BMC Medicine,
Journal Year:
2024,
Volume and Issue:
22(1)
Published: Nov. 26, 2024
Although
microvascular
dysfunction
is
a
widespread
phenomenon
in
type
2
diabetes
(T2D)
and
recognized
as
main
cause
of
T2D-aggravated
ischemic
stroke
injury,
the
underlying
mechanisms
by
which
T2D-mediated
exacerbation
cerebral
damage
after
still
largely
uncharacterized.
Here,
we
found
that
methylglyoxal-mediated
miR-148a-3p
decline
can
trigger
blood-brain
barrier
dysfunction,
thereby
exacerbating
cerebrovascular
injury
diabetic
stroke.
Using
T2D
models
generated
with
streptozotocin
plus
high-fat
diet
or
db/db
mice,
then
inducing
focal
through
middle
artery
occlusion
reperfusion
(MCAO/R),
established
mouse
model.
RNA-sequencing
was
applied
to
identify
differentially
expressed
miRNAs
peri-cerebral
infarction
mice.
RT-qPCR
confirmed
potential
miRNA
plasma
patients
without
T2D.
Fluorescence
situ
hybridization
used
image
localization
miRNA.
Brain
pathology
analyzed
using
magnetic
resonance
imaging,
laser-Doppler
flowmetry,
transmission
electron
microscope
Immunofluorescence
immunoblotting
were
performed
elucidate
molecular
mechanisms.
level
downregulated
peri-infarct
cortex
mice
this
downregulation
even
more
enhanced
A
similar
decrease
expression
also
compared
only.
This
intensified
severity
BBB
damage,
infarct
size,
neurological
function
impairment
caused
Notably,
reduction
levels
primarily
triggered
methylglyoxal,
toxic
byproduct
glucose
metabolism
commonly
associated
Furthermore,
methylglyoxal
somewhat
replicated
influence
increasing
size
ischemia.
Mechanistically,
de-repressed
SMAD2
activated
matrix
metalloproteinase
9
signaling
pathway,
promoting
impairment,
injury.
Blood-brain
may
provide
novel
target
for
therapeutic
intervention
treatment
diabetes.
Cell Biochemistry and Function,
Journal Year:
2024,
Volume and Issue:
42(2)
Published: March 1, 2024
Abstract
Cerebral
ischemic
damage
is
prevalent
and
the
second
highest
cause
of
death
globally
across
patient
populations;
it
as
a
substantial
reason
morbidity
mortality.
Mesenchymal
stromal
cells
(MSCs)
have
garnered
significant
interest
potential
treatment
for
cerebral
damage,
shown
in
stroke,
because
their
potent
intrinsic
features,
which
include
self‐regeneration,
immunomodulation,
multi‐potency.
Additionally,
MSCs
are
easily
obtained,
isolated,
cultured.
Despite
this,
there
number
obstacles
that
hinder
effectiveness
MSC‐based
treatment,
such
adverse
microenvironmental
conditions
both
vivo
vitro.
To
overcome
these
obstacles,
naïve
MSC
has
undergone
modification
processes
to
enhance
its
innate
therapeutic
qualities.
Genetic
preconditioning
(with
medications,
growth
factors,
other
substances)
two
main
categories
into
techniques
can
be
separated.
This
field
advanced
significantly
still
attracting
attention
innovation.
We
examine
cutting‐edge
methods
preserving
even
improving
natural
biological
functions
relation
adhesion,
migration,
homing
target
site,
survival,
delayed
premature
senescence.
address
use
genetically
altered
stroke‐induced
damage.
Future
strategies
result
addressing
difficulties
associated
with
also
discussed.
Mini-Reviews in Medicinal Chemistry,
Journal Year:
2024,
Volume and Issue:
24(18), P. 1701 - 1709
Published: March 14, 2024
Abstract::
Stroke
is
a
well-known
neurological
disorder
that
carries
significant
morbidity
and
mortality
rates
worldwide.
Cerebral
Ischemic
(CIS),
the
most
common
subtype
of
stroke,
occurs
when
thrombosis
or
emboli
form
elsewhere
in
body
travel
to
brain,
leading
reduced
blood
perfusion.
Ischemia/Reperfusion
Injury
(CIRI)
complication
CIS
arises
flow
rapidly
restored
brain
tissue
after
period
ischemia.
The
therapeutic
approaches
currently
recognized
for
CIS,
such
as
thrombolysis
thrombectomy,
have
notable
side
effects
limit
their
clinical
application.
Recently,
there
has
been
growing
interest
among
researchers
exploring
potential
herbal
agents
treating
various
disorders
malignancies.
One
agent
with
medicinal
applications
tanshinone
IIA,
an
active
diterpene
quinone
extracted
from
Salvia
miltiorrhiza
Bunge.
Tanshinone
IIA
shown
several
pharmacological
benefits,
including
anti-inflammatory,
antioxidant,
anti-apoptotic,
neuroprotective
properties.
Multiple
studies
indicated
protective
role
CIRI.
This
literature
review
aims
summarize
current
findings
regarding
molecular
mechanisms
through
which
this
compound
improves
International Journal of Molecular Sciences,
Journal Year:
2023,
Volume and Issue:
24(16), P. 12899 - 12899
Published: Aug. 17, 2023
In
recent
times,
there
has
been
a
significant
increase
in
researchers’
interest
the
functions
of
microRNAs
and
role
these
molecules
pathogenesis
many
multifactorial
diseases.
This
is
related
to
diagnostic
prognostic
potential
microRNA
expression
levels
as
well
prospects
using
it
personalized
targeted
therapy.
review
literature
analyzes
existing
scientific
data
on
involvement
molecular
cellular
mechanisms
underlying
development
pathologies
such
Alzheimer’s
disease,
cerebral
ischemia
reperfusion
injury,
dysfunction
blood–brain
barrier.
Neuroreport,
Journal Year:
2024,
Volume and Issue:
35(10), P. 648 - 656
Published: May 15, 2024
Mitochondria
play
a
crucial
role
in
maintaining
cellular
energy
supply
and
serve
as
source
of
for
repairing
nerve
damage
following
stroke.
Given
that
exercise
has
the
potential
to
enhance
metabolism,
investigating
impact
on
mitochondrial
function
provides
plausible
mechanism
stroke
treatment.
In
our
study,
we
established
middle
cerebral
artery
occlusion
(MCAO)
model
Sprague–Dawley
rats
implemented
early
intervention.
Neurological
severity
scores,
beam-walking
test
score,
weight
were
used
evaluate
neurological
function.
The
volume
infarction
was
measured
by
MRI.
Nerve
cell
apoptosis
detected
TUNEL
staining.
Mitochondrial
morphology
structure
electron
microscopy.
assessed
using
membrane
ATP
measurements.
Western
blotting
detect
protein
expression
AMPK/PGC-1α/GLUT4.
Through
above
experiments,
found
improved
after
MCAO,
reduced
neuronal
apoptosis,
promoted
recovery
We
further
examined
AMPK/PGC-1α/GLUT4
signaling
pathway
confirmed
able
increase
its
expression.
Therefore,
suggest
initiated
pathway,
restoring
augmenting
supply.
This,
turn,
effectively
both
body
ischemic
Cardiology Research and Cardiovascular Medicine,
Journal Year:
2024,
Volume and Issue:
9(1)
Published: Feb. 8, 2024
Despite
all
current
efforts
in
the
field
of
cerebrovascular
disease
prevention,
stroke
remains
leading
cause
disability
and
death
worldwide.
Animal
models
are
essential
tools
research
to
mitigate
its
devastating
effects.
The
novelty
this
review
is
comprehensiveness
approach
detailed
analysis
progress
field,
translational
potential
clinical
relevance.
Recent
aimed
refine
enhance
animal
better
mimic
scenario
improve
reproducibility.
This
provides
extensive
overview
classification,
underlining
their
key
features,
advantages,
limitations,
advancements.
Additionally,
characterization
validation
ischemia
discussed.
Therapeutic
strategies
such
as
hypothermia,
pharmacological
interventions,
genetic
molecular
approaches,
cell-based
therapies
highlighted.
analyse
challenges
future
directions,
well
relevance
models.
Incorporating
patient-derived
cells
modifications
can
provide
a
more
personalized
clinically
relevant
approach.
Bridging
gap
challenging
requires
careful
consideration
multiple
factors,
including
appropriate
dose
translation,
understanding
species
differences,
aligning
protocols.
Future
studies
should
focus
on
optimizing
process
conducting
well-designed
trials
assess
safety
efficacy
promising
interventions.
Advances in Biomarker Sciences and Technology,
Journal Year:
2024,
Volume and Issue:
6, P. 120 - 137
Published: Jan. 1, 2024
A
stroke
is
a
medical
emergency
characterized
by
the
sudden
interruption
of
blood
flow
to
brain,
leading
cell
death
from
oxygen
deprivation.
As
cause
mortality
and
long-term
disability
worldwide,
strokes
present
growing
socioeconomic
challenge,
exacerbated
demographic
shifts
an
increasing
incidence
in
younger
populations.
Analyzing
post-stroke
conditions
essential
for
predicting
recovery
trajectories
guiding
personalized
treatments.
The
process
crucial
mitigating
cognitive
deficits
improving
quality
life
survivors
their
families.
Epigenetic
mechanisms
are
emerging
as
key
influencers,
with
four
significant
modulators—miRNAs,
lncRNAs,
DNA
methylation,
histone
modifications—being
identified
central
modulating
neuronal
repair
regeneration.
However,
this
lack
knowledge
how
major
epigenetic
signatures
affect
recovery.
paper
systematically
reviews
capacity
miRNAs
fine-tune
neuroprotective
responses
broader
regulatory
functions
lncRNAs.
Additionally,
we
examine
methylation
patterns
modifications
correlate
outcomes,
presenting
case
precise
therapies.
In
review,
highlight
that
these
modulators
offer
promising
therapeutic
targets
enhancing
provide
novel
insights
into
pathology
treatment.
We
also
comparative
analysis
challenges
future
perspectives
each
one.
review
sets
forth
trajectory
research,
underscoring
development
epigenetic-based
therapeutics
groundbreaking
approach
enhance
neurorehabilitation
improve
patient
prognoses.