Intracerebral haemorrhage: mechanisms of injury and therapeutic targets

被引:1037
作者
Keep, Richard F. [1 ,2 ]
Hua, Ya [1 ]
Xi, Guohua [1 ]
机构
[1] Univ Michigan, Dept Neurosurg, Ann Arbor, MI 48109 USA
[2] Univ Michigan, Dept Mol & Integrat Physiol, Ann Arbor, MI 48109 USA
基金
美国国家卫生研究院;
关键词
ACUTE-CEREBRAL-HEMORRHAGE; THROMBIN-RECEPTOR ACTIVATION; BLOOD-PRESSURE REDUCTION; TRAUMATIC BRAIN-INJURY; HEMATOMA EXPANSION; EDEMA FORMATION; HEME OXYGENASE; CELL-DEATH; FUNCTIONAL IMPROVEMENT; PERIHEMATOMAL EDEMA;
D O I
10.1016/S1474-4422(12)70104-7
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Intracerebral haemorrhage accounts for about 10-15% of all strokes and is associated with high mortality and morbidity. No successful phase 3 clinical trials for this disorder have been completed. In the past 6 years, the number of preclinical and clinical studies focused on intracerebral haemorrhage has risen. Important advances have been made in animal models of this disorder and in our understanding of mechanisms underlying brain injury after haemorrhage. Several therapeutic targets have subsequently been identified that are now being pursued in clinical trials. Many clinical trials have been based on limited preclinical data, and guidelines to justify taking preclinical results to the clinic are needed.
引用
收藏
页码:720 / 731
页数:12
相关论文
共 154 条
  • [1] Advances in the management of intracerebral hemorrhage
    Adeoye, Opeolu
    Broderick, Joseph P.
    [J]. NATURE REVIEWS NEUROLOGY, 2010, 6 (11) : 593 - 601
  • [2] Spontaneous Intracerebral Hemorrhage
    Aguilar, Maria I.
    Freeman, W. David
    [J]. SEMINARS IN NEUROLOGY, 2010, 30 (05) : 555 - 564
  • [3] The Spot Sign Score in Primary Intracerebral Hemorrhage Identifies Patients at Highest Risk of In-Hospital Mortality and Poor Outcome Among Survivors
    Almandoz, Josser E. Delgado
    Yoo, Albert J.
    Stone, Michael J.
    Schaefer, Pamela W.
    Oleinik, Alexandra
    Brouwers, H. Bart
    Goldstein, Joshua N.
    Rosand, Jonathan
    Lev, Michael H.
    Gonzalez, R. Gilberto
    Romero, Javier M.
    [J]. STROKE, 2010, 41 (01) : 54 - 60
  • [4] Effects of Early Intensive Blood Pressure-Lowering Treatment on the Growth of Hematoma and Perihematomal Edema in Acute Intracerebral Hemorrhage The Intensive Blood Pressure Reduction in Acute Cerebral Haemorrhage Trial (INTERACT)
    Anderson, Craig S.
    Huang, Yining
    Arima, Hisatomi
    Heeley, Emma
    Skulina, Christian
    Parsons, Mark W.
    Peng, Bin
    Li, Qiang
    Su, Steve
    Tao, Qing Ling
    Li, Yue Chun
    Jiang, Jian Dong
    Tai, Li Wen
    Zhang, Jin Li
    Xu, En
    Cheng, Yan
    Morgenstern, Lewis B.
    Chalmers, John
    Wang, Ji Guang
    [J]. STROKE, 2010, 41 (02) : 307 - 312
  • [5] Src kinase inhibition improves acute outcomes after experimental intracerebral hemorrhage
    Ardizzone, Timothy D.
    Zhan, Xinhua
    Ander, Brad P.
    Sharp, Frank R.
    [J]. STROKE, 2007, 38 (05) : 1621 - 1625
  • [6] Molecular Pathophysiology of Cerebral Hemorrhage Secondary Brain Injury
    Aronowski, Jaroslaw
    Zhao, Xiurong
    [J]. STROKE, 2011, 42 (06) : 1781 - 1786
  • [7] Forced exercise does not improve recovery after hemorrhagic stroke in rats
    Auriat, Angela M.
    Grams, Jennifer D.
    Yan, Reginia H.
    Colbourne, Frederick
    [J]. BRAIN RESEARCH, 2006, 1109 : 183 - 191
  • [8] Ferric iron chelation lowers brain iron levels after intracerebral hemorrhage in rats but does not improve outcome
    Auriat, Angela M.
    Silasi, Gergely
    Wei, Zhouping
    Paquette, Rosalie
    Paterson, Phyllis
    Nichol, Helen
    Colbourne, Frederick
    [J]. EXPERIMENTAL NEUROLOGY, 2012, 234 (01) : 136 - 143
  • [9] Rehabilitation after intracerebral hemorrhage in rats improves recovery with enhanced dendritic complexity but no effect on cell proliferation
    Auriat, Angela M.
    Wowk, Shannon
    Colbourne, Frederick
    [J]. BEHAVIOURAL BRAIN RESEARCH, 2010, 214 (01) : 42 - 47
  • [10] Delayed rehabilitation lessens brain injury and improves recovery after intracerebral hemorrhage in rats
    Auriat, Angela M.
    Colbourne, Frederick
    [J]. BRAIN RESEARCH, 2009, 1251 : 262 - 268