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Cited by 384

The DOI matches its Crossref record; 143 of the 143 references it cites were found in a registry or an index.

Matrix Metalloproteinases and Blood-Brain Barrier Disruption in Acute Ischemic Stroke

Open access
Lakhan, Shaheen E., Kirchgessner, Annette, Tepper, Deborah, Leonard, Aidan·2013·Frontiers in Neurology

Abstract

Ischemic stroke continues to be one of the most challenging diseases in translational neurology. Tissue plasminogen activator (tPA) remains the only approved treatment for acute ischemic stroke, but its use is limited to the first hours after stroke onset due to an increased risk of hemorrhagic transformation over time resulting in enhanced brain injury. In this review we discuss the role of matrix metalloproteinases (MMPs) in blood-brain barrier (BBB) disruption as a consequence of ischemic stroke. MMP-9 in particular appears to play an important role in tPA-associated hemorrhagic complications. Reactive oxygen species can enhance the effects of tPA on MMP activation through the loss of caveolin-1 (cav-1), a protein encoded in the cav-1 gene that serves as a critical determinant of BBB permeability. This review provides an overview of MMPs' role in BBB breakdown during acute ischemic stroke. The possible role of MMPs in combination treatment of acute ischemic stroke is also examined.

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Metadata

Authors
Lakhan, S. E., Kirchgessner, A., Tepper, D., & Leonard, A.
Venue
Frontiers in Neurology
Published
2013
Volume
4
Pages
32-32
ISSN
1664-2295 (ISSN-L)
OpenAlex
W2160213908
Cited by
384
References
143
FWCI
11.89
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Matrix Metalloproteinases and Blood-Brain Barrier Disruption in Acute Ischemic Stroke. https://app.cochat.ai/papers/10.3389/fneur.2013.00032
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Lakhan, S. E., Kirchgessner, A., Tepper, D., & Leonard, A. (2013). Matrix Metalloproteinases and Blood-Brain Barrier Disruption in Acute Ischemic Stroke. Frontiers in Neurology. https://doi.org/10.3389/fneur.2013.00032

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