Dementia after Ischemic Stroke, from Molecular Biomarkers to Therapeutic Options

IF 4.9 2区 生物学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY International Journal of Molecular Sciences Pub Date : 2024-07-16 DOI:10.3390/ijms25147772
Vikalpa Dammavalam, Deborah Rupert, Marcos Lanio, Zhaosheng Jin, Neil A Nadkarni, Stella E. Tsirka, Sergio D. Bergese
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Abstract

Ischemic stroke is a leading cause of disability worldwide. While much of post-stroke recovery is focused on physical rehabilitation, post-stroke dementia (PSD) is also a significant contributor to poor functional outcomes. Predictive tools to identify stroke survivors at risk for the development of PSD are limited to brief screening cognitive tests. Emerging biochemical, genetic, and neuroimaging biomarkers are being investigated in an effort to unveil better indicators of PSD. Additionally, acetylcholinesterase inhibitors, NMDA receptor antagonists, dopamine receptor agonists, antidepressants, and cognitive rehabilitation are current therapeutic options for PSD. Focusing on the chronic sequelae of stroke that impair neuroplasticity highlights the need for continued investigative trials to better assess functional outcomes in treatments targeted for PSD.
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缺血性中风后痴呆,从分子生物标记物到治疗方案
缺血性中风是导致全球残疾的主要原因。虽然中风后的康复主要集中在身体康复方面,但中风后痴呆(PSD)也是导致功能障碍的重要原因。用于识别有发生 PSD 风险的中风幸存者的预测工具仅限于简短的筛查认知测试。目前正在研究新出现的生化、遗传和神经影像生物标志物,以揭示更好的 PSD 指标。此外,乙酰胆碱酯酶抑制剂、NMDA 受体拮抗剂、多巴胺受体激动剂、抗抑郁药和认知康复也是目前治疗 PSD 的选择。重点关注损害神经可塑性的中风慢性后遗症,突出了继续开展调查试验的必要性,以更好地评估针对 PSD 治疗的功能结果。
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来源期刊
International Journal of Molecular Sciences
International Journal of Molecular Sciences Chemistry-Organic Chemistry
CiteScore
8.10
自引率
10.70%
发文量
13472
审稿时长
17.49 days
期刊介绍: The International Journal of Molecular Sciences (ISSN 1422-0067) provides an advanced forum for chemistry, molecular physics (chemical physics and physical chemistry) and molecular biology. It publishes research articles, reviews, communications and short notes. Our aim is to encourage scientists to publish their theoretical and experimental results in as much detail as possible. Therefore, there is no restriction on the length of the papers or the number of electronics supplementary files. For articles with computational results, the full experimental details must be provided so that the results can be reproduced. Electronic files regarding the full details of the calculation and experimental procedure, if unable to be published in a normal way, can be deposited as supplementary material (including animated pictures, videos, interactive Excel sheets, software executables and others).
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