Ischemic Preconditioning: A Novel Target for Neuroprotective Therapy

Ischemic preconditioning involves a brief exposure to ischemia in order to develop a tolerance to injurious effects of prolonged ischemia. The molecular mechanisms of neuroprotection that lead to ischemic tolerance are not yet completely understood. However, it seems that two distinct phases are inv...

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Veröffentlicht in:Cerebrovascular diseases (Basel, Switzerland) Switzerland), 2006-05, Vol.21 (Suppl 2), p.38-47
Hauptverfasser: Blanco, Miguel, Lizasoain, Ignacio, Sobrino, Tomás, Vivancos, José, Castillo, José
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container_end_page 47
container_issue Suppl 2
container_start_page 38
container_title Cerebrovascular diseases (Basel, Switzerland)
container_volume 21
creator Blanco, Miguel
Lizasoain, Ignacio
Sobrino, Tomás
Vivancos, José
Castillo, José
description Ischemic preconditioning involves a brief exposure to ischemia in order to develop a tolerance to injurious effects of prolonged ischemia. The molecular mechanisms of neuroprotection that lead to ischemic tolerance are not yet completely understood. However, it seems that two distinct phases are involved. Firstly, a cellular defense function against ischemia may be developed by the mechanisms inherent to neurons such as posttranslational modification of proteins or expression of new proteins via a signal transduction system to the nucleus. Secondly, a stress response and synthesis of stress proteins (heat shock proteins) may be activated. These mechanisms are mediated by chaperones. The objective of ischemic preconditioning research is to identify the underlying endogenous protective cellular receptors and signaling cascades, with the long-term goal of allowing therapeutic augmentation of the endogenous protective mechanisms in cerebral ischemia and possibly development of new neuroprotective strategies for ischemic stroke treatment.
doi_str_mv 10.1159/000091702
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identifier ISSN: 1015-9770
ispartof Cerebrovascular diseases (Basel, Switzerland), 2006-05, Vol.21 (Suppl 2), p.38-47
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source Karger Journals; MEDLINE
subjects Adenosine Triphosphate - metabolism
alpha-Linolenic Acid - pharmacology
alpha-Linolenic Acid - therapeutic use
Animals
Brain - blood supply
Brain - drug effects
Brain - metabolism
Brain Ischemia - genetics
Brain Ischemia - metabolism
Brain Ischemia - therapy
Clinical Trials as Topic
Cytokines - metabolism
Diazoxide - pharmacology
Diazoxide - therapeutic use
Drug Evaluation, Preclinical
Gene Expression Regulation
Genes, Immediate-Early
Heat-Shock Proteins - genetics
Heat-Shock Proteins - metabolism
Humans
Ischemic Preconditioning - methods
Models, Animal
Neuroprotective Agents - pharmacology
Neuroprotective Agents - therapeutic use
Potassium Channels - metabolism
Receptors, Glutamate - metabolism
Stroke - genetics
Stroke - metabolism
Stroke - therapy
title Ischemic Preconditioning: A Novel Target for Neuroprotective Therapy
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