Mechanism of Action and Clinical Potential of Fingolimod for the Treatment of Stroke

Fingolimod (FTY720) is an orally bio-available immunomodulatory drug currently approved by the FDA for the treatment of multiple sclerosis. Currently, there is a significant interest in the potential benefits of FTY720 on stroke outcomes. FTY720 and the sphingolipid signaling pathway it modulates ha...

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Main Authors: Wentao Li, Haoliang Xu, Fernando Daniel Testai
Format: Article
Language:English
Published: Frontiers Media S.A. 2016-08-01
Series:Frontiers in Neurology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fneur.2016.00139/full
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author Wentao Li
Haoliang Xu
Fernando Daniel Testai
author_facet Wentao Li
Haoliang Xu
Fernando Daniel Testai
author_sort Wentao Li
collection DOAJ
description Fingolimod (FTY720) is an orally bio-available immunomodulatory drug currently approved by the FDA for the treatment of multiple sclerosis. Currently, there is a significant interest in the potential benefits of FTY720 on stroke outcomes. FTY720 and the sphingolipid signaling pathway it modulates has a ubiquitous presence in the central nervous system and both rodent models and pilot clinical trials seem to indicate that the drug may improve overall functional recovery in different stroke subtypes. Although the precise mechanisms behind these beneficial effects are yet unclear, there is evidence that FTY720 has a role in regulating cerebrovascular responses, blood brain barrier permeability, and cell survival in the event of cerebrovascular insult. In this article, we critically review the data obtained from the latest laboratory findings and clinical trials involving both ischemic and hemorrhagic stroke, and attempt to form a cohesive picture of FTY720’s mechanisms of action in stroke
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spelling doaj.art-08c2c17c73824ccbb94a46bdceb6a7fd2022-12-21T19:01:20ZengFrontiers Media S.A.Frontiers in Neurology1664-22952016-08-01710.3389/fneur.2016.00139213058Mechanism of Action and Clinical Potential of Fingolimod for the Treatment of StrokeWentao Li0Haoliang Xu1Fernando Daniel Testai2University of Illinois at ChicagoUniversity of Illinois at ChicagoUniversity of Illinois at ChicagoFingolimod (FTY720) is an orally bio-available immunomodulatory drug currently approved by the FDA for the treatment of multiple sclerosis. Currently, there is a significant interest in the potential benefits of FTY720 on stroke outcomes. FTY720 and the sphingolipid signaling pathway it modulates has a ubiquitous presence in the central nervous system and both rodent models and pilot clinical trials seem to indicate that the drug may improve overall functional recovery in different stroke subtypes. Although the precise mechanisms behind these beneficial effects are yet unclear, there is evidence that FTY720 has a role in regulating cerebrovascular responses, blood brain barrier permeability, and cell survival in the event of cerebrovascular insult. In this article, we critically review the data obtained from the latest laboratory findings and clinical trials involving both ischemic and hemorrhagic stroke, and attempt to form a cohesive picture of FTY720’s mechanisms of action in strokehttp://journal.frontiersin.org/Journal/10.3389/fneur.2016.00139/fullStrokeNeuroprotectionhemorrhagic strokeischemic strokeSphingosine-1-phosphatevascular endothelium
spellingShingle Wentao Li
Haoliang Xu
Fernando Daniel Testai
Mechanism of Action and Clinical Potential of Fingolimod for the Treatment of Stroke
Frontiers in Neurology
Stroke
Neuroprotection
hemorrhagic stroke
ischemic stroke
Sphingosine-1-phosphate
vascular endothelium
title Mechanism of Action and Clinical Potential of Fingolimod for the Treatment of Stroke
title_full Mechanism of Action and Clinical Potential of Fingolimod for the Treatment of Stroke
title_fullStr Mechanism of Action and Clinical Potential of Fingolimod for the Treatment of Stroke
title_full_unstemmed Mechanism of Action and Clinical Potential of Fingolimod for the Treatment of Stroke
title_short Mechanism of Action and Clinical Potential of Fingolimod for the Treatment of Stroke
title_sort mechanism of action and clinical potential of fingolimod for the treatment of stroke
topic Stroke
Neuroprotection
hemorrhagic stroke
ischemic stroke
Sphingosine-1-phosphate
vascular endothelium
url http://journal.frontiersin.org/Journal/10.3389/fneur.2016.00139/full
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