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2018 ; 2018
(ä): 2596043
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Cell Type-Specific Mechanisms in the Pathogenesis of Ischemic Stroke: The Role of
Apoptosis Signal-Regulating Kinase 1
#MMPMID29743976
Cheon SY
; Kim EJ
; Kim JM
; Koo BN
Oxid Med Cell Longev
2018[]; 2018
(ä): 2596043
PMID29743976
show ga
Stroke has become a more common disease worldwide. Despite great efforts to
develop treatment, little is known about ischemic stroke. Cerebral ischemia
activates multiple cascades of cell type-specific pathomechanisms. Ischemic brain
injury consists of a complex series of cellular reactions in various cell types
within the central nervous system (CNS) including platelets, endothelial cells,
astrocytes, neutrophils, microglia/macrophages, and neurons. Diverse cellular
changes after ischemic injury are likely to induce cell death and tissue damage
in the brain. Since cells in the brain exhibit different functional roles at
distinct time points after injury (acute/subacute/chronic phases), it is
difficult to pinpoint genuine roles of cell types after brain injury. Many
experimental studies have shown the association of apoptosis signal-regulating
kinase 1 (ASK1) with cellular pathomechanisms after cerebral ischemia. Blockade
of ASK1, by either pharmacological or genetic manipulation, leads to reduced
ischemic brain injury and subsequent neuroprotective effects. In this review, we
present the cell type-specific pathophysiology of the early phase of ischemic
stroke, the role of ASK1 suggested by preclinical studies, and the potential use
of ASK suppression, either by pharmacologic or genetic suppression, as a
promising therapeutic option for ischemic stroke recovery.