scholarly journals Influence of the Volume of the Ischemic Origin on Clinical Outcomes of the Brain Stroke

Author(s):  
Z. A. Akbarkhodjaeva ◽  
G. S. Rakhimbaeva

In this article authors discussed about the influence of volume of the ischemic origin on clinical outcomes in patients with stroke. Cerebral ischemic stroke is one of the main cause of death among cardiovascular and brain diseases. The study is dedicated to learn the relationship of the dynamics of the volume of the ischemic focus with clinical outcome of stroke. For this study, 125 patients were examined and analyzed. MRI of the brain in acute period of ischemic stroke in 78% of patients were assessed that foci of ischemia of small (less than 10 cm3), medium (10-50 cm3) and large size (more than 50 cm3). Lacunarstrokes, as well as the size of the penumbra, affecting the ability to restore impaired brain functions, can be identified only by magnetic resonance imaging of the brain.

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Amaresh Ranjan ◽  
Thomas Hauert ◽  
Mazin Hussain ◽  
Anthony Giometti ◽  
Seema Briyal ◽  
...  

Mitochondrial dysfunction is associated with cerebral ischemic stroke. Sovateltide (IRL-1620; PMZ-1620) undergoing clinical trials (NCT04047563; NCT04046484) has been demonstrated, in preclinical studies, to provide recovery of brain functions when administered following acute cerebral ischemic stroke. We hypothesize that sovateltide preserves mitochondrial activity and provides neural protection and regeneration. We investigated the effect of sovateltide on mitochondrial morphology and function following acute cerebral ischemic stroke. Rats underwent permanent middle cerebral artery occlusion (MCAO) and then received three intravenous injections of vehicle or sovateltide (5 μg/kg) at 4, 6, and 8 h and sacrificed at 24 h post MCAO. Another set of rats were treated similarly on day 0, 3 and 6 and sacrificed on day 7. Western blot and/or immunofluorescence were used to evaluate protein expression of NeuroD1, DoubleCortin, HUC+HUD, NeuN, Sox2, Oct4, DRP1 and MFN2. Mitochondrial biogenesis was evaluated using in situ PCR and transmission electron microscopy (TEM). Sovateltide produced (p<0.001) improvement in neurological deficit and motor function compared to vehicle at 24 h and day 7 post MCAO. Expression of NeuroD1 (p=0.0003), HuC-HuD (p=0.0373) and DoubleCortin (p=0.013) was higher in sovateltide compared to vehicle at 24 h but not at day 7. No change in Oct4 and Sox2 was observed. Immunofluorescence of cultured NPCs showed elevated expression of NeuroD1 and NeuN in sovateltide compared to vehicle. Sovateltide significantly decreased fission marker, DRP1 (p<0.001) and increased fusion marker MFN2 (p<0.0001) at 24 h and day 7 compared to vehicle. A significantly increased mitochondrial DNA (MT-ATP8, mitochondria specific gene) fluorescence in sovateltide group compared to vehicle (p=0.0418) and sham (p=0.0085) was observed. TEM analysis showed significant increase in mitochondrial cross-sectional area x number and % mitochondrial/tissue area in sovateltide group at 24 hours compared to vehicle. Mitochondrial number increased (p=0.032) at day 7 compared to 24 h in vehicle group. Sovateltide preserves mitochondrial activity and provides neural protection and regeneration in rat model of acute cerebral ischemic stroke.


Nosotchu ◽  
2008 ◽  
Vol 30 (3) ◽  
pp. 458-461 ◽  
Author(s):  
Kazuo Hosotani ◽  
Yasuhiko Tokuriki ◽  
Takehiko Nakamura ◽  
Masashi Oda ◽  
Seiichirou Takano

2019 ◽  
Vol 17 (3) ◽  
pp. 329-336
Author(s):  
Wang Jinli ◽  
Xu Fenfen ◽  
Zheng Yuan ◽  
Cheng Xu ◽  
Zhang Piaopiao ◽  
...  

Cardiovascular disease including cerebral ischemic stroke is the major complication that increases the morbidity and mortality in patients with diabetes mellitus as much as four times. It has been well established that irisin, with its ability to regulate glucose and lipid homeostasis as well as anti-inflammatory and anti-apoptotic properties, has been widely examined for its therapeutic potentials in managing metabolic disorders. However, the mechanism of irisin in the regulation of cerebral ischemic stroke remains unclear. Using PC12 cells as a model, we have shown that hypoxia/reoxygenation inhibits cell viability and increases lactic dehydrogenase. Irisin, in a dose-dependent manner, reversed these changes. The increase in inflammatory mediators (IL-1β, IL-6, and TNF-α) by hypoxia/reoxygenation was reversed by irisin. Furthermore, the cell apoptosis promoted by hypoxia/reoxygenation was also inhibited by irisin. Irisin suppressed TLR4/MyD88 signaling pathway leading to amelioration of inflammation and apoptosis in PC12 cells. Thus, inhibition of TLR4/MyD88 signaling pathway via irisin could be an important mechanism in the regulation of hypoxia/reoxygenation-induced inflammation and apoptosis in PC12 cells.


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