Stroke research at a crossroad: asking the brain for directions

Abstract

Ischemic stroke remains a vexing public health problem. Although progress has been made in prevention and supportive care, efforts to protect the brain from ischemic cell death have failed. Thus, no new treatment has made it from bench to bedside since tissue plasminogen activator was introduced in 1996. The brain has a remarkable capacity for self-preservation, illustrated by the protective responses induced by ischemia, preconditioning and exercise. Here we describe the mechanisms underlying brain self-protection, with the goal of identifying features that could provide insight into stroke therapy. Unlike traditional therapeutic approaches based on counteracting selected pathways of the ischemic cascade, endogenous neuroprotection relies on coordinated neurovascular programs that support cerebral perfusion, mitigate the harmful effects of cerebral ischemia and promote tissue restoration. Learning how the brain triggers and implements these protective measures may advance our quest to treat stroke.

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Figure 1: Protective pathways activated by cerebral ischemia.
Figure 2: Intracellular events leading to ischemic tolerance.
Figure 3: Local and remote mechanisms of endogenous neuroprotection.

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Acknowledgements

This work was supported by US National Institutes of Health grants R37-NS34179 and NS35806.

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Correspondence to Costantino Iadecola.

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Iadecola, C., Anrather, J. Stroke research at a crossroad: asking the brain for directions. Nat Neurosci 14, 1363–1368 (2011). https://doi.org/10.1038/nn.2953

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