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Inflammatory mechanisms in ischemic stroke: therapeutic approaches

Open access
Lakhan, Shaheen E, Kirchgessner, Annette, Hofer, Magdalena·2009·Journal of Translational Medicine

Abstract

Acute ischemic stroke is the third leading cause of death in industrialized countries and the most frequent cause of permanent disability in adults worldwide. Despite advances in the understanding of the pathophysiology of cerebral ischemia, therapeutic options remain limited. Only recombinant tissue-plasminogen activator (rt-PA) for thrombolysis is currently approved for use in the treatment of this devastating disease. However, its use is limited by its short therapeutic window (three hours), complications derived essentially from the risk of hemorrhage, and the potential damage from reperfusion/ischemic injury. Two important pathophysiological mechanisms involved during ischemic stroke are oxidative stress and inflammation. Brain tissue is not well equipped with antioxidant defenses, so reactive oxygen species and other free radicals/oxidants, released by inflammatory cells, threaten tissue viability in the vicinity of the ischemic core. This review will discuss the molecular aspects of oxidative stress and inflammation in ischemic stroke and potential therapeutic strategies that target neuroinflammation and the innate immune system. Currently, little is known about endogenous counterregulatory immune mechanisms. However, recent studies showing that regulatory T cells are major cerebroprotective immunomodulators after stroke suggest that targeting the endogenous adaptive immune response may offer novel promising neuroprotectant therapies.

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Metadata

Authors
Lakhan, S. E., Kirchgessner, A., & Hofer, M.
Venue
Journal of Translational Medicine
Published
2009-11-17
Volume
7
Issue
1
Pages
97-97
ISSN
1479-5876 (ISSN-L)
OpenAlex
W2150842829
Cited by
1,072
References
77
FWCI
24.53
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Inflammatory mechanisms in ischemic stroke: therapeutic approaches. https://app.cochat.ai/papers/10.1186/1479-5876-7-97
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Lakhan, S. E., Kirchgessner, A., & Hofer, M. (2009). Inflammatory mechanisms in ischemic stroke: therapeutic approaches. Journal of Translational Medicine. https://doi.org/10.1186/1479-5876-7-97

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