冲程(发动机)
神经炎症
医学
神经保护
炎症
免疫系统
病理生理学
神经科学
免疫学
脑缺血
出处
期刊:Thrombosis and Haemostasis
[Georg Thieme Verlag KG]
日期:2022-06-10
卷期号:122 (09): 1454-1460
标识
DOI:10.1055/s-0042-1748890
摘要
Translational stroke research has long been focusing on neuroprotective strategies to prevent secondary tissue injury and promote recovery after acute ischemic brain injury. The inflammatory response to stroke has more recently emerged as a key pathophysiological pathway contributing to stroke outcome. It is now accepted that the inflammatory response is functionally involved in all phases of the ischemic stroke pathophysiology. The immune response is therefore considered a breakthrough target for ischemic stroke treatment. On one side, stroke induces a local neuroinflammatory response, in which the inflammatory activation of glial, endothelial and brain-invading cells contributes to lesion progression after stroke. On the other side, ischemic brain injury perturbs systemic immune homeostasis and results in long-lasting changes of systemic immunity. Here, we briefly summarize current concepts in local neuroinflammation and the systemic immune responses after stroke, and highlight two promising therapeutic strategies for poststroke inflammation.
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