Improving outcome after stroke: Overcoming the translational roadblock

Matthias Endres, Britta Engelhardt, Jari Koistinaho, Olle Lindvall, Stephen Meairs, Jay P. Mohr, Anna Planas, Nancy Rothwell, Markus Schwaninger, Martin E. Schwab, Denis Vivien, Tadeusz Wieloch, Ulrich Dirnagl

Research output: Contribution to journalReview articlepeer-review

Abstract

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; 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.
Original languageEnglish
Pages (from-to)268-278
JournalCerebrovascular Diseases
Volume25
Issue number3
DOIs
Publication statusPublished - 2008

Bibliographical note

The information about affiliations in this record was updated in December 2015.
The record was previously connected to the following departments: Laboratory for Experimental Brain Research (013041000), Neurology, Lund (013027000)

Subject classification (UKÄ)

  • Cardiac and Cardiovascular Systems

Free keywords

  • stroke treatment
  • neuroprotection
  • brain ischaemia

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