Blood-brain barrier (BBB) is located at the interface between the central nervous system (CNS) and the circulatory system, which maintains the microenvironmental homeostasis of the CNS. BBB damage is a result of CNS diseases, including ischemic stroke, and is a cause of CNS deterioration. Cerebral ischemia unleashes a profound inflammatory response to remove the damaged tissue in the CNS and prepare the brain for repair. However, the excessive neuroinflammation following stroke onset is associated with BBB breakdown, resulting in neuronal injury and worse neurological outcomes. Additionally, matrix metalloproteinases (MMPs) are likewise responsible for the BBB injury and participate in the pathological processes of neuroinflammation following ischemic stroke. Hydrogen sulfide (HS) is one of gaseous signaling and freely diffusing molecules. Low concentration of HS yields the neuroprotection against BBB damage following stroke. This review discussed the current knowledge about the detrimental roles of neuroinflammation and MMPs in BBB injury following ischemic stroke. Specifically, we provided an updated overview of HS in protecting against BBB injury following ischemic stroke via anti-neuroinflammation and inhibiting MMP-9.
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http://dx.doi.org/10.1016/j.intimp.2024.113902 | DOI Listing |
Neurol Int
November 2024
Department of Radiology, Section Neuroradiology, Lucerne Cantonal Hospital, 6000 Lucerne, Switzerland.
Objectives: Blood pressure (BP) management is challenging in patients with acute ischemic supratentorial stroke undergoing recanalization therapy due to the lack of established guidelines. Assessing dynamic cerebral autoregulation (dCA) may address this need, as it is a bedside technique that evaluates the transfer function phase in the very low-frequency (VLF) range (0.02-0.
View Article and Find Full Text PDFJ Cardiovasc Dev Dis
November 2024
Department of Neurology, Massachusetts General Hospital, Boston, MA 02114, USA.
Ischemic stroke is a major cause of mortality and disability and has become a significant public health concern among women. Overall, women have more ischemic stroke events than men, in part due to their longer life span, and also suffer from more severe stroke-related disabilities compared to men. Women are also more likely than men to present with atypical non-focal neurological symptoms, potentially leading to delayed diagnosis and treatment.
View Article and Find Full Text PDFJ Imaging
December 2024
Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.
Deep learning has shown significant value in automating radiological diagnostics but can be limited by a lack of generalizability to external datasets. Leveraging the geometric principles of non-Euclidean space, certain geometric deep learning approaches may offer an alternative means of improving model generalizability. This study investigates the potential advantages of hyperbolic convolutional neural networks (HCNNs) over traditional convolutional neural networks (CNNs) in neuroimaging tasks.
View Article and Find Full Text PDFJ Imaging
November 2024
Research Laboratory: Networked Objects, Control and Communication Systems, NOCCS-ENISo, National Engineering School of Sousse, University of Sousse, Soussse 4023, Tunisia.
We propose a novel architecture, Transformer Dil-DenseUNet, designed to address the challenges of accurately segmenting stroke lesions in MRI images. Precise segmentation is essential for diagnosing and treating stroke patients, as it provides critical spatial insights into the affected brain regions and the extent of damage. Traditional manual segmentation is labor-intensive and error-prone, highlighting the need for automated solutions.
View Article and Find Full Text PDFJ Pers Med
December 2024
Santa Casa de São Paulo School of Medical Sciences, São Paulo 01224-001, Brazil.
: Studies suggest that the neutrophil/lymphocyte ratio (NLR) may be a prognostic marker for different diseases with inflammatory components. This study aimed to quantify the NLR in individuals affected by different subtypes and severities of ischemic stroke and associated it with risk factors and treatment, and compared the results with data from healthy individuals. : Clinical and laboratory data from medical records of patients over 18 years of age, victims of ischemic stroke, were collected.
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