Cited by 100Cardiac Ischemia and ReperfusionNeurological Disorders and TreatmentsAcute Ischemic Stroke Management

Post-ischemic brain damage: effect of ischemic preconditioning and postconditioning and identification of potential candidates for stroke therapy

Pignataro, Giuseppe, Scorziello, Antonella, Di Renzo, Gianfranco, Annunziato, Lucio·2009·The FEBS Journal

Abstract

Because clinical trials of pharmacological neuroprotective strategies in stroke have been disappointing, attention has turned to the brain's own endogenous strategies for neuroprotection. Two endogenous mechanisms have been characterized so far, namely ischemic preconditioning and ischemic postconditioning. The neuroprotective concept of preconditioning is based on the observation that a brief, noninjurious episode of ischemia is able to protect the brain from a subsequent longer ischemic insult. Recently, a hypothesis has been offered that modified reperfusion subsequent to a prolonged ischemic episode may also confer ischemic neuroprotection, a phenomenon termed postconditioning. Many pathways have been proposed as plausible mechanisms to explain the neuroprotection offered by preconditioning and postconditioning. Unfortunately, so far, none of them has clearly identified the mechanism involved in preconditioning and postconditioning. The present article will review the main mechanisms reported to date to explain the neuroprotective effect of both ischemic preconditioning and postconditioning.

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Crossref · 10.1111/j.1742-4658.2008.06769.x

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Authors
Pignataro, G., Scorziello, A., Di Renzo, G., & Annunziato, L.
Affiliations
University of Naples Federico II (IT)
Venue
The FEBS Journal
Publisher
Wiley
Published
2008-12-12
Volume
276
Issue
1
Pages
46-57
ISSN
  • 1742-464X (ISSN-L)
  • 1742-4658
OpenAlex
W1596958478
Cited by
100
References
110
Citations by year
2026: 1 · 2024: 3 · 2023: 3 · 2022: 5 · 2021: 3 · 2020: 5 · 2019: 1 · 2018: 3 · 2017: 3 · 2016: 3 · 2015: 6 · 2014: 4 · 2013: 5 · 2012: 19
FWCI
1.41
Type
journal article
Language
en
Open access
closed
Locations
  • FEBS Journal (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Cardiac Ischemia and Reperfusion
  • Life Sciences › Neuroscience › Neurology › Neurological Disorders and Treatments
  • Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
Keywords
ischemic preconditioning, ischemic postconditioning, stroke, neuroprotection, ischemic brain injury, ischemia-reperfusion injury, ischemic neuroprotection
MeSH terms
Sodium-Potassium-Exchanging ATPase, Hypoxia, Brain, Brain Damage, Chronic, Brain Ischemia, Cerebrovascular Circulation, Energy Metabolism, Homeostasis, Humans, Nitric Oxide, Neuroprotective Agents, Ischemic Preconditioning, Stroke, Potassium Channels, Voltage-Gated, Nitric Oxide Synthase Type III

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