Age affects the association of red blood cell indices with efficacy of remote ischemic conditioning in patients with acute moderate ischemic stroke DOI Creative Commons
Qiong Wu, Yina Zhang, Nannan Zhang

et al.

Scientific Reports, Journal Year: 2024, Volume and Issue: 14(1)

Published: Sept. 29, 2024

Language: Английский

Systematic review of neurological diseases and carbenoxolone: A double-edged sword? DOI
Yusuke Ikeuchi, Masaaki Kohta, Kohkichi Hosoda

et al.

European Journal of Pharmacology, Journal Year: 2025, Volume and Issue: 994, P. 177387 - 177387

Published: Feb. 15, 2025

Language: Английский

Citations

1

A novel anti-ischemic stroke candidate drug AAPB with dual effects of neuroprotection and cerebral blood flow improvement DOI Creative Commons
Jianbing Wu,

Duorui Ji,

Weijie Jiao

et al.

Acta Pharmaceutica Sinica B, Journal Year: 2025, Volume and Issue: 15(2), P. 1070 - 1083

Published: Jan. 23, 2025

Ischemic stroke (IS) is a globally life-threatening disease. Presently, few therapeutic medicines are available for treating IS, and rt-PA the only drug approved by US Food Drug Administration (FDA) in US. In fact, many agents showing excellent neuroprotection but no blood flow-improving activity animals have not achieved ideal clinical efficacy, while thrombolytic drugs improving flow without limited their wider application. To address these challenges meet huge unmet need, we designed identified novel compound AAPB with dual effects of cerebral improvement. significantly reduced infarction neural function deficit tMCAO rats, pMCAO IS rhesus monkeys, as well displayed exceptional safety profiles pharmacokinetic properties rats dogs. has now entered phase I trials fighting China.

Language: Английский

Citations

0

Tetrahedral Framework Nucleic Acid-Based Delivery System for miRNA-124 and Stroke-Homing Peptide: Targeted Therapy for Acute Ischemic Stroke DOI
Guannan Du,

Yangxue Yao,

Wen Chen

et al.

ACS Applied Materials & Interfaces, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 12, 2025

Acute ischemic stroke (AIS) is associated with a high mortality rate and poor prognosis, lack of effective therapeutic drugs for post-thrombolytic treatment. MicroRNA-based gene therapy promising approach treating AIS, but its clinical application has been limited due to challenges, such as targeting efficiency, unsatisfactory stability, inadequate cellular uptake. In this study, we successfully developed microRNA-targeted delivery system based on the tetrahedral framework nucleic acid (tFNA). This nanodelivery system, guided by stroke-homing peptides, effectively targeted delivered miRNA124 hemisphere. With assistance tFNA, efficiently entered cells exerted effects. Additionally, it promoted transformation microglia from pro-inflammatory M1 phenotype anti-inflammatory M2 phenotype, reducing neuronal apoptosis and, ultimately, decreasing infarct size rate. These findings present strategy treatment AIS.

Language: Английский

Citations

0

Robotic thread-assisted clot removal for stroke treatment: A comprehensive review DOI

K. Sandhanam,

Damanbhalang Rynjah,

Shatabdi Ghose

et al.

Neuroscience, Journal Year: 2025, Volume and Issue: 570, P. 95 - 109

Published: Feb. 19, 2025

Language: Английский

Citations

0

Expression of Serum Inflammatory Factors in Patients with Acute Ischemic Stroke Complicated with Type 2 Diabetes Mellitus and Its Relationship with the Formation and Stability of Carotid Atherosclerotic Plaque DOI

Xia Chen,

Juan Li, Fang Zhang

et al.

Molecular Biotechnology, Journal Year: 2025, Volume and Issue: unknown

Published: March 3, 2025

Language: Английский

Citations

0

Cerebrolysin and the optimal timing of anticoagulation resumption in stroke: combined post hoc survival analysis of the CEREHETIS trial DOI
Mikhail N. Kalinin, Д. Р. Хасанова

S S Korsakov Journal of Neurology and Psychiatry, Journal Year: 2025, Volume and Issue: 125(3), P. 77 - 77

Published: March 21, 2025

Objective. To evaluate the effect of Cerebrolysin on hazard dynamics hemorrhagic transformation (HT) and identify optimal anticoagulation therapy (AT) resumption timing in stroke patients, stratified by Hemorrhagic Transformation Index (HTI). Material methods. A post hoc survival analysis CEREHETIS trial (ISRCTN87656744) included patients with middle cerebral artery infarctions. The intervention group (IG, n=91) received intravenous thrombolysis (IVT) standard care, while control (CG, n=147) IVT care alone. Additionally, a validation cohort (VC, n=248) from an observational study was analyzed. Patients were into low-risk (HT=0), high-risk (HTI=1—4), very-high-risk (HTI=5—8, VC only) groups. Symptomatic HT any within 14 days post-stroke defined as failure events. Hazard modeled using Gompertz parametric approach, threshold (0.6% per day) estimating safe AT timing. Results. significantly reduced risk symptomatic (HR 0.245; 95% CI 0.072—0.837; p=0.02) 0.543; 0.297—0.991; p=0.032). compounding peaked day 1 persisted through 7—10 (HTI=5—8). In mitigated levels to 2, compared 3—5 CG VC. hazardous period extended 10 HTI=5—8. (HTI=0), remained below 1, no measurable impact HT. Conclusion. may be safely resumed 48 h (HTI=5—8) without mitigates effect, reduces risk, facilitates earlier, safer (HTI=1—4) 2 post-stroke, supporting its role personalized management.

Language: Английский

Citations

0

Hydrogen sulfide enhances HCMEC/D3 cell proliferation and regeneration via sonic hedgehog signaling pathway DOI
Haiyan Chen, Jianmin Huang,

Zheng Pin

et al.

Clinical Hemorheology and Microcirculation, Journal Year: 2025, Volume and Issue: unknown

Published: April 17, 2025

Objective: In this study, we investigated the effects of hydrogen sulfide (H 2 S) and sonic hedgehog (SHH) on proliferation, autophagy, apoptosis human microvascular endothelial cells (HCMEC/D3). We also explored regulatory relationship between cystathionine-β-synthase (CBS) SHH pathway. Method: Human microglia (HMC3) were stimulated under hypoxia to secrete H S proteins, which then co-cultured with HCMEC/D3 cells. The was by inhibiting CBS or pathways. Vascular growth factor (VEGF) levels in culture medium detected using ELISA, while via a micro method. mRNA hypoxia-inducible 1α (HIF-1 α), VEGF, Beclin-1, light chain 3 (LC3), caspase-3 RT-PCR. Protein CBS, SHH, extracellular regulated kinase 1/2 (ERK1/2), phospho-ERK1/2 (P-ERK1/2), LC3, Caspase-3 determined western blot. Results: results indicated that HIF-1α expression increased HMC3 hypoxic conditions but did not change when either signaling pathway suppressed. secretion during hypoxia, both proteins being up-regulated. inhibition resulted decreased HMC3. whereas is inhibited, level affected. found enhance P-EKR1/2, decreasing Conclusion: promotes proliferation regeneration regulating protein alleviating injury.

Language: Английский

Citations

0

Treatment Strategies and Prognostic Outcomes in Acute Limb Ischemia: A Systematic Review and Meta-Analysis Comparing Thrombolytic Therapy and Open Surgical Interventions DOI Creative Commons

Mircea Cătălin Coșarcă,

N Lázár,

Suzana Vasilica Șincaru

et al.

Medicina, Journal Year: 2025, Volume and Issue: 61(5), P. 828 - 828

Published: April 30, 2025

Background and Objectives: Acute limb ischemia (ALI) is a life-threatening vascular emergency that requires immediate intervention to restore perfusion prevent loss or mortality. Management strategies primarily include thrombolysis surgical revascularization, each with distinct risks benefits. This review evaluates compares the outcomes of revascularization in ALI management, emphasizing their efficacy, safety, patient selection criteria. Materials Methods: A systematic was conducted adherence PRISMA guidelines, analyzing data from 15 studies, including randomized controlled trials large retrospective analyses, encompassing over 3500 patients varying demographics clinical presentations. Study quality assessed using Cochrane risk bias tool Newcastle–Ottawa Scale. Results: Thrombolysis, utilizing agents such as urokinase recombinant tissue plasminogen activator (rt-PA), demonstrated salvage rates up 90% acute cases, 30-day mortality 4–6%. It particularly effective embolic occlusions short symptom durations. However, bleeding complications associated were reported 47% cases. Conversely, remains crucial for those advanced contraindications thrombolysis, offering reliable restoration but higher perioperative morbidity, especially older significant comorbidities. Recent advancements, hybrid approaches combining catheter-directed percutaneous mechanical thrombectomy, have shown promise improving by reducing procedure times enhancing clot resolution. Conclusions: While are effective, optimizing key challenge. Future research should focus on refining treatment algorithms, investigating novel thrombolytic agents, expanding role minimally invasive techniques improve long-term while mitigating reperfusion injuries.

Language: Английский

Citations

0

Nelonemdaz as a Neuroprotective Agent in Acute Ischemic Stroke: A Meta-analysis of RODIN and SONIC Trials DOI

Muhammad Abdullah Ali,

Fatima Sajjad,

Sufyan Shahid

et al.

American Journal of Therapeutics, Journal Year: 2025, Volume and Issue: unknown

Published: May 19, 2025

Language: Английский

Citations

0

Recent developments in the design of functional derivatives of edaravone and exploration of their antioxidant activities DOI

R. Mohan,

Naveen V. Kulkarni

Molecular Diversity, Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 5, 2024

Language: Английский

Citations

2