Abstract
Stroke
is
the
leading
cause
of
acquired
disability.
The
development
acute
ischemic
stroke
treatments,
such
as
mechanical
thrombectomy
and
tissue
plasminogen
activator,
has
resulted
in
more
patients
surviving
initial
insult.
However,
long‐term
complications,
post‐stroke
cognitive
impairment
(PSCI)
dementia
(PSD),
are
at
an
all‐time
high.
Notably,
80%
survivors
suffer
from
impairment,
a
history
doubles
patient's
lifetime
risk
developing
dementia.
A
combination
greater
life
expectancy,
increase
number
strokes
young
individuals,
improved
survival
have
inherently
increased
years
living
post‐stroke,
highlighting
critical
need
to
understand
effects
stroke,
including
how
pathological
changes
brain
might
give
rise
functional
behavioral
survivors.
Even
with
this
PSCI
PSD
survivors,
understanding
itself
develops
into
these
conditions
remains
incomplete.
Recently,
secondary
neurodegeneration
(SND)
following
been
linked
PSD.
SND
degeneration
regions
outside
original
site.
Degeneration
sites
thought
arise
due
diaschisis
infarct
core;
however,
observation
pathology
multiple
without
direct
connectivity
suggests
that
likely
complex.
Moreover,
hallmarks
dementia,
deposition
neurodegenerative
proteins
iron,
cell
death,
inflammation
blood–brain
barrier
alterations,
all
found
thalamus,
hippocampus,
basal
ganglia,
amygdala
prefrontal
cortex
stroke.
Hence,
review,
we
present
current
context
outline
remote
anatomical
molecular
may
drive
conditions.
Molecular Medicine Reports,
Journal Year:
2024,
Volume and Issue:
29(3)
Published: Jan. 22, 2024
Ischemic
stroke
poses
a
major
threat
to
human
health.
Therefore,
the
molecular
mechanisms
of
cerebral
ischemia/reperfusion
injury
(CIRI)
need
be
further
clarified,
and
associated
treatment
approaches
require
exploration.
The
NOD‑like
receptor
thermal
protein
domain
3
(NLRP3)
inflammasome
serves
an
important
role
in
causing
CIRI,
its
activation
exacerbates
underlying
injury.
Activation
NLRP3
triggers
maturation
production
inflammatory
molecules
IL‑1β
IL‑18,
as
well
gasdermin‑D‑mediated
pyroptosis
CIRI
damage.
Thus,
may
viable
target
for
CIRI.
In
present
review,
intense
response
induced
by
are
discussed,
therapeutic
strategies
that
NLRP3‑mediated
summarized.
At
present,
certain
drugs
have
already
been
studied,
highlighting
future
perspectives.
Frontiers in Immunology,
Journal Year:
2024,
Volume and Issue:
15
Published: Aug. 8, 2024
This
study
aimed
to
investigate
the
regulatory
role
of
astrocyte-derived
exosomes
and
their
microRNAs
(miRNAs)
in
modulating
neuronal
pyroptosis
during
cerebral
ischemia.
Frontiers in Aging Neuroscience,
Journal Year:
2023,
Volume and Issue:
15
Published: Nov. 9, 2023
Neurodegenerative
diseases
(NDs),
such
as
Alzheimer’s
disease,
Parkinson’s
Huntington’s
and
motor
neuron
are
characterized
by
neuronal
damage
dysfunction.
NDs
considered
to
be
a
multifactorial
disease
with
diverse
etiologies
(immune,
inflammatory,
aging,
genetic,
etc.)
complex
pathophysiological
processes.
Previous
studies
have
found
that
neuroinflammation
typical
microglial
activation
important
mechanisms
of
NDs,
leading
neurological
dysfunction
progression.
Pyroptosis
is
new
mode
involved
in
this
process.
As
form
programmed
cell
death,
pyroptosis
the
expansion
cells
until
membrane
bursts,
resulting
release
contents
activates
strong
inflammatory
response
promotes
accelerating
abnormal
activation.
In
case,
abnormally
activated
microglia
various
pro-inflammatory
factors,
occurrence
exacerbating
both
pyroptosis,
thus
forming
vicious
cycle.
The
recognition
association
between
activation,
well
neuroinflammation,
significant
importance
understanding
pathogenesis
providing
targets
strategies
for
their
prevention
treatment.
Neural Regeneration Research,
Journal Year:
2024,
Volume and Issue:
20(2), P. 491 - 502
Published: April 16, 2024
JOURNAL/nrgr/04.03/01300535-202502000-00027/figure1/v/2024-05-28T214302Z/r/image-tiff
Neurotoxic
astrocytes
are
a
promising
therapeutic
target
for
the
attenuation
of
cerebral
ischemia/reperfusion
injury.
Low-density
lipoprotein
receptor,
classic
cholesterol
regulatory
has
been
found
to
inhibit
NLR
family
pyrin
domain
containing
protein
3
(NLRP3)
inflammasome
activation
in
neurons
following
ischemic
stroke
and
suppress
microglia
individuals
with
Alzheimer's
disease.
However,
little
is
known
about
effects
low-density
receptor
on
astrocytic
stroke.
To
address
this
issue
present
study,
we
examined
mechanisms
by
which
regulates
polarization
models.
First,
expression
via
immunofluorescence
staining
western
blotting
analysis.
We
observed
significant
downregulation
middle
artery
occlusion
reperfusion
oxygen-glucose
deprivation/reoxygenation.
Second,
induced
astrocyte-specific
overexpression
using
adeno-associated
virus.
improved
neurological
outcomes
mice
reversed
neurotoxic
create
neuroprotective
phenotype.
Finally,
that
inhibited
NLRP3
deprivation/reoxygenation
injured
addition
nigericin,
an
agonist,
restored
astrocyte
These
findings
suggest
could
NLRP3-meidiated
increasing
might
represent
novel
strategy
treating
International Journal of Molecular Sciences,
Journal Year:
2025,
Volume and Issue:
26(2), P. 501 - 501
Published: Jan. 9, 2025
Ischemic
stroke,
caused
by
blocked
cerebral
blood
flow,
requires
prompt
intervention
to
prevent
severe
motor
and
cognitive
impairments.
Despite
extensive
drug
development
efforts,
the
failure
rate
of
clinical
trials
remains
high,
highlighting
need
for
novel
therapeutic
approaches.
This
study
investigated
potential
a
natural
herbal
extract
mixture
Astragalus
mongholicus
Bunge
(AM)
Scutellaria
baicalensis
Georgi
(SB),
traditionally
used
in
Eastern
Asian
medicine
(EAHM)
ischemic
stroke
treatment.
Using
transient
middle
artery
occlusion
(tMCAO)
photothrombotic
(PTB)
mouse
models,
oral
administration
AM-SB
was
evaluated
during
both
acute
chronic
phases.
Results
showed
that
significantly
reduced
infarction
volume,
inflammation
(IL-1β,
TNF-α),
pyroptosis-related
markers
(NLRP3,
GSDMD,
ASC,
Caspase-1),
while
decreasing
gliosis
improving
metabolites.
Behavioral
assessments
revealed
early
sustained
enhanced
functions,
as
measured
mNSS,
Rotarod,
Novel
Object
Recognition,
Passive
Avoidance
tests.
These
findings
suggest
is
promising
alternative
therapy
management.
Frontiers in Bioscience-Landmark,
Journal Year:
2025,
Volume and Issue:
30(1)
Published: Jan. 22, 2025
Background:
Dexamethasone
has
proven
life-saving
in
severe
acute
respiratory
syndrome
(SARS)
and
COVID-19
cases.
However,
its
systemic
administration
is
accompanied
by
serious
side
effects.
Inhalation
delivery
of
dexamethasone
(Dex)
faces
challenges
such
as
low
lung
deposition,
brief
residence
the
tract,
pulmonary
mucus
barrier,
limiting
clinical
use.
Neutrophil
cell
membrane-derived
nanovesicles,
with
their
ability
to
specifically
target
hyper-activated
immune
cells
excellent
permeability,
emerge
a
promising
carrier
for
inhalation
therapy.
Methods:
We
designed
novel
UiO66
metal-organic
framework
nanoparticle
loaded
Dex
coated
neutrophil
membranes
(UiO66-Dex@NMP)
targeted
therapy
pneumonia.
This
was
achieved
loading
into
pores
subsequently
coating
functionalization.
Results:
Drug
release
experiments
revealed
UiO66-Dex@NMP
exhibit
favorable
sustained-release
properties.
Additionally,
demonstrated
targeting
capabilities
both
vitro
vivo.
In
mouse
model
lipopolysaccharide
(LPS)-induced
pneumonia,
significantly
reduced
inflammation
compared
control
administered
via
inhalation.
Histopathological
analysis
further
confirmed
UiO66-Dex@NMP’s
alleviate
tissue
damage.
Conclusions:
represents
safe
inhaled
Dex,
offering
valuable
insights
management
diseases,
including