Advances in studies on stroke-induced secondary neurodegeneration (SND) and its treatment

Aishika Datta, Deepaneeta Sarmah, Kiran Kalia, Anupom Borah, Xin Wang, Kunjan R. Dave, Dileep R. Yavagal, Pallab Bhattacharya

Research output: Contribution to journalReview article

1 Scopus citations

Abstract

Background: The occurrence of secondary neurodegeneration has exclusively been observed after the first incidence of stroke. In humans and rodents, post-stroke secondary neurodegeneration (SND) is an inevitable event that can lead to progressive neuronal loss at a region distant to initial in-farct. SND can lead to cognitive and motor function impairment, finally causing dementia. The exact pathophysiology of the event is yet to be explored. It is seen that the thalami, in particular, are suscepti-ble to cause SND. The reason behind this is because the thalamus functioning as the relay center and is positioned as an interlocked structure with direct synaptic signaling connection with the cortex. As SND proceeds, accumulation of misfolded proteins and microglial activation are seen in the thalamus. This leads to increased neuronal loss and worsening of functional and cognitive impairment. Objective: There is a necessity of specific interventions to prevent post-stroke SND, which are not prop-erly investigated to date owing to sparsely reproducible pre-clinical and clinical data. The basis of this review is to investigate about post-stroke SND and its updated treatment approaches carefully. Methods: Our article presents a detailed survey of advances in studies on stroke-induced secondary neu-rodegeneration (SND) and its treatment. Results: This article aims to put forward the pathophysiology of SND. We have also tabulated the latest treatment approaches along with different neuroimaging systems that will be helpful for future reference to explore. Conclusion: In this article, we have reviewed the available reports on SND pathophysiology, detection techniques, and possible treatment modalities that have not been attempted to date.

Original languageEnglish (US)
Pages (from-to)1154-1168
Number of pages15
JournalCurrent Topics in Medicinal Chemistry
Volume20
Issue number13
DOIs
StatePublished - Jan 1 2020

Keywords

  • Amyloid β accumulation
  • Glial activation
  • Neuro-imaging techniques
  • Neuroinflammation
  • Secondary neurodegeneration
  • Thalamic disturbances

ASJC Scopus subject areas

  • Drug Discovery

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