatically reduced ischemic core volume after ischemia compared to the control group with a long-lasting improvement of post-stroke infarct volume at 1 month. In addition, the neurological scale suggests a better prognosis in argon-treated animals without reaching the significance threshold. These pre-clinical results in gyrencephalic non-human primates support the potential use of this therapeutic approach for future clinical studies.</p>","PeriodicalId":15325,"journal":{"name":"Journal of Cerebral Blood Flow and Metabolism","volume":" ","pages":"271678X241297798"},"PeriodicalIF":4.9,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11615904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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