Estrogen-IGF-1 interactions in neuroprotection: ischemic stroke as a case study.

Estrogen-IGF-1 interactions in neuroprotection: ischemic stroke as a case study.
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DOI:
10.1016/j.yfrne.2014.05.003
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发表时间:
2015-01
影响因子:
7.4
通讯作者:
Sohrabji, Farida
Sohrabji, Farida
中科院分区:
医学1区
文献类型:
--
作者:
Sohrabji, Farida

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The steroid hormone 17b-estradiol and the peptide hormone insulin-like growth factor (IGF)-1 independently exert neuroprotective actions in neurologic diseases such as stroke. Only a few studies have directly addressed the interaction between the two hormone systems, however, there is a large literature that indicates potentially greater interactions between the 17b-estradiol and IGF-1 systems. The present review focuses on key issues related to this interaction including IGF-1 and sex differences and common activation of second messenger systems. Using ischemic stroke as a case study, this review also focuses on independent and cooperative actions of estrogen and IGF-1 on neuroprotection, blood brain barrier integrity, angiogenesis, inflammation and post-stroke epilepsy. Finally, the review also focuses on the astrocyte, a key mediator of post stroke repair, as a local source of 17b-estradiol and IGF-1. This review thus highlights areas where significant new research is needed to clarify the interactions between these two neuroprotectants.
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