Development of Pharmacological Strategies with Therapeutic Potential in Ischemic Stroke

Acute ischemic stroke constitutes a health challenge with great social impact due to its high incidence, with the social dependency that it generates being an important source of inequality. The lack of treatments serving as effective neuroprotective therapies beyond thrombolysis and thrombectomy is...

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Main Authors: Alejandro Escobar-Peso, Emma Martínez-Alonso, Jaime Masjuan, Alberto Alcázar
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Antioxidants
Subjects:
Online Access:https://www.mdpi.com/2076-3921/12/12/2102
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author Alejandro Escobar-Peso
Emma Martínez-Alonso
Jaime Masjuan
Alberto Alcázar
author_facet Alejandro Escobar-Peso
Emma Martínez-Alonso
Jaime Masjuan
Alberto Alcázar
author_sort Alejandro Escobar-Peso
collection DOAJ
description Acute ischemic stroke constitutes a health challenge with great social impact due to its high incidence, with the social dependency that it generates being an important source of inequality. The lack of treatments serving as effective neuroprotective therapies beyond thrombolysis and thrombectomy is presented as a need. With this goal in mind, our research group’s collaborative studies into cerebral ischemia and subsequent reperfusion concluded that there is a need to develop compounds with antioxidant and radical scavenger features. In this review, we summarize the path taken toward the identification of lead compounds as potential candidates for the treatment of acute ischemic stroke. Evaluations of the antioxidant capacity, neuroprotection of primary neuronal cultures and in vivo experimental models of cerebral ischemia, including neurological deficit score assessments, are conducted to characterize the biological efficacy of the various neuroprotective compounds developed. Moreover, the initial results in preclinical development, including dose–response studies, the therapeutic window, the long-term neuroprotective effect and in vivo antioxidant evaluation, are reported. The results prompt these compounds for clinical trials and are encouraging regarding new drug developments aimed at a successful therapy for ischemic stroke.
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spelling doaj.art-89a1b60ff32741968535e80ccfd004152023-12-22T13:48:32ZengMDPI AGAntioxidants2076-39212023-12-011212210210.3390/antiox12122102Development of Pharmacological Strategies with Therapeutic Potential in Ischemic StrokeAlejandro Escobar-Peso0Emma Martínez-Alonso1Jaime Masjuan2Alberto Alcázar3Department of Research, Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), 28034 Madrid, SpainDepartment of Research, Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), 28034 Madrid, SpainDepartment of Neurology, Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), 28034 Madrid, SpainDepartment of Research, Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), 28034 Madrid, SpainAcute ischemic stroke constitutes a health challenge with great social impact due to its high incidence, with the social dependency that it generates being an important source of inequality. The lack of treatments serving as effective neuroprotective therapies beyond thrombolysis and thrombectomy is presented as a need. With this goal in mind, our research group’s collaborative studies into cerebral ischemia and subsequent reperfusion concluded that there is a need to develop compounds with antioxidant and radical scavenger features. In this review, we summarize the path taken toward the identification of lead compounds as potential candidates for the treatment of acute ischemic stroke. Evaluations of the antioxidant capacity, neuroprotection of primary neuronal cultures and in vivo experimental models of cerebral ischemia, including neurological deficit score assessments, are conducted to characterize the biological efficacy of the various neuroprotective compounds developed. Moreover, the initial results in preclinical development, including dose–response studies, the therapeutic window, the long-term neuroprotective effect and in vivo antioxidant evaluation, are reported. The results prompt these compounds for clinical trials and are encouraging regarding new drug developments aimed at a successful therapy for ischemic stroke.https://www.mdpi.com/2076-3921/12/12/2102antioxidant compoundsischemic strokeneuroprotectionoxidative stress
spellingShingle Alejandro Escobar-Peso
Emma Martínez-Alonso
Jaime Masjuan
Alberto Alcázar
Development of Pharmacological Strategies with Therapeutic Potential in Ischemic Stroke
Antioxidants
antioxidant compounds
ischemic stroke
neuroprotection
oxidative stress
title Development of Pharmacological Strategies with Therapeutic Potential in Ischemic Stroke
title_full Development of Pharmacological Strategies with Therapeutic Potential in Ischemic Stroke
title_fullStr Development of Pharmacological Strategies with Therapeutic Potential in Ischemic Stroke
title_full_unstemmed Development of Pharmacological Strategies with Therapeutic Potential in Ischemic Stroke
title_short Development of Pharmacological Strategies with Therapeutic Potential in Ischemic Stroke
title_sort development of pharmacological strategies with therapeutic potential in ischemic stroke
topic antioxidant compounds
ischemic stroke
neuroprotection
oxidative stress
url https://www.mdpi.com/2076-3921/12/12/2102
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