Molecular and Cellular Mechanisms of Cerebral Ischemia—2nd Edition

A special issue of Cells (ISSN 2073-4409).

Deadline for manuscript submissions: 30 June 2024 | Viewed by 407

Special Issue Editor


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Guest Editor
Department of Emergency Medicine, Kangwon National University Hospital, School of Medicine, Kangwon National University, Chuncheon 24289, Republic of Korea
Interests: ischemia/reperfusion; neurodegeneration; neurogenesis; cerebral ischemia; aging in CNS
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Special Issue Information

Dear Colleagues,

Cerebral ischemia is the leading cause of death worldwide. Despite great efforts to develop potential treatments, the molecular and cellular mechanisms of cerebral ischemia are not yet fully understood.

To date, researchers have employed various animal models of cerebral ischemia with different species of animals, different methods of occlusion of blood vessels, and different periods of occlusion time. Models of cerebral ischemia can be divided into focal and global models. Focal ischemia is characterized by a reduction in cerebral blood flow in a distinct region of the brain. Conversely, in global ischemia, the reduction in blood flow affects the entire brain or forebrain. Neuronal or tissue damage differ according to kind of ischemic injury. In animal models of global transient cerebral or forebrain ischemia, neuronal damage/death (loss) occurs in vulnerable regions of the brain (e.g., hippocampus), whereas in animal models of transient focal bran ischemia, neuronal loss occurs when ischemic duration (damage) is short (mild), or infarction (necrosis) occurs when ischemic damage (duration) is severe (long). In this regard, mechanisms of neuronal loss or infarction vary according to kinds of ischemic insults.

Diverse mechanisms have been suggested for pathophysiological events inflicting ischemic damage, including activation of glutamate receptors, sustained increases in intracellular calcium, oxidative stress caused by free radicals, and the activation of resident microglia related to neuroinflammatory reaction. In addition, the dysfunction of the cells related to the blood–brain barrier (BBB), including endothelial cells, astrocytes and pericytes, as well as microglia, is also suggested as a possible mechanism of ischemic injury.

This Special Issue aims to study the control or modulation of diverse pathways during or after ischemic injuries in molecular and cellular levels in order to prevent, attenuate or heal ischemia damages following various brain ischemic insults.

Prof. Dr. Moo-Ho Won
Guest Editor

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Keywords

  • transient or permanent ischemia
  • neuronal death
  • necrosis
  • inflammation
  • oxidative stress
  • cytotoxicity
  • blood–brain barrier
  • neuroprotection
  • therapeutic strategy

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Published Papers (1 paper)

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Review

14 pages, 1525 KiB  
Review
Ketone Bodies after Cardiac Arrest: A Narrative Review and the Rationale for Use
by Filippo Annoni, Elisa Gouvea Bogossian, Lorenzo Peluso, Fuhong Su, Anthony Moreau, Leda Nobile, Stefano Giuseppe Casu, Elda Diletta Sterchele, Lorenzo Calabro, Michele Salvagno, Mauro Oddo and Fabio Silvio Taccone
Cells 2024, 13(9), 784; https://doi.org/10.3390/cells13090784 (registering DOI) - 04 May 2024
Viewed by 190
Abstract
Cardiac arrest survivors suffer the repercussions of anoxic brain injury, a critical factor influencing long-term prognosis. This injury is characterised by profound and enduring metabolic impairment. Ketone bodies, an alternative energetic resource in physiological states such as exercise, fasting, and extended starvation, are [...] Read more.
Cardiac arrest survivors suffer the repercussions of anoxic brain injury, a critical factor influencing long-term prognosis. This injury is characterised by profound and enduring metabolic impairment. Ketone bodies, an alternative energetic resource in physiological states such as exercise, fasting, and extended starvation, are avidly taken up and used by the brain. Both the ketogenic diet and exogenous ketone supplementation have been associated with neuroprotective effects across a spectrum of conditions. These include refractory epilepsy, neurodegenerative disorders, cognitive impairment, focal cerebral ischemia, and traumatic brain injuries. Beyond this, ketone bodies possess a plethora of attributes that appear to be particularly favourable after cardiac arrest. These encompass anti-inflammatory effects, the attenuation of oxidative stress, the improvement of mitochondrial function, a glucose-sparing effect, and the enhancement of cardiac function. The aim of this manuscript is to appraise pertinent scientific literature on the topic through a narrative review. We aim to encapsulate the existing evidence and underscore the potential therapeutic value of ketone bodies in the context of cardiac arrest to provide a rationale for their use in forthcoming translational research efforts. Full article
(This article belongs to the Special Issue Molecular and Cellular Mechanisms of Cerebral Ischemia—2nd Edition)
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