Abstract
Stroke is the 4th leading cause of death and the leading cause of severe long-term disability worldwide, with no effective treatment for most cases. The development of new effective therapies is needed to improve functional neurological recovery in stroke patients. Researches in experimental stroke in animal models over the past decade demonstrate that ischemic stroke enhances endogenous neural stem cells proliferation in SVZ and SGZ and promotes SVZ NSCs migration to the ischemic infarct site, differentiation into functional mature neurons. Ischemic injury triggers endogenous neural stem cell proliferation by a variety of growth factors, morphogens and neurotransmitters. Neuroblast migration occurs through SDF-1, MCP-1, MMP production and through association with vasculature and endothelial cells. These promising findings in stroke have brought hope to the development of neurorestorative therapy which aims to enhance endogenous neurogenesis after ischemic stroke and thereby contribute to the functional recovery.
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- BDNF:
-
Brain-derived neurotrophic factor
- DG:
-
Dentate gyrus
- EGF:
-
Epidermal growth factor
- EPO:
-
Erythropoietin
- FGF-2:
-
Fibroblast growth factor-2
- GABA:
-
Gamma-aminobutyric acid
- GFAP:
-
Glial fibrillary acidic protein
- IGF-1:
-
Insulin-like growth factor-1
- MCP-1:
-
Monocyte chemoattractant protein-1
- MMP:
-
Matrix metalloproteinase
- NMDA:
-
N-Methyl-D-aspartate
- NPC:
-
Neural progenitor cells
- NSCs:
-
Neural stem cells
- rt-PA:
-
Recombinant tissue plasminogen activator
- SVZ:
-
Subventricular zone
- SGZ:
-
Subgranular zone
- SDF:
-
Stromal cell-derived factor
- VEGF:
-
Vascular endothelial growth factor
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Conclusions
Conclusions
Ischemic stroke induces endogenous NSC proliferation within the SVZ, migration from the SVZ, and localization in the peri-infarct cortex and striatum. This whole process include three distinct spatiotemporal zones, each of them is associated with distinct molecular and cellular interactions. The mechanisms that trigger augmented endogenous NSC proliferation, migration and their differentiation into specific neural types after stroke remains to be identified. Ischemic injury triggers endogenous NSC proliferation by a variety of growth factors , morphogens and neurotransmitters. Neuroblast migration occurs through SDF-1, MCP-1, MMP production and through association with vasculature and endothelial cells. However, whether these neuroblasts could integrate into the surviving brain circuitry and contribute to functional recovery is controversial. Understanding the fundamental mechanisms underlying stroke-induced adult neurogenesis will thus provide the basis for endogenous NSC therapy for ischemic stroke.
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ZhuGe, Q., Ruan, L., Jin, K. (2015). The Role of Endogenous Neural Stem Cells in Stroke. In: Zhao, LR., Zhang, J. (eds) Cellular Therapy for Stroke and CNS Injuries. Springer Series in Translational Stroke Research. Springer, Cham. https://doi.org/10.1007/978-3-319-11481-1_3
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DOI: https://doi.org/10.1007/978-3-319-11481-1_3
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