Is there a place for cerebral preconditioning in the clinic?

Is there a place for cerebral preconditioning in the clinic?
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DOI:
10.1007/s12975-009-0007-7
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发表时间:
2010-01-14
影响因子:
6.9
通讯作者:
Xi G
Xi G
中科院分区:
医学1区
文献类型:
--
作者:
Keep RF;Wang MM;Xiang J;Hua Y;Xi G

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预适应(PC)描述了一种现象,在这种现象中,亚损伤诱导的应激可以保护以后的损伤性应激。在确定PC诱导的脑损伤动物模型的保护机制方面已经取得了很大进展。虽然这些可能有助于阐明潜在的治疗靶点,但对脑PC的临床效用仍存在疑问,主要是因为在损伤之前是否需要给予PC刺激、治疗窗口狭窄和安全性等问题。这篇综述的目的是解决脑PC是否真的有临床应用的问题,并讨论我们对PC的知识不足可能阻碍这种临床翻译的问题。
Preconditioning (PC) describes a phenomenon whereby a sub-injury inducing stress can protect against a later injurious stress. Great strides have been made in identifying the mechanisms of PC-induced protection in animal models of brain injury. While these may help elucidate potential therapeutic targets, there are questions over the clinical utility of cerebral PC, primarily because of questions over the need to give the PC stimulus prior to the injury, narrow therapeutic windows and safety. The object of this review is to address the question of whether there may indeed be a clinical use for cerebral PC and to discuss the deficiencies in our knowledge of PC that may hamper such clinical translation.
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