Antioxidant strategies in the treatment of stroke

被引:372
作者
Margaill, I [1 ]
Plotkine, M [1 ]
Lerouet, D [1 ]
机构
[1] Univ Paris 05, Pharmacol Lab, UPRES EA 2510, Paris, France
关键词
focal cerebral ischemia; free radicals; oxidative stress;
D O I
10.1016/j.freeradbiomed.2005.05.003
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Excessive production of free radicals is known to lead to cell injury in a variety of diseases, such as cerebral ischemia. In this review, we describe some of the numerous studies that have examined this oxidative stress and the efficiency of antioxidant strategies in focal cerebral ischemia. Besides using genetically modified mice, these strategies can be divided into three groups: (1) inhibition of free radical production, (2) scavenging of free radicals, and (3) increase of free radical degradation by using agents mimicking the enzymatic activity of endogenous antioxidants. Finally, the clinical trials that have tested or are currently testing the efficiency of antioxidants in patients suffering from stroke are reviewed. The results presented here lead us to consider that antioxidants are very promising drugs for the treatment of ischemic stroke. (c) 2005 Elsevier Inc. All rights reserved.
引用
收藏
页码:429 / 443
页数:15
相关论文
共 105 条
  • [1] Dynamics of free radical processes in acute ischemic stroke: influence on neurological status and outcome
    Alexandrova, M
    Bochev, P
    Markova, V
    Bechev, B
    Popova, M
    Danovska, M
    Simeonova, V
    [J]. JOURNAL OF CLINICAL NEUROSCIENCE, 2004, 11 (05) : 501 - 506
  • [2] Glutathione monoethyl ester provides neuroprotection in a rat model of stroke
    Anderson, MF
    Nilsson, M
    Eriksson, PS
    Sims, NR
    [J]. NEUROSCIENCE LETTERS, 2004, 354 (02) : 163 - 165
  • [3] Oxyresveratrol (trans-2,3′,4,5′-tetrahydroxystilbene) is neuroprotective and inhibits the apoptotic cell death in transient cerebral ischemia
    Andrabi, SA
    Spina, MG
    Lorenz, P
    Ebmeyer, U
    Wolf, G
    Horn, TFW
    [J]. BRAIN RESEARCH, 2004, 1017 (1-2) : 98 - 107
  • [4] Baker K, 1998, J PHARMACOL EXP THER, V284, P215
  • [5] Polymorphonuclear neutrophils contribute to infarction and oxidative stress in the cortex but not in the striatum after ischemia-reperfusion in rats
    Beray-Berthat, V
    Croci, N
    Plotkine, M
    Margaill, I
    [J]. BRAIN RESEARCH, 2003, 987 (01) : 32 - 38
  • [6] XANTHINE-OXIDASE IS NOT A MAJOR SOURCE OF FREE-RADICALS IN FOCAL CEREBRAL-ISCHEMIA
    BETZ, AL
    RANDALL, J
    MARTZ, D
    [J]. AMERICAN JOURNAL OF PHYSIOLOGY, 1991, 260 (02): : H563 - H568
  • [7] Wide therapeutic time window for nimesulide neuroprotection in a model of transient focal cerebral ischemia in the rat
    Candelario-Jalil, E
    González-Falcón, A
    García-Cabrera, M
    León, OS
    Fiebich, BL
    [J]. BRAIN RESEARCH, 2004, 1007 (1-2) : 98 - 108
  • [8] ALPHA-PHENYL-TERT-BUTYL-NITRONE REDUCES CORTICAL INFARCT AND EDEMA IN RATS SUBJECTED TO FOCAL ISCHEMIA
    CAO, XH
    PHILLIS, JW
    [J]. BRAIN RESEARCH, 1994, 644 (02) : 267 - 272
  • [9] Nuclear factor-κB activation during cerebral reperfusion:: effect of attenuation with N-acetylcysteine treatment
    Carroll, JE
    Howard, EF
    Hess, DC
    Wakade, CG
    Chen, Q
    Cheng, C
    [J]. MOLECULAR BRAIN RESEARCH, 1998, 56 (1-2): : 186 - 191
  • [10] Prognostic significance of uric acid serum concentration in patients with acute ischemic stroke
    Chamorro, A
    Obach, V
    Cervera, A
    Revilla, M
    Deulofeu, R
    Aponte, JH
    [J]. STROKE, 2002, 33 (04) : 1048 - 1052