Improving outcome after stroke: overcoming the translational roadblock

Endres, Matthias; Engelhardt, Britta; Koistinaho, Jari; Lindvall, Olle; Meairs, Stephen; Mohr, Jay P; Planas, Anna; Rothwell, Nancy; Schwaninger, Markus; Schwab, Martin E; Vivien, Denis; Wieloch, Tadeusz; Dirnagl, Ulrich (2008). Improving outcome after stroke: overcoming the translational roadblock. Cerebrovascular diseases, 25(3), pp. 268-78. Basel: Karger 10.1159/000118039

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Stroke poses a massive burden of disease, yet we have few effective therapies. The paucity of therapeutic options stands contrary to intensive research efforts. The failure of these past investments demands a thorough re-examination of the pathophysiology of ischaemic brain injury. Several critical areas hold the key to overcoming the translational roadblock: (1) vascular occlusion: current recanalization strategies have limited effectiveness and may have serious side effects; (2) complexity of stroke pathobiology: therapy must acknowledge the 'Janus-faced' nature of many stroke targets and must identify endogenous neuroprotective and repair mechanisms; (3) inflammation and brain-immune-system interaction: inflammation contributes to lesion expansion, but is also instrumental in lesion containment and repair; stroke outcome is modulated by the interaction of the injured brain with the immune system; (4) regeneration: the potential of the brain for reorganization, plasticity and repair after injury is much greater than previously thought; (5) confounding factors, long-term outcome and predictive modelling. These 5 areas are linked on all levels and therefore need to be tackled by an integrative approach and innovative therapeutic strategies.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Theodor Kocher Institute

UniBE Contributor:

Engelhardt, Britta

ISSN:

1015-9770

ISBN:

18292653

Publisher:

Karger

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:05

Last Modified:

04 May 2014 23:20

Publisher DOI:

10.1159/000118039

PubMed ID:

18292653

Web of Science ID:

000253911800011

URI:

https://boris.unibe.ch/id/eprint/28198 (FactScience: 118500)

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