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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...
Interactions Between Signaling Pathways01:19

Interactions Between Signaling Pathways

Signaling cascades usually lack linearity. Multiple pathways interact and regulate one another, allowing cells to integrate and respond to diverse environmental stimuli.
Convergence and divergence, and cross-talk between signaling pathways
Two distinct signaling pathways can converge on a single functional unit, which may either be a single protein or a complex of proteins. The response is either functionally distinct or synergistic between the two pathways but different from the response...
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...
Diversity in Cell Signaling Responses01:22

Diversity in Cell Signaling Responses

The physiological function of a cell and cellular communication are outcomes of a range of extrinsic signals, intracellular signaling pathways, and cellular responses. No two cell types express the same repertoire of signaling components. Receptors are highly selective for their cognate ligands, but once activated, they can alter multiple cellular processes such as DNA transcription, protein synthesis, and metabolic activity. 
Graded and Abrupt Responses
Some signaling systems generate...
Paracrine Signaling01:21

Paracrine Signaling

Paracrine signaling allows cells to communicate with their immediate neighbors via secretion of signaling molecules. Such a signal can only trigger a response in nearby target cells because the signal molecules degrade quickly or are inactivated if not taken up. Prominent examples of paracrine signaling include nitric oxide signaling in blood vessels, synaptic signaling of neurons, the blood clotting system, tissue repair/wound healing, and local allergic skin reactions. Nitric oxide as a...

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Related Experiment Video

Updated: Jun 24, 2026

Remote Limb Ischemic Preconditioning: A Neuroprotective Technique in Rodents
07:52

Remote Limb Ischemic Preconditioning: A Neuroprotective Technique in Rodents

Published on: June 2, 2015

Signalling pathways in ischaemic postconditioning.

Derek J Hausenloy1

  • 1The Hatter Cardiovascular Institute, University College London Hospital and Medical School, London, United Kingdom. d.hausenloy@ucl.ac.uk

Thrombosis and Haemostasis
|April 8, 2009
PubMed
Summary
This summary is machine-generated.

Ischaemic postconditioning limits lethal reperfusion injury after acute coronary artery occlusion. This strategy reduces myocardial infarct size and improves outcomes in patients undergoing percutaneous coronary intervention.

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Strategies for Study of Neuroprotection from Cold-preconditioning
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Strategies for Study of Neuroprotection from Cold-preconditioning

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Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction
05:26

Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction

Published on: May 28, 2019

Related Experiment Videos

Last Updated: Jun 24, 2026

Remote Limb Ischemic Preconditioning: A Neuroprotective Technique in Rodents
07:52

Remote Limb Ischemic Preconditioning: A Neuroprotective Technique in Rodents

Published on: June 2, 2015

Strategies for Study of Neuroprotection from Cold-preconditioning
16:27

Strategies for Study of Neuroprotection from Cold-preconditioning

Published on: September 2, 2010

Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction
05:26

Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction

Published on: May 28, 2019

Area of Science:

  • Cardiology
  • Cardiovascular Research
  • Translational Medicine

Background:

  • Coronary heart disease (CHD) is a leading global cause of mortality.
  • Myocardial reperfusion via percutaneous coronary intervention (PCI) is crucial but can cause lethal reperfusion injury.
  • Ischaemic postconditioning is a novel strategy to mitigate this injury.

Purpose of the Study:

  • To review the mechanisms of cardioprotection offered by ischaemic postconditioning.
  • To identify signalling pathways and potential pharmacological targets for limiting reperfusion injury.

Main Methods:

  • Review of experimental studies on ischaemic postconditioning in myocardial infarction models.
  • Analysis of signalling pathways implicated in the cardioprotective effects.

Main Results:

  • Ischaemic postconditioning, involving brief interruptions of reperfusion, reduces myocardial infarct size.
  • It improves myocardial perfusion, preserves endothelial function, and attenuates apoptotic cell death.
  • Preserved left ventricular function and reduced mortality have been observed in experimental settings.

Conclusions:

  • Ischaemic postconditioning is a promising strategy to limit lethal reperfusion injury following acute myocardial infarction.
  • Understanding its underlying mechanisms reveals potential pharmacological targets for cardioprotection.