Hyperglycemia, diabetes and stroke: focus on the cerebrovasculature.

Hyperglycemia, diabetes and stroke: focus on the cerebrovasculature.
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DOI:
10.1016/j.vph.2009.02.004
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发表时间:
2009-07
影响因子:
4
通讯作者:
Fagan, Susan C.
Fagan, Susan C.
中科院分区:
医学2区
文献类型:
--
作者:
Ergul, Adviye;Li, Weiguo;Elgebaly, Mostafa M.;Bruno, Askiel;Fagan, Susan C.

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急性缺血性卒中(Acute ischemic stroke, AIS)是由动脉闭塞引起的血管和神经元损伤,两者都影响缺血性损伤的程度和卒中的预后。尽管进行了广泛的努力,但对AIS的有效治疗方法只有一种。鉴于高达40%的AIS患者由于糖尿病或急性应激反应而出现入院高血糖,需要更好地确定高血糖条件下神经元和血管保护的靶点。在这里,我们回顾糖尿病和急性高血糖对实验性脑卒中的影响,重点是脑血管结构和功能。与临床证据的相关性也进行了讨论。
Acute ischemic stroke (AIS) results from the occlusion of an artery and causes vascular and neuronal damage, both of which affect the extent of ischemic injury and stroke outcome. Despite extensive efforts, there is only one effective treatment for AIS. Given that up to 40% of the AIS patients present with admission hyperglycemia either as a result of diabetes or acute stress response, targets for neuronal and vascular protection under hyperglycemic conditions need to be better defined. Here, we review the impact of diabetes and acute hyperglycemia on experimental stroke with an emphasis on cerebrovasculature structure and function. The relevance to clinical evidence is also discussed.
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