Post-stroke
stress
reactions
can
trigger
instant
survival
but
their
influence
on
long-term
stroke
outcomes
may
be
variable.
Thus,
we
sought
to
explore
the
associations
of
acute
attacks,
evidenced
by
endocrine
and
metabolic
changes,
with
outcomes.Admissions
for
ischemic
within
seven
days
onset
were
prospectively
recruited
determine
variations
measured
thyroid
parameters
hyperglycemia
ratio
(SHR).
Long-term
prognoses
followed
up
one
year,
primary
outcome
being
a
modified
Rankin
Scale
score
3
6.A
total
887
patients
enrolled
in
this
study,
which
535
year
poor
prognosis
rate
29.3%.
Patients
one-year
observed
have
lower
levels
free
triiodothyronine
(fT3)
higher
SHR.
Medium
values
(fT3,
4.4
mmol/L;
SHR,
0.8
mmol/L*%)
used
divide
into
four
gradient
degrees.
Larger
(fT3
<
mmol/L
SHR
≥
independently
associated
(adjusted
OR
=
4.231,
P
0.001).High
degrees
attacks
aggravate
prognosis,
timely
stress-reduced
interventions
help
promote
post-stroke
qualified
living
that
is
equally
important
as
survival.Funding:
This
work
was
supported
National
Natural
Science
Foundation
China
(grant
number
81901273)
Technology
Department
Zhejiang
Province
Q21H090076).Declaration
Interest:
The
authors
stated
explicitly
there
are
no
conflicts
interest
connection
article.Ethical
Approval:
Ethical
Decision
Committee
Research
Administration
at
First
Affiliated
Hospital
Wenzhou
Medical
University
approved
study
(2021-
R077).
And
all
agreed
participate
use
clinic
data
information
research
purposes.
Biomedicines,
Год журнала:
2024,
Номер
12(12), С. 2830 - 2830
Опубликована: Дек. 13, 2024
Background:
Ischemic
stroke
results
from
a
disruption
of
cerebral
blood
flow.
Adrenocorticotropic
hormone
(ACTH)
serves
as
the
basis
for
creation
synthetic
peptides
neuroprotective
agents
therapy.
Previously,
using
RNA-Seq
we
first
revealed
differential
expressed
genes
(DEGs)
associated
with
ACTH(4–7)PGP
(Semax)
and
ACTH(6–9)PGP
under
ischemia
conditions.
Analysis
was
carried
out
at
4.5
h
after
transient
middle
artery
occlusion
(tMCAO)
model
in
ipsilateral
frontal
cortex
rat
brain.
Methods:
Here,
analyzed
penumbra-associated
rats
actions
same
24
tMCAO
RNA-Seq.
Results:
3774
DEGs
(fold
change
>
1.5
Padj
<
0.05)
were
identified
conditions,
whereas
1539
2066
Semax
tMCAO.
Furthermore,
both
significantly
reduced
expression
distortions
caused
by
1171
immune
neurosignaling
pathways.
Concomitantly,
there
32
versus
administration
Besides,
neurogenesis-,
angiogenesis-,
protein
kinase-
growth
factor-related
action.
observed
effect
histological
level
brains
Thus,
here
demonstrate
transcriptome
manifestation
this
effect.
comparison
previous
data
post-tMCAO
time
point
showed
that
pattern
peptide
action
on
depends
elapsed
Conclusions:
We
more
similar
to
than
different
it
day
At
point,
ACTH-like
compensated
brain
gene
profiles
disrupted
ischemia.
our
may
be
useful
selecting
effective
structures
future
anti-stroke
drugs
appropriate
post-stroke
points
their
testing.
Oxford University Press eBooks,
Год журнала:
2024,
Номер
unknown
Опубликована: Авг. 21, 2024
Abstract
For
a
long
time,
most
brain
trauma
research
has
focused
on
the
male
population
because
of
their
higher
rate
injury.
However,
this
disparity
in
between
sexes
created
gaps
knowledge
about
pathophysiology
disease
females
and
contributed
to
misdiagnosis
women
likely
failure
therapeutics
clinical
trials.
Steps
are
being
taken
mitigate
disparity,
but
there
many
mechanisms
injury
that
still
require
characterization
identification
females;
one
those
is
mitochondrial
dysfunction.
Mitochondria
crucial
for
maintenance
normal
function
have
been
shown
drive
secondary
pathways
following
traumatic
ischemic
injuries.
Of
little
literature
available,
studies
found
mitochondria
from
more
resilient
compared
males.
Female
sex
hormones,
like
estrogen
progesterone,
modulate
under
non-pathological
conditions,
much
learn
process
pathological
after
Historically,
thought
be
neuroprotective
against
stroke.
Preclinical
can
minimize
infarct
volume
experimental
stroke
through
mitochondrial-specific
mechanisms.
The
field
knows
even
less
differences
dysfunction
how
hormones
may
influence
these
processes.
This
chapter
will
discuss
interplay
hormone
regulation
implications
personalized
medicine
trial
development.
Post-stroke
stress
can
trigger
instant
survival
but
its
influence
on
long-term
ischemic
stroke
outcomes
remains
controversial.
Thus,
we
sought
to
explore
the
associations
of
acute
post-stroke
evidenced
by
endocrine
and
metabolic
changes,
with
outcomes.
Admissions
for
within
seven
days
onset
were
prospectively
recruited
determine
variations
measured
thyroid
parameters
hyperglycemia
ratio
(SHR).
Long-term
prognoses
followed
up
one
year,
primary
outcome
being
a
modified
Rankin
Scale
score
3
6.
A
total
887
patients
enrolled,
which
535
reached
final
one-year
at
poor
prognosis
rate
29.3%.
Patients
observed
have
lower
levels
free
triiodothyronine
(fT3)
higher
SHR
admission.
Medium
values
(fT3,
4.4
mmol/L;
SHR,
8
nmol/L)
used
divide
into
four
gradient
degrees.
Larger
(fT3
<
mmol/L
≥
independently
associated
(adjusted
OR
=
4.231,
P
0.001).
High
degrees
may
aggravate
timely
stress-reduced
interventions
help
promote
living
quality
is
equally
important
as
survival.
Post-stroke
stress
reactions
can
trigger
instant
survival
but
their
influence
on
long-term
stroke
outcomes
may
be
variable.
Thus,
we
sought
to
explore
the
associations
of
acute
attacks,
evidenced
by
endocrine
and
metabolic
changes,
with
outcomes.Admissions
for
ischemic
within
seven
days
onset
were
prospectively
recruited
determine
variations
measured
thyroid
parameters
hyperglycemia
ratio
(SHR).
Long-term
prognoses
followed
up
one
year,
primary
outcome
being
a
modified
Rankin
Scale
score
3
6.A
total
887
patients
enrolled
in
this
study,
which
535
year
poor
prognosis
rate
29.3%.
Patients
one-year
observed
have
lower
levels
free
triiodothyronine
(fT3)
higher
SHR.
Medium
values
(fT3,
4.4
mmol/L;
SHR,
0.8
mmol/L*%)
used
divide
into
four
gradient
degrees.
Larger
(fT3
<
mmol/L
SHR
≥
independently
associated
(adjusted
OR
=
4.231,
P
0.001).High
degrees
attacks
aggravate
prognosis,
timely
stress-reduced
interventions
help
promote
post-stroke
qualified
living
that
is
equally
important
as
survival.Funding:
This
work
was
supported
National
Natural
Science
Foundation
China
(grant
number
81901273)
Technology
Department
Zhejiang
Province
Q21H090076).Declaration
Interest:
The
authors
stated
explicitly
there
are
no
conflicts
interest
connection
article.Ethical
Approval:
Ethical
Decision
Committee
Research
Administration
at
First
Affiliated
Hospital
Wenzhou
Medical
University
approved
study
(2021-
R077).
And
all
agreed
participate
use
clinic
data
information
research
purposes.