感染相关的缺血性中风的新方向
Jin-Man Jung1, András Gruber2, Peter Heseltine3
1Department of Neurology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea; Korea University Zebrafish, Translational Medical Research Center, Ansan, Korea.
Journal of clinical neurology (Seoul, Korea)
|February 8, 2024
概括
感染可以通过各种机制触发中风. 识别特定的生物标志物,如纤维素D-二次体,对于开发针对性治疗感染相关的中风至关重要.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 心血管科学 心血管科学
背景情况:
- 感染和中风之间的联系尚未完全理解,这阻碍了针对性的治疗开发.
- 感染可能通过高凝血性,内皮功能障碍,血管炎和血栓溶解受损导致中风.
- COVID-19 (由SARS-CoV-2引起) 与中风有关,这是其最严重的神经并发症.
研究的目的:
- 审查将感染与中风联系在一起的机制.
- 讨论开发感染相关中风的特定疗法所面临的挑战.
- 探索生物标志物的作用,以区分致病性感染和偶然感染.
主要方法:
- 这项研究是对现有文献的叙述性审查.
- 它检查了感染引起的中风的拟议病理生理机制.
- 它讨论了识别致病性感染的潜在生物标志物.
主要成果:
- 感染可以通过高凝血性,内皮功能障碍,血管炎和血栓溶解受损导致中风.
- 区分致病性感染与偶然感染是一个关键的挑战.
- 提升的纤维素D-二分体和抗心脂/抗脂抗体是候选生物标志物.
结论:
- 了解感染-中风机制对于治疗进步至关重要.
- 像纤维素D-二次体这样的生物标志物可能有助于识别引发中风的感染.
- 鉴定致病性感染是开发特定治疗感染相关中风的先决条件.
相关概念视频
Ischemic Heart Disease: Overview
3.8K
Ischemic heart disease occurs when the heart's blood supply dwindles, causing an ominous lack of oxygen and nutrients. This deficiency, stemming from reduced or obstructed blood flow, spells danger, leading to heart muscle damage and dysfunction.
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
3.8K
Ischemic Stroke l: Introduction
44
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.
44
Ischemic Stroke ll: Pathophysiology
54
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...
54
Hemorrhagic Stroke l: Introduction
20
A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...
20
Hemorrhagic Stroke ll: Pathophysiology
30
A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
30
Transient Ischemic Attack l: Introduction
18
A transient ischemic attack (TIA) is a brief episode of neurological dysfunction caused by a temporary, focal reduction in cerebral blood flow. Although symptoms resemble those of an ischemic stroke, the interruption in perfusion is short-lived and does not cause permanent infarction. TIAs are clinically important because they often serve as early warning events for future stroke.Mechanisms of Transient Cerebral IschemiaTransient cerebral ischemia may arise through several mechanisms. One...
18


