缺血性中风神经保护重新审视:转化障碍和一个阶段解决,生物标志物定框架
Sam Seok Cho1,2, Eun Jin Shin1,2,3, Yun Gyeong Kim1,2,3
1Department of Biomedical Science, College of Natural Science, Chosun University, Gwangju, 61452, Republic of Korea.
Archives of pharmacal research
|January 26, 2026
概括
将缺血性中风 (IS) 的神经保护药物转化为临床成功是具有挑战性的. 本次审查提出了使用生物标志物的新框架,以指导治疗时间和患者选择,以获得更好的试验结果.
科学领域:
- 神经科学是一个神经科学.
- 翻译医学是一种翻译医学.
- 脑卒中研究 脑卒中研究
背景情况:
- 广泛的研究详细介绍了缺血性中风 (IS) 的分子途径,如兴奋毒性和炎症.
- 尽管有机械的见解,神经保护疗法在临床转化中基本上失败了.
- 关键的翻译差距包括不合适的时间,狭窄的治疗窗口和目标参与度差.
研究的目的:
- 批判性地分析IS临床试验中生物学上可信的目标失败的原因.
- 为改善IS临床试验的设计和成功率提出一个新的框架.
- 重构生物标志物的作用,以指导IS的治疗策略.
主要方法:
- 综合从IS研究中从临床前和临床研究中吸取的经验教训.
- 识别导致翻译失败的常见模式.
- 开发一个阶段性解决的,生物标志物定的治疗可行的框架.
主要成果:
- 翻译设计中的反复出现的局限性阻碍了IS神经保护的临床成功.
- 拟议的框架优先考虑基于疾病阶段和神经血管背景的治疗干预措施.
- 生物标志物可以用于患者分层,风险预测和目标参与确认.
结论:
- 重新思考翻译策略对于推进IS神经保护至关重要.
- 一种以生物标志物为指导,特定阶段的方法可以优化临床试验设计.
- 该框架旨在提高缺血性中风中神经保护疗法的成功率.
相关概念视频
The Anchoring-and-Adjustment Heuristic
7.8K
In order to make good decisions, we use our knowledge and our reasoning. Often, this knowledge and reasoning is sound and solid. However, sometimes, we are swayed by biases or by others manipulating a situation. For example, let’s say you and three friends wanted to rent a house and had a combined target budget of $1,600. The realtor shows you only very run-down houses for $1,600 and then shows you a very nice house for $2,000. Might you ask each person to pay more in rent to get the...
7.8K
Lipids as Anchors
7.3K
In the plasma membrane, the lipids forming the bilayer can also act as an anchor to tether proteins to the membrane. The three main types of lipid anchors found in eukaryotes are – prenyl groups, fatty acyl groups, and glycosylphosphatidylinositol or GPI groups. Prenyl and fatty acyl groups act as anchors on the cytosolic surface of the membrane, whereas GPI anchors proteins on the extracellular side.
The carboxy-terminal of most of the prenylated proteins, such as Ras proteins, contains...
The carboxy-terminal of most of the prenylated proteins, such as Ras proteins, contains...
7.3K
Anchoring Junctions
5.0K
Anchoring junctions are multiprotein complexes that help cells connect to other cells and the extracellular matrix. Anchoring junctions are present on the lateral and basal surfaces of cells, providing strong and flexible connections. Focal adhesions are often formed due to cell interactions with the ECM substrata, which initiate signal transduction via kinase cascades and other mechanisms. Together, they provide stability and tissue integrity. There are three types of anchoring junctions:...
5.0K
Translation
156.1K
Lesson: Translation
Translation is the process of synthesizing proteins from the genetic information carried by messenger RNA (mRNA). Following transcription, it constitutes the final step in the expression of genes. This process is carried out by ribosomes, complexes of protein and specialized RNA molecules. Ribosomes, transfer RNA (tRNA), and other proteins produce a chain of amino acids—the polypeptide—as the end product of translation.
Translation Produces the Building Blocks of...
Translation is the process of synthesizing proteins from the genetic information carried by messenger RNA (mRNA). Following transcription, it constitutes the final step in the expression of genes. This process is carried out by ribosomes, complexes of protein and specialized RNA molecules. Ribosomes, transfer RNA (tRNA), and other proteins produce a chain of amino acids—the polypeptide—as the end product of translation.
Translation Produces the Building Blocks of...
156.1K
Translation
17.8K
Translation is the process of synthesizing proteins from the genetic information carried by messenger RNA (mRNA). Following transcription, it constitutes the final step in the expression of genes. This process is carried out by ribosomes, complexes of protein and specialized RNA molecules. Ribosomes, transfer RNA (tRNA), and other proteins produce a chain of amino acids—the polypeptide—as the end product of translation.
Translation Produces the Building Blocks of Life
Proteins are...
Translation Produces the Building Blocks of Life
Proteins are...
17.8K
Initiation of Translation
38.9K
Initiating translation is complex because it involves multiple molecules. Initiator tRNA, ribosomal subunits, and eukaryotic initiation factors (eIFs) are all required to assemble on the initiation codon of mRNA. This process consists of several steps that are mediated by different eIFs.
First, the initiator tRNA must be selected from the pool of elongator tRNAs by eukaryotic initiation factor 2 (eIF2). The initiator tRNA (Met-tRNAi) has conserved sequence elements including modified bases at...
First, the initiator tRNA must be selected from the pool of elongator tRNAs by eukaryotic initiation factor 2 (eIF2). The initiator tRNA (Met-tRNAi) has conserved sequence elements including modified bases at...
38.9K


