1. Molecular Biology of Atherosclerotic Ischemic Strokes
- Author
-
Maria Chiara Velardo, Antonino Tuttolomondo, Maria Grazia Puleo, Antonio Pinto, Francesca Corpora, Mario Daidone, Tuttolomondo A., Puleo M.G., Velardo M.C., Corpora F., Daidone M., and Pinto A.
- Subjects
0301 basic medicine ,Inflammasomes ,Cerebral arteries ,microglia ,Disease ,Review ,neuroinflammation ,Brain ischemia ,lcsh:Chemistry ,0302 clinical medicine ,atherosclerosi ,Stroke ,lcsh:QH301-705.5 ,Spectroscopy ,microRNA ,General Medicine ,MKEY ,DKK-3 ,Computer Science Applications ,microRNAs ,Blood-Brain Barrier ,Cardiology ,medicine.symptom ,Dectin-1 ,medicine.medical_specialty ,Ischemia ,Brain damage ,Catalysis ,Inorganic Chemistry ,03 medical and health sciences ,Internal medicine ,Diabetes mellitus ,medicine ,ischemic stroke ,Animals ,Humans ,Physical and Theoretical Chemistry ,Molecular Biology ,business.industry ,Organic Chemistry ,AF ,medicine.disease ,Immunity, Innate ,NLRP3 inflammasome ,030104 developmental biology ,lcsh:Biology (General) ,lcsh:QD1-999 ,atherosclerosis ,business ,BBB ,030217 neurology & neurosurgery ,Dyslipidemia ,CD200-CD200R - Abstract
Among the causes of global death and disability, ischemic stroke (also known as cerebral ischemia) plays a pivotal role, by determining the highest number of worldwide mortality, behind cardiomyopathies, affecting 30 million people. The etiopathogenetic burden of a cerebrovascular accident could be brain ischemia (~80%) or intracranial hemorrhage (~20%). The most common site when ischemia occurs is the one is perfused by middle cerebral arteries. Worse prognosis and disablement consequent to brain damage occur in elderly patients or affected by neurological impairment, hypertension, dyslipidemia, and diabetes. Since, in the coming years, estimates predict an exponential increase of people who have diabetes, the disease mentioned above constitutes together with stroke a severe social and economic burden. In diabetic patients after an ischemic stroke, an exorbitant activation of inflammatory molecular pathways and ongoing inflammation is responsible for more severe brain injury and impairment, promoting the advancement of ischemic stroke and diabetes. Considering that the ominous prognosis of ischemic brain damage could by partially clarified by way of already known risk factors the auspice would be modifying poor outcome in the post-stroke phase detecting novel biomolecules associated with poor prognosis and targeting them for revolutionary therapeutic strategies.
- Published
- 2020