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Published on: October 1, 2020
Post-stroke Neurogenesis: Friend or Foe?
María Isabel Cuartero1,2,3, Alicia García-Culebras1,2,3, Cristina Torres-López1,2,3
1Neurovascular Pathophysiology, Centro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid, Spain.
Stroke impacts adult neurogenesis, the brain's ability to create new neurons. While potentially aiding recovery, it can also lead to maladaptive responses, contributing to cognitive decline after stroke.
Area of Science:
- Neuroscience
- Regenerative Medicine
- Neurology
Background:
- Stroke causes significant disability, necessitating therapeutic strategies.
- Adult neurogenesis, the generation of new neurons, occurs in specific brain regions.
- The role of neurogenesis after stroke is complex, with potential for both benefit and harm.
Purpose of the Study:
- To review the evidence on stroke-induced neurogenesis.
- To explore the functional consequences of neurogenesis after stroke.
- To discuss therapeutic targets for improving outcomes and mitigating cognitive impairment.
Main Methods:
- Review of existing literature on neurogenesis in subventricular and subgranular zones post-stroke.
- Analysis of studies investigating the impact of neurogenesis on functional recovery.
- Examination of evidence linking hippocampal neurogenesis to cognitive deficits.
Main Results:
- Subventricular zone neurogenesis may contribute to functional restoration after stroke.
- Hippocampal subgranular zone neurogenesis can exhibit maladaptive plasticity post-stroke.
- This maladaptive response is implicated in cognitive impairment and dementia following stroke.
Conclusions:
- Adult neurogenesis presents a dual role in stroke recovery.
- Targeting specific neurogenic pathways may offer therapeutic potential.
- Interventions could aim to enhance beneficial neurogenesis and prevent detrimental forms to improve long-term outcomes.
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