Lessons from Recent Advances in Ischemic Stroke Management and Targeting Kv2.1 for Neuroprotection

Achieving neuroprotection in ischemic stroke patients has been a multidecade medical challenge. Numerous clinical trials were discontinued in futility and many were terminated in response to deleterious treatment effects. Recently, however, several positive reports have generated the much-needed exc...

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Main Authors: Chung-Yang Yeh, Anthony J. Schulien, Bradley J. Molyneaux, Elias Aizenman
Format: Article
Language:English
Published: MDPI AG 2020-08-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/21/17/6107
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author Chung-Yang Yeh
Anthony J. Schulien
Bradley J. Molyneaux
Elias Aizenman
author_facet Chung-Yang Yeh
Anthony J. Schulien
Bradley J. Molyneaux
Elias Aizenman
author_sort Chung-Yang Yeh
collection DOAJ
description Achieving neuroprotection in ischemic stroke patients has been a multidecade medical challenge. Numerous clinical trials were discontinued in futility and many were terminated in response to deleterious treatment effects. Recently, however, several positive reports have generated the much-needed excitement surrounding stroke therapy. In this review, we describe the clinical studies that significantly expanded the time window of eligibility for patients to receive mechanical endovascular thrombectomy. We further summarize the results available thus far for nerinetide, a promising neuroprotective agent for stroke treatment. Lastly, we reflect upon aspects of these impactful trials in our own studies targeting the Kv2.1-mediated cell death pathway in neurons for neuroprotection. We argue that recent changes in the clinical landscape should be adapted by preclinical research in order to continue progressing toward the development of efficacious neuroprotective therapies for ischemic stroke.
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spelling doaj.art-66933aa3a3c647ddab673cf6fa6ebd0d2023-11-20T11:15:45ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672020-08-012117610710.3390/ijms21176107Lessons from Recent Advances in Ischemic Stroke Management and Targeting Kv2.1 for NeuroprotectionChung-Yang Yeh0Anthony J. Schulien1Bradley J. Molyneaux2Elias Aizenman3Department of Neurobiology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USADepartment of Neurobiology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USAPittsburgh Institute for Neurodegenerative Diseases, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USADepartment of Neurobiology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USAAchieving neuroprotection in ischemic stroke patients has been a multidecade medical challenge. Numerous clinical trials were discontinued in futility and many were terminated in response to deleterious treatment effects. Recently, however, several positive reports have generated the much-needed excitement surrounding stroke therapy. In this review, we describe the clinical studies that significantly expanded the time window of eligibility for patients to receive mechanical endovascular thrombectomy. We further summarize the results available thus far for nerinetide, a promising neuroprotective agent for stroke treatment. Lastly, we reflect upon aspects of these impactful trials in our own studies targeting the Kv2.1-mediated cell death pathway in neurons for neuroprotection. We argue that recent changes in the clinical landscape should be adapted by preclinical research in order to continue progressing toward the development of efficacious neuroprotective therapies for ischemic stroke.https://www.mdpi.com/1422-0067/21/17/6107ischemic strokereperfusionneuroprotectionnerinetideKv2.1
spellingShingle Chung-Yang Yeh
Anthony J. Schulien
Bradley J. Molyneaux
Elias Aizenman
Lessons from Recent Advances in Ischemic Stroke Management and Targeting Kv2.1 for Neuroprotection
International Journal of Molecular Sciences
ischemic stroke
reperfusion
neuroprotection
nerinetide
Kv2.1
title Lessons from Recent Advances in Ischemic Stroke Management and Targeting Kv2.1 for Neuroprotection
title_full Lessons from Recent Advances in Ischemic Stroke Management and Targeting Kv2.1 for Neuroprotection
title_fullStr Lessons from Recent Advances in Ischemic Stroke Management and Targeting Kv2.1 for Neuroprotection
title_full_unstemmed Lessons from Recent Advances in Ischemic Stroke Management and Targeting Kv2.1 for Neuroprotection
title_short Lessons from Recent Advances in Ischemic Stroke Management and Targeting Kv2.1 for Neuroprotection
title_sort lessons from recent advances in ischemic stroke management and targeting kv2 1 for neuroprotection
topic ischemic stroke
reperfusion
neuroprotection
nerinetide
Kv2.1
url https://www.mdpi.com/1422-0067/21/17/6107
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