Neurovascular Unit: A critical role in ischemic stroke

Liyun Wang1, Xiaoxing Xiong2, Luyuan Zhang3

  • 1Department of Neurosurgery, Shengzhou People's Hospital (the First Affiliated Hospital of Zhejiang University Shengzhou Branch), Shengzhou, China.

Insights

Targeting the neurovascular unit (NVU) offers new hope for treating ischemic stroke (IS). Understanding the NVU

Area of Science:

  • Neuroscience
  • Cerebrovascular Medicine
  • Pathophysiology

Background:

  • Ischemic stroke (IS) is a major cause of death and disability worldwide.
  • Current IS treatments, primarily focused on recanalization, are often insufficient or inaccessible.
  • The neurovascular unit (NVU) plays a critical role in IS pathophysiology and recovery.

Purpose of the Study:

  • To review the relationship between NVU changes and IS outcomes.
  • To explore novel therapeutic strategies targeting the NVU for IS management.

Main Methods:

  • Literature review of studies on the neurovascular unit and ischemic stroke.
  • Analysis of the NVU's roles in blood-brain barrier regulation, cell protection, inflammation, and repair.
  • Summary of noncoding RNA influences and NVU-targeted therapies for IS.

Main Results:

  • The NVU is intricately linked to IS outcomes, including recanalization and prognosis.
  • NVU functions encompass blood-brain barrier integrity, cellular survival, immune responses, and repair mechanisms.
  • Noncoding RNAs significantly impact NVU function in the context of IS.

Conclusions:

  • The homeostatic state of the NVU is crucial for both IS pathophysiology and neurovascular repair.
  • Targeting the NVU presents a promising avenue for developing new and improved IS treatments.
  • Further research into NVU-based therapies could significantly expand treatment options for stroke patients.

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