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Published on: December 15, 2023
Antioxidant strategies in the treatment of stroke
Isabelle Margaill1, Michel Plotkine, Dominique Lerouet
1Faculté des Sciences Pharmaceutiques et Biologiques, Laboratoire de Pharmacologie (UPRES EA 2510), Université René Descartes, 4 avenue de l'Observatoire, 75006 Paris, France. isabelle.margaill@univ-paris5.fr
Abstract:
Excessive production of free radicals is known to lead to cell injury in a variety of diseases, such as cerebral ischemia. In this review, we describe some of the numerous studies that have examined this oxidative stress and the efficiency of antioxidant strategies in focal cerebral ischemia. Besides using genetically modified mice, these strategies can be divided into three groups: (1) inhibition of free radical production, (2) scavenging of free radicals, and (3) increase of free radical degradation by using agents mimicking the enzymatic activity of endogenous antioxidants. Finally, the clinical trials that have tested or are currently testing the efficiency of antioxidants in patients suffering from stroke are reviewed. The results presented here lead us to consider that antioxidants are very promising drugs for the treatment of ischemic stroke.
Insights
Antioxidants show promise for treating ischemic stroke by combating oxidative stress. Strategies include inhibiting free radical production, scavenging radicals, and enhancing their degradation, with ongoing clinical trials for stroke patients.
Area of Science:
- Neuroscience
- Biochemistry
- Pharmacology
Background:
- Excessive free radical production causes cell injury in diseases like cerebral ischemia.
- Oxidative stress is a significant factor in the pathophysiology of focal cerebral ischemia.
Purpose of the Study:
- To review studies on oxidative stress and antioxidant strategies in focal cerebral ischemia.
- To evaluate the efficiency of various antioxidant approaches in preclinical models and clinical trials for stroke.
Main Methods:
- Examination of studies using genetically modified mice to investigate oxidative stress.
- Categorization of antioxidant strategies into inhibition of production, scavenging, and enhanced degradation.
- Review of clinical trials assessing antioxidant efficacy in stroke patients.
Main Results:
- Multiple antioxidant strategies have been explored in preclinical models of focal cerebral ischemia.
- Clinical trials are actively investigating the therapeutic potential of antioxidants for stroke treatment.
- Evidence suggests antioxidants are a promising therapeutic avenue for ischemic stroke.
Conclusions:
- Antioxidant therapies represent a highly promising approach for the treatment of ischemic stroke.
- Further research and clinical validation are crucial to fully realize the potential of antioxidants in stroke management.
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