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Updated: Jul 7, 2026

Strategies for Study of Neuroprotection from Cold-preconditioning
Published on: September 2, 2010
Neuroprotection: Present and future
Régis Bordet1, Pierre Lestage, Brigitte Onteniente
1EA1046-Département de Pharmacologie Médicale, Institut de Médecine Prédictive et de Recherche Thérapeutique, Faculté de Médecine de l'Université Lille 2 & Centre Hospitalier et Universitaire de Lille, Lille, France. r-bordet@chru-lille.fr
Abstract:
The treatment of brain diseases (regardless of the latter's neurological or psychiatric expression) is based on either preventive, symptomatic or etiopathogenic approaches. The frequent observation of neuronal death during brain disease initially prompted researchers to favour neuroprotection for the etiopathogenic approach. The repeated failure to develop reliable neuroprotective agents has prompted emergence of the concept of "disease modifyer". The disease modifyer concept (based essentially on clinical endpoints) enables us to envisage the broader application of etiopathogenic treatments by freeing ourselves of the need to demonstrate a cellular mechanism of action. The formalization of disease modification prompts several lines of thought, which are developed in the present article.
Insights
Researchers are shifting from neuroprotection to "disease modifiers" for brain diseases. This new concept broadens therapeutic approaches by focusing on clinical outcomes rather than cellular mechanisms.
Area of Science:
- Neuroscience
- Neurology
- Psychiatry
Background:
- Brain disease treatments utilize preventive, symptomatic, or etiopathogenic strategies.
- Neuroprotection was initially favored for etiopathogenic approaches due to observed neuronal death.
- Failures in developing neuroprotective agents led to the
- Main_Methods
- Main_Results
- Conclusions
Purpose of the Study:
- To explore the concept of
- disease modifiers
- in the context of brain disease treatment.
Main Methods:
- Conceptual analysis of therapeutic approaches.
- Review of clinical endpoints in disease modification.
- Discussion of the implications for etiopathogenic treatments.
Main Results:
- The
- disease modifier
- concept shifts focus from cellular mechanisms to clinical outcomes.
- This approach allows broader application of etiopathogenic treatments.
- Formalization of disease modification opens new avenues for research and therapy.
Conclusions:
- The
- disease modifier
- concept represents a paradigm shift in treating brain diseases.
- It facilitates the development and application of more effective therapies.
- This conceptualization is crucial for advancing neurological and psychiatric treatments.
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