Document Detail


The parasympathetic nervous system in the quest for stroke therapeutics.
MedLine Citation:
PMID:  21364605     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Stroke is a devastating neurovascular disease with limited therapeutic options. The pathogenesis of stroke involves complex interrelated molecular mechanisms including excitotoxicity, oxidative and nitrosative stress, cortical spreading depolarizations, inflammation, necrosis, and apoptosis. Successful development of stroke therapeutics depends on understanding these molecular mechanisms and how to counteract them to limit tissue damage during stroke. Activation of the parasympathetic nervous system (PNS) has been shown to antagonize a multiplicity of pathologic mechanisms. Elements of parasympathetic activation such as vagus nerve stimulation have already been used successfully in treating brain disorders such as epilepsy and depression. This review discusses the anatomical basis and molecular mechanisms involved in activation of the PNS, and assesses the strength of available evidence for the further development of this modality into a stroke therapy.
Authors:
Cletus Cheyuo; Asha Jacob; Rongqian Wu; Mian Zhou; Gene F Coppa; Ping Wang
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Review     Date:  2011-03-02
Journal Detail:
Title:  Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism     Volume:  31     ISSN:  1559-7016     ISO Abbreviation:  J. Cereb. Blood Flow Metab.     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-05-02     Completed Date:  2011-06-28     Revised Date:  2012-05-01    
Medline Journal Info:
Nlm Unique ID:  8112566     Medline TA:  J Cereb Blood Flow Metab     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1187-95     Citation Subset:  IM    
Affiliation:
Center for Immunology and Inflammation, The Feinstein Institute for Medical Research, Manhasset, NY 11030, USA.
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MeSH Terms
Descriptor/Qualifier:
Animals
Humans
Parasympathetic Nervous System / physiology*
Stroke / physiopathology*,  therapy*
Vagus Nerve / physiology
Grant Support
ID/Acronym/Agency:
R01 AG028352/AG/NIA NIH HHS; R01 GM053008/GM/NIGMS NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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