Neural Regeneration Research,
Journal Year:
2025,
Volume and Issue:
21(2), P. 466 - 477
Published: Jan. 13, 2025
Ischemic
stroke,
which
is
characterized
by
hypoxia
and
ischemia,
triggers
a
cascade
of
injury
responses,
including
neurotoxicity,
inflammation,
oxidative
stress,
disruption
the
blood–brain
barrier,
neuronal
death.
In
this
context,
tryptophan
metabolites
enzymes,
are
synthesized
through
kynurenine
5-hydroxytryptamine
pathways,
play
dual
roles.
The
delicate
balance
between
neurotoxic
neuroprotective
substances
crucial
factor
influencing
progression
ischemic
stroke.
Neuroprotective
metabolites,
such
as
kynurenic
acid,
exert
their
effects
various
mechanisms,
competitive
blockade
N-methyl-D-aspartate
receptors,
modulation
α7
nicotinic
acetylcholine
scavenging
reactive
oxygen
species.
contrast,
quinolinic
acid
can
hinder
development
vascular
glucose
transporter
proteins,
induce
neurotoxicity
mediated
species,
disrupt
mitochondrial
function.
Additionally,
enzymes
involved
in
metabolism
major
roles
these
processes.
Indoleamine
2,3-dioxygenase
pathway
hydroxylase
influence
neuroinflammation
brain
homeostasis.
Consequently,
generated
have
substantial
on
Stroke
treatment
aims
to
restore
metabolite
levels;
however,
precise
regulation
within
central
nervous
system
remains
challenge
for
Therefore,
review
aimed
elucidate
complex
interactions
stroke
develop
targeted
therapies
that
neuroprotection.
Journal of Cerebral Blood Flow & Metabolism,
Journal Year:
2022,
Volume and Issue:
42(9), P. 1579 - 1596
Published: May 1, 2022
Stroke,
including
ischemic
stroke
and
hemorrhagic
can
cause
massive
neuronal
death
disruption
of
brain
structure,
which
is
followed
by
secondary
inflammatory
injury
initiated
pro-inflammatory
molecules
cellular
debris.
Phagocytic
clearance
debris
microglia,
the
brain’s
scavenger
cells,
pivotal
for
neuroinflammation
resolution
neurorestoration.
However,
microglia
also
exacerbate
loss
phagocytosing
stressed-but-viable
neurons
in
penumbra,
thereby
expanding
area
hindering
neurofunctional
recovery.
Microglia
constantly
patrol
central
nervous
system
using
their
processes
to
scour
environment
start
or
cease
phagocytosis
progress
depending
on
“eat
me”
“don’t
eat
me’’
signals
surface.
An
optimal
immune
response
requires
a
delicate
balance
between
different
phenotypic
states
regulate
neuro-inflammation
facilitate
reconstruction
after
stroke.
Here,
we
examine
literature
discuss
molecular
mechanisms
pathways
regulating
microglial
phagocytosis,
resulting
effects
neural
regeneration,
as
well
potential
therapeutic
targets
that
might
modulate
phagocytic
activity
improve
neurological
function
International Journal of Molecular Sciences,
Journal Year:
2023,
Volume and Issue:
24(24), P. 17146 - 17146
Published: Dec. 5, 2023
Neurological
disorders
have
been
linked
to
a
defective
blood–brain
barrier
(BBB),
with
dysfunctions
triggered
by
stage-specific
disease
mechanisms,
some
of
these
being
generated
through
interactions
in
the
neurovascular
unit
(NVU).
Advanced
knowledge
molecular
and
signaling
mechanisms
NVU
emergence
improved
experimental
models
allow
BBB
permeability
prediction
development
new
brain-targeted
therapies.
As
constituents,
astrocytes
are
most
numerous
glial
cells,
characterized
heterogeneity
that
occurs
as
result
developmental
context-based
gene
expression
profiles
differential
non-coding
ribonucleic
acids
(RNAs).
Due
their
dynamic
responses
different
signals,
may
beneficial
or
detrimental
role
BBB’s
function,
deep
effects
on
pathophysiology
(and
progression
of)
central
nervous
system
diseases.
The
implication
astrocytic-derived
extracellular
vesicles
pathological
due
ability
pass
BBB,
must
also
be
considered.
astrocytes’
interaction
endothelial
cells
at
level
considered
promising
therapeutic
targets
neurological
conditions.
Nevertheless,
personalized
well-founded
approach
addressed,
temporal
spatial
reactive
astrogliosis
states
during
disease.
Journal of Cerebral Blood Flow & Metabolism,
Journal Year:
2023,
Volume and Issue:
43(5), P. 622 - 641
Published: Jan. 5, 2023
Stroke
pathology
and
its
treatments
conventionally
focus
on
the
brain.
Probing
inflammation,
a
critical
secondary
cell
death
mechanism
in
stroke,
has
been
largely
relegated
to
To
this
end,
peripheral
inflammation
emerged
as
an
equally
potent
contributor
onset
progression
of
stroke
death.
Here,
we
review
novel
concepts
organs
displaying
robust
inflammatory
response
stroke.
These
inflammation-plagued
include
spleen,
cervical
lymph
nodes,
thymus,
bone
marrow,
gastrointestinal
system,
adrenal
glands,
likely
converging
their
effects
through
B
T-cells.
Recognizing
significant
impact
systemic
also
discuss
innovative
therapeutics
directed
at
sequestration
inflammation.
This
paper
challenges
paradigm
brain-centered
disease
treatment
offers
approach
our
understanding.
Biomedicines,
Journal Year:
2024,
Volume and Issue:
12(3), P. 501 - 501
Published: Feb. 23, 2024
Stroke
is
a
major
contributor
to
global
mortality
and
disability.
While
reperfusion
essential
for
preventing
neuronal
death
in
the
penumbra,
it
also
triggers
cerebral
ischemia-reperfusion
injury,
paradoxical
injury
primarily
caused
by
oxidative
stress,
inflammation,
blood–brain
barrier
disruption.
An
burst
inflicts
marked
cellular
damage,
ranging
from
alterations
mitochondrial
function
lipid
peroxidation
activation
of
intricate
signalling
pathways
that
can
even
lead
cell
death.
Thus,
given
pivotal
role
stress
mechanisms
reinforcement
antioxidant
defence
system
has
been
proposed
as
protective
approach.
Although
this
strategy
proven
be
successful
experimental
models,
its
translation
into
clinical
practice
yielded
inconsistent
results.
However,
should
considered
availability
numerous
molecules
with
wide
range
chemical
properties
affect
extent
injury;
several
groups
molecules,
including
polyphenols,
carotenoids,
vitamins,
among
other
compounds,
mitigate
damage
intervening
multiple
at
various
stages.
Multiple
trials
have
previously
conducted
evaluate
these
using
melatonin,
acetyl-L-carnitine,
chrysanthemum
extract,
edaravone
dexborneol,
saffron,
coenzyme
Q10,
oleoylethanolamide,
treatments.
Therefore,
multi-antioxidant
therapy
emerges
promising
novel
therapeutic
option
due
potential
synergistic
effect
provided
simultaneous
roles
individual
compounds.
International Journal of Molecular Sciences,
Journal Year:
2024,
Volume and Issue:
25(8), P. 4465 - 4465
Published: April 18, 2024
Hypoxia
stabilizes
hypoxia-inducible
factors
(HIFs),
facilitating
adaptation
to
hypoxic
conditions.
Appropriate
hypoxia
is
pivotal
for
neurovascular
regeneration
and
immune
cell
mobilization.
However,
in
central
nervous
system
(CNS)
injury,
prolonged
severe
harms
the
brain
by
triggering
inflammation,
oxidative
stress,
glial
activation,
vascular
damage,
mitochondrial
dysfunction,
death.
Diminished
improves
cognitive
function
individuals
with
CNS
injuries.
This
review
discusses
current
evidence
regarding
contribution
of
injuries,
an
emphasis
on
HIF-1α-mediated
pathways.
During
CNS,
HIF-1α
facilitates
inflammasome
formation,
presents
molecular
mechanisms
which
involved
pathogenesis
such
as
stroke,
traumatic
Alzheimer’s
disease.
Deciphering
will
contribute
development
therapeutic
strategies
diseases.
Pharmaceuticals,
Journal Year:
2025,
Volume and Issue:
18(2), P. 261 - 261
Published: Feb. 15, 2025
Long-lasting
brain
fatigue
is
a
consequence
of
stroke
or
traumatic
injury
associated
with
emotional,
psychological,
and
physical
overload,
distress
in
hypertension,
atherosclerosis,
viral
infection,
aging-related
chronic
low-grade
inflammatory
disorders.
The
pathogenesis
linked
to
disrupted
neurotransmission,
the
glutamate-glutamine
cycle
imbalance,
glucose
metabolism,
ATP
energy
supply,
which
are
multiple
molecular
targets
signaling
pathways
neuroendocrine-immune
blood
circulation
systems.
Regeneration
damaged
tissue
long-lasting
multistage
process,
including
spontaneously
regulating
hypothalamus-pituitary
(HPA)
axis-controlled
anabolic-catabolic
homeostasis
recover
harmonized
sympathoadrenal
system
(SAS)-mediated
function,
deregulated
gene
expression
rehabilitation.
driving
mechanism
spontaneous
recovery
regeneration
cross-talk
mediators
neuronal,
microglia,
immunocompetent,
endothelial
cells
collectively
involved
neurogenesis
angiogenesis,
plant
adaptogens
can
target.
Adaptogens
small
molecules
origin
that
increase
adaptability
organisms
stress
by
interaction
HPA
axis
SAS
(neuroendocrine-immune
cardiovascular
complex),
targeting
adaptive
GPCR
pathways.
Two
major
groups
comprise
(i)
phenolic
phenethyl
phenylpropanoid
derivatives
(ii)
tetracyclic
pentacyclic
glycosides,
whose
chemical
structure
be
distinguished
as
related
correspondingly
monoamine
neurotransmitters
(epinephrine,
norepinephrine,
dopamine)
steroid
hormones
(cortisol,
testosterone,
estradiol).
In
this
narrative
review,
we
discuss
multitarget
integrated
pharmacological
activity
botanical
ischemic
stroke,
fatigue;
time-dependent
dual
response
physiological
regulatory
systems
support
overload;
(iii)
dose-dependent
reversal
(hormetic)
effect
adaptogens.
This
review
shows
adaptogenic
concept
cannot
reduced
rectified
various
effects
on
selected
specific
modes
action
without
estimating
their
interactions
within
networks
complex
that,
turn,
regulates
other
(cardiovascular,
gastrointestinal,
reproductive
systems)
due
numerous
intra-
extracellular
communications
feedback
regulations.
These
result
polyvalent
pleiotropic
adaptogens,
essential
for
characterizing
distinct
types
botanicals.
They
trigger
defense
leads
extension
limits
resilience
inducing
mental
For
first
time,
justifies
potential
particularly
hybrid
preparation
(BHP)
Arctic
Root
Ashwagandha,
providing
rationale
use
individuals
experiencing
fatigue.
provided
insight
into
future
research
network
pharmacology
preventing
rehabilitating
following
trauma,
infections.
International Journal of Molecular Sciences,
Journal Year:
2022,
Volume and Issue:
23(13), P. 7041 - 7041
Published: June 24, 2022
Heme
oxygenase
(HO)
has
both
beneficial
and
detrimental
effects
via
its
metabolites,
including
carbon
monoxide
(CO),
biliverdin
or
bilirubin,
ferrous
iron.
HO-1
is
an
inducible
form
of
HO
that
upregulated
by
oxidative
stress,
nitric
oxide,
CO,
hypoxia,
whereas
HO-2
a
constitutive
regulates
vascular
tone
homeostasis.
In
brains
injured
trauma,
ischemia-reperfusion,
Alzheimer’s
disease
(AD),
the
long-term
expression
can
be
detected,
which
lead
to
cytotoxic
ferroptosis
iron
accumulation.
contrast,
transient
induction
in
peri-injured
region
may
have
regenerative
potential
(e.g.,
angiogenesis,
neurogenesis,
mitochondrial
biogenesis)
neurovascular
protective
through
CO-mediated
signaling
pathway,
antioxidant
properties
iron-mediated
ferritin
synthesis.
this
review,
we
discuss
dual
roles
metabolites
various
diseases,
age-related
macular
degeneration,
ischemia-reperfusion
injury,
traumatic
brain
Gilbert’s
syndrome,
AD.
Frontiers in Pharmacology,
Journal Year:
2022,
Volume and Issue:
12
Published: Jan. 27, 2022
Salvianolic
acid
C
(SAC)
is
a
major
bioactive
component
of
Salvia
miltiorrhiza
Bunge
(Danshen),
Chinese
herb
for
treating
ischemic
stroke
(IS).
However,
the
mechanism
by
which
SAC
affects
IS
has
not
yet
been
evaluated,
thus
network
pharmacology
integrated
molecular
docking
strategy
was
performed
to
systematically
evaluate
its
pharmacological
mechanisms,
were
further
validated
in
rats
with
cerebral
ischemia.
A
total
361
potential
SAC-related
targets
predicted
SwissTargetPrediction
and
PharmMapper,
443
IS-related
obtained
from
DisGeNET,
DrugBank,
OMIM,
Therapeutic
Target
database
(TTD)
databases.
hit
60
associated
IS.
By
Gene
ontology
(GO)
functional
annotation
Kyoto
Encyclopedia
Genes
Genomes
(KEGG)
pathway
enrichment
combined
protein-protein
interaction
(PPI)
cytoHubba
plug-ins,
nine
related
signaling
pathways
(proteoglycans
cancer,
PI3K-Akt
pathway,
Focal
adhesion,
etc.),
20
hub
genes
identified.
Consequently,
indicated
that
may
interact
(F2,
MMP7,
KDR,
IGF1,
REN,
PPARG,
PLG,
ACE
MMP1).
Four
target
proteins
(VEGFR2,
MMP1,
PPARγ
IGF1)
verified
using
western
blot.
This
study
comprehensively
analyzed
treatment
SAC.
The
results
blot
also
confirmed
against
mainly
anti-inflammatory
angiogenesis,
provides
reference
us
find
explore
effective
anti-IS
drugs.