Reactive oxygen radicals and pathogenesis of neuronal death after cerebral ischemia

Taku Sugawara1, Pak H Chan

  • 1Department of Neurosurgery, Department of Neurology and Neurological Sciences, and Program in Neurosciences, Stanford University School of Medicine, Stanford, CA 94305, USA.

Insights

Reactive oxygen species contribute to brain injury following cerebral ischemia by damaging cellular components and initiating cell death pathways. Understanding these mechanisms offers potential therapeutic strategies for stroke.

Area of Science:

  • Neuroscience
  • Biochemistry
  • Cell Biology

Background:

  • Reactive oxygen species (ROS) are increasingly recognized for their role in brain injury after cerebral ischemia.
  • Oxidative stress from ROS can lead to significant damage to proteins, lipids, and DNA, resulting in cell injury and necrosis.
  • ROS also act as initiators in intracellular cell death signaling cascades, potentially leading to apoptosis.

Purpose of the Study:

  • To elucidate the mechanisms by which reactive oxygen species contribute to ischemic brain injury.
  • To investigate the role of redox signaling in initiating cell death pathways.
  • To explore the potential of targeting these pathways for therapeutic interventions in stroke.

Main Methods:

  • Genetic manipulation of intrinsic antioxidant systems.
  • Analysis of factors within cell death signaling pathways.
  • Investigating the involvement of oxygen radicals in the context of ischemic brain injury.

Main Results:

  • Substantial progress has been made in understanding the intricate mechanisms of cell death signaling pathways.
  • The involvement of oxygen radicals in ischemic brain injury has been further elucidated.
  • Identification of potential cellular targets, including mitochondria, death receptors, and DNA repair enzymes.

Conclusions:

  • Reactive oxygen species play a critical role in the pathophysiology of ischemic brain injury.
  • Understanding the redox signaling pathways involved in cell death is crucial for developing effective treatments.
  • Future research into these pathways holds promise for novel therapeutic strategies for clinical stroke.

Related Concept Videos

Cellular Injury IV: Necrosis01:16

Cellular Injury IV: Necrosis

Necrosis is a form of irreversible cell death caused by severe injury such as ischemia, toxins, or trauma. Unlike programmed cell death, it is an uncontrolled, pathological process that typically provokes inflammation in surrounding tissues.Pathophysiologic ChangesNecrosis begins when cells sustain critical damage, leading to swelling of organelles, particularly mitochondria, and rapid ATP depletion. As energy levels decline, membrane ion pumps fail, leading to calcium influx and eventually,...
Ischemic Stroke l: Introduction01:15

Ischemic Stroke l: Introduction

Ischemic stroke is an acute cerebrovascular condition in which blood flow to a brain region is suddenly interrupted, leading to tissue infarction. Neurons depend on continuous oxygen and glucose supply, so even brief reductions in perfusion cause energy failure, ionic imbalance, and irreversible injury. Ischemic strokes are classified into thrombotic and embolic types based on their underlying mechanisms.Thrombotic MechanismsThrombotic stroke develops when a clot forms within a cerebral artery.
Ischemic Stroke ll: Pathophysiology01:15

Ischemic Stroke ll: Pathophysiology

An ischemic stroke occurs when a cerebral blood vessel becomes obstructed, most often by a thrombus or embolus, interrupting the delivery of oxygen and glucose to brain tissue. Because neurons rely on continuous aerobic metabolism, energy failure begins within minutes of reduced perfusion. The region receiving the least blood flow becomes the infarct core, an area of irreversible cellular death. Surrounding this core lies the penumbra, a zone of hypoperfused but still viable tissue that is...
Hemorrhagic Stroke ll: Pathophysiology01:29

Hemorrhagic Stroke ll: Pathophysiology

A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
Cytotoxic Edema: Pathophysiology01:21

Cytotoxic Edema: Pathophysiology

Cytotoxic edema is a form of cerebral edema characterized by intracellular swelling of neurons, astrocytes, and other glial cells. It develops when the mechanisms responsible for maintaining ionic gradients across the cell membrane become impaired. Under normal physiological conditions, the sodium–potassium ATPase actively transports sodium ions out of the cell and potassium ions into the cell, preserving osmotic balance and enabling electrical signaling. This pump requires a continuous supply...
Secondary Spinal Cord Injury llI: Pathophysiology01:25

Secondary Spinal Cord Injury llI: Pathophysiology

Early Ischemia and Ionic ImbalanceWithin minutes of spinal cord injury, a secondary cascade begins, progressing over hours to weeks. Vascular damage reduces blood flow, causing ischemia and mitochondrial dysfunction. ATP depletion leads to ion pump failure, membrane depolarization, sodium influx, potassium efflux, and water accumulation, resulting in cellular swelling. Increased intracellular calcium further disrupts mitochondria and accelerates cellular injury.Excitotoxicity and Neuronal...