Hyperhomocysteinemia is an emerging comorbidity in ischemic stroke.

Hyperhomocysteinemia is an emerging comorbidity in ischemic stroke.
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高脑结晶质血症是缺血性中风的合并症。

DOI:
10.1016/j.expneurol.2020.113541
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发表时间:
2021-03
影响因子:
5.3
通讯作者:
Poddar R
Poddar R
中科院分区:
医学2区
文献类型:
--
作者:
Poddar R

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高同型半胱氨酸血症或氨基酸同型半胱氨酸的全身性升高是一种常见的代谢紊乱,被认为是缺血性卒中的危险因素。然而,尚不清楚高同型半胱氨酸血症的易感性是否会导致卒中结局的严重程度。本文综述了目前高同型半胱氨酸血症啮齿动物模型的优点和局限性,描述了轻度高同型半胱氨酸血症对缺血性脑损伤严重程度的临床前研究结果,并总结了同型半胱氨酸引起神经毒性的机制。这些发现为建立高同型半胱氨酸血症作为缺血性卒中的合并症提供了前提,在开发潜在的卒中治疗药物时应予以考虑。
Hyperhomocysteinemia or systemic elevation of the amino acid homocysteine is a common metabolic disorder that is considered to be a risk factor for ischemic stroke. However, it is still unclear whether predisposition to hyperhomocysteinemia could contribute to the severity of stroke outcome. This review highlights the advantages and limitations of the current rodent models of hyperhomocysteinemia, describes the consequence of mild hyperhomocysteinemia on the severity of ischemic brain damage in preclinical studies and summarizes the mechanisms involved in homocysteine induced neurotoxicity. The findings provide the premise for establishing hyperhomocysteinemia as a comorbidity for ischemic stroke and should be taken into consideration while developing potential therapeutic agents for stroke treatment.
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