scholarly journals Body Iron Overload is a Determining Factor in Brain Damage in Acute Ischemic Stroke

2021 ◽  
Vol 2 (4) ◽  
Stroke ◽  
2000 ◽  
Vol 31 (4) ◽  
pp. 852-857 ◽  
Author(s):  
José Castillo ◽  
Ramón Rama ◽  
Antoni Dávalos

2013 ◽  
Vol 11 (8) ◽  
pp. 1464-1473 ◽  
Author(s):  
J. A. Rodríguez ◽  
T. Sobrino ◽  
J. Orbe ◽  
A. Purroy ◽  
E. Martínez-Vila ◽  
...  

Author(s):  
Al Rasyid ◽  
Salim Harris ◽  
Mohammad Kurniawan ◽  
Taufik Mesiano ◽  
Rakhmad Hidayat ◽  
...  

Objective: This study aimed to analyze blood viscosity as a determining factor of ischemic stroke outcomes evaluated with National Institutes of Health Stroke Scale (NIHSS) and modified Rankin Scale (mRS) on day 7 and 30 post-thrombolysis. Methods: This study was a 4-months cohort study taking place in Cipto Mangunkusumo General Hospital from January to April 2017. Subjects were collected at the Emergency Department or Neurology Outpatient Department. Eligible patients gave informed consent. Patients underwent numerous examinations, including blood viscosity test using digital microcapillary (DM) instrument. Outcomes of patients were identified on day 7 and day 30 post-thrombolysis using NIHSS and mRS, respectively. Results: Most acute ischemic stroke patients (88.6%) had blood hyperviscosity. 9.1% patients had poorer neurologic deficit on day 7 evaluated with NIHSS and 18.2% patients had poor outcome on day 30 evaluated with mRS. All patients with normal blood viscosity did not have a poorer neurologic deficit on day-7-evaluation. Conclusion: Blood viscosity determines the outcomes of acute ischemic stroke patients on day 7 and day 30 post-thrombolysis.


Cell Reports ◽  
2018 ◽  
Vol 22 (13) ◽  
pp. 3574-3586 ◽  
Author(s):  
Daojing Li ◽  
Wenjing Lang ◽  
Chen Zhou ◽  
Chao Wu ◽  
Fang Zhang ◽  
...  

Stroke ◽  
1998 ◽  
Vol 29 (12) ◽  
pp. 2455-2460 ◽  
Author(s):  
José Castillo ◽  
Antoni Dávalos ◽  
Jaume Marrugat ◽  
Manuel Noya

Author(s):  
Ole Heinisch ◽  
Thomas Zeyen ◽  
Tobias Goldmann ◽  
Marco Prinz ◽  
Michael Huber ◽  
...  

AbstractInflammasomes are known to contribute to brain damage after acute ischemic stroke (AIS). TAK1 is predominantly expressed in microglial cells and can regulate the NLRP3 inflammasome, but its impact on other inflammasomes including NLRC4 and AIM2 after AIS remains elusive. EPO has been shown to reduce NLRP3 protein levels in different disease models. Whether EPO-mediated neuroprotection after AIS is conveyed via an EPO/TAK1/inflammasome axis in microglia remains to be clarified. Subjecting mice deficient for TAK1 in microglia/macrophages (Mi/MΦ) to AIS revealed a significant reduction in infarct sizes and neurological impairments compared to the corresponding controls. Post-ischemic increased activation of TAK1, NLRP3, NLRC4, and AIM2 inflammasomes including their associated downstream cascades were markedly reduced upon deletion of Mi/MΦ TAK1. EPO administration improved clinical outcomes and dampened stroke-induced activation of TAK1 and inflammasome cascades, which was not evident after the deletion of Mi/MΦ TAK1. Pharmacological inhibition of NLRP3 in microglial BV-2 cells did not influence post-OGD IL-1β levels, but increased NLRC4 and AIM2 protein levels, suggesting compensatory activities among inflammasomes. Overall, we provide evidence that Mi/MΦ TAK1 regulates the expression and activation of the NLRP3, NLRC4, AIM2 inflammasomes. Furthermore, EPO mitigated stroke-induced activation of TAK1 and inflammasomes, indicating that EPO conveyed neuroprotection might be mediated via an EPO/TAK1/inflammasome axis. Graphical Abstract


2011 ◽  
Vol 9 (1) ◽  
pp. 58 ◽  
Author(s):  
Raquel Rodríguez-González ◽  
Tomás Sobrino ◽  
Manuel Rodríguez-Yáñez ◽  
Mónica Millán ◽  
David Brea ◽  
...  

2011 ◽  
Vol 115 (5) ◽  
pp. 1044-1053 ◽  
Author(s):  
Benoît Haelewyn ◽  
Hélène N. David ◽  
Nathalie Colloc'h ◽  
Denis G. Colomb ◽  
Jean-Jacques Risso ◽  
...  

Background Preclinical evidence in rodents has suggested that inert gases, such as xenon or nitrous oxide, may be promising neuroprotective agents for treating acute ischemic stroke. This has led to many thinking that clinical trials could be initiated in the near future. However, a recent study has shown that xenon interacts with tissue-type plasminogen activator (tPA), a well-recognized approved therapy of acute ischemic stroke. Although intraischemic xenon inhibits tPA-induced thrombolysis and subsequent reduction of brain damage, postischemic xenon virtually suppresses both ischemic brain damage and tPA-induced brain hemorrhages and disruption of the blood-brain barrier. The authors investigated whether nitrous oxide could also interact with tPA. Methods The authors performed molecular modeling of nitrous oxide binding on tPA, characterized the concentration-dependent effects of nitrous oxide on tPA enzymatic and thrombolytic activity in vitro, and investigated the effects of intraischemic and postischemic nitrous oxide in a rat model of thromboembolic acute ischemic stroke. Results The authors demonstrate nitrous oxide is a tPA inhibitor, intraischemic nitrous oxide dose-dependently inhibits tPA-induced thrombolysis and subsequent reduction of ischemic brain damage, and postischemic nitrous oxide reduces ischemic brain damage, but in contrast with xenon, it increases brain hemorrhages and disruption of the blood-brain barrier. Conclusions In contrast with previous studies using mechanical acute stroke models, these data obtained in a clinically relevant rat model of thromboembolic stroke indicate that nitrous oxide should not be considered a good candidate agent for treating acute ischemic stroke compared with xenon.


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