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Metabolomics and metabolites in ischemic stroke
Maria S Chumachenko1, Tatsiana V Waseem2, Sergei V Fedorovich1
1Department of Biochemistry, Faculty of Biology, Belarusian State University, Kurchatova St., 10, Minsk 220030, Belarus.
Reviews in the Neurosciences
|July 2, 2021
Summary
Metabolomics offers a promising approach to identify stroke biomarkers. This technique analyzes metabolite profiles to aid in diagnosing stroke types and predicting complications like recurrent stroke.
Area of Science:
- Biochemistry
- Neurology
- Medical Diagnostics
Background:
- Stroke is a leading cause of death and disability globally.
- Accurate stroke type identification and prediction of complications (recurrent stroke, vascular dementia, depression) are crucial.
- Biomarkers are essential for diagnosis and prognosis, with metabolomics showing significant potential.
Purpose of the Study:
- To explore the utility of metabolomics for identifying stroke biomarkers.
- To understand the role of metabolite variations in brain ischemia and stroke pathology.
- To highlight the potential of metabolomics in developing rapid diagnostic tools for stroke.
Main Methods:
- Utilizing metabolomics, a technique based on mass spectrometry and nuclear magnetic resonance.
- Analyzing low molecular weight metabolite profiles.
- Reviewing literature data on identified stroke markers and metabolic mechanisms.
Main Results:
- Metabolomics provides comprehensive metabolite profiles, unlike single-molecule analysis.
- Variations in metabolite concentrations during brain ischemia can affect neuronal function.
- Experimental models (ischemia/reperfusion) indicate impaired energy and amino acid metabolism in the brain.
Conclusions:
- Metabolomics is a powerful tool for discovering stroke biomarkers.
- Understanding metabolic mechanisms aids in differentiating stroke types (ischemic and hemorrhagic).
- Metabolomics technologies can facilitate the development of fast and reliable stroke diagnostic tools.
Related Concept Videos
Ischemic Stroke l: Introduction
Ischemic stroke is an acute cerebrovascular condition in which blood flow to a brain region is suddenly interrupted, leading to tissue infarction. Neurons depend on continuous oxygen and glucose supply, so even brief reductions in perfusion cause energy failure, ionic imbalance, and irreversible injury. Ischemic strokes are classified into thrombotic and embolic types based on their underlying mechanisms.Thrombotic MechanismsThrombotic stroke develops when a clot forms within a cerebral artery.
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...
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