The effect of age-related risk factors and comorbidities on white matter injury and repair after ischemic stroke.

The effect of age-related risk factors and comorbidities on white matter injury and repair after ischemic stroke.
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年龄相关危险因素和合并症对缺血性脑卒中后脑白质损伤和修复的影响

DOI:
10.1016/j.nbd.2018.07.008
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发表时间:
2019-06
影响因子:
6.1
通讯作者:
Shi Y
Shi Y
中科院分区:
医学1区
文献类型:
--
作者:
Xu M;Wang MM;Gao Y;Keep RF;Shi Y

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脑白质损伤是人类中风的重要组成部分,但在临床前研究中常常被忽视。大多数人类中风与一种或多种并发症有关,包括衰老、高血压、糖尿病和包括高脂血症在内的代谢综合征。本综述的目的是在人类卒中和临床前模型中研究年龄和高血压对卒中引起的脑白质损伤以及脑白质修复的影响。在临床前试验中检查合并症是至关重要的,因为它们可能会影响临床的可译性。此外,了解合并症是如何影响脑白质损伤和修复的,可能会为患有这些疾病的患者提供新的治疗机会。
White matter injury is a crucial component of human stroke, but it has often been neglected in preclinical studies. Most human stroke is associated with one or more comorbidities, including aging, hypertension, diabetes and metabolic syndrome including hyperlipidemia. The purpose of this review is to examine how age and hypertension impact stroke-induced white matter injury as well as white matter repair in both human stroke and preclinical models. It is essential that comorbidities be examined in preclinical trials as they may impact translatability to the clinic. In addition, understanding how comorbidities impact white matter injury and repair may provide new therapeutic opportunities for patients with those conditions.
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