
Brain stimulation, Год журнала: 2025, Номер unknown
Опубликована: Май 1, 2025
Stroke remains a leading cause of long-term disability and mortality worldwide, necessitating novel therapeutic strategies to enhance recovery. Traditional rehabilitation approaches, including physical therapy pharmacological interventions, often provide limited functional improvement. Neuromodulation has emerged as promising strategy promote post-stroke recovery by enhancing neuroplasticity reorganization. Among various neuromodulatory techniques, chemogenetics, particularly Designer Receptors Exclusively Activated Drugs (DREADDs), offers precise, cell-type-specific, temporally controlled modulation neuronal glial activity. This review explores the mechanisms potential chemogenetic in stroke Preclinical studies have demonstrated that activation excitatory DREADDs (hM3Dq) neurons located within peri-infarct area or contralateral M1 been shown neuroplasticity, facilitate axonal sprouting, lead improved behavioral following stroke. Conversely, stimulation inhibitory (hM4Di) suppresses stroke-induced excitotoxicity, mitigates spreading depolarizations (PIDs), modulates neuroinflammatory responses. By targeting specific populations, chemogenetics enables phase-specific interventions-early inhibition minimize damage during acute phase late excitation plasticity phase. Despite its advantages over traditional neuromodulation such optogenetics deep brain stimulation, several challenges remain before can be translated into clinical applications. These include optimizing viral vector delivery, improving ligand specificity, minimizing off-target effects, ensuring receptor stability. Furthermore, integrating with existing strategies, brain-computer interfaces therapy, may facilitating adaptive neuroplasticity. Future research should focus on refining tools enable application. offering highly selective, reversible, minimally invasive approach, holds great for revolutionizing advancing personalized strategies.
Язык: Английский