MiRNA: Involvement of the MAPK Pathway in Ischemic Stroke. A Promising Therapeutic Target

Ischemic stroke (IS) is a cerebrovascular disease with a high rate of disability and mortality. It is classified as the second leading cause of death that arises from the sudden occlusion of small vessels in the brain with consequent lack of oxygen and nutrients in the brain tissue. Following an acu...

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Main Authors: Agnese Gugliandolo, Serena Silvestro, Cinzia Sindona, Placido Bramanti, Emanuela Mazzon
Format: Article
Language:English
Published: MDPI AG 2021-10-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/57/10/1053
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author Agnese Gugliandolo
Serena Silvestro
Cinzia Sindona
Placido Bramanti
Emanuela Mazzon
author_facet Agnese Gugliandolo
Serena Silvestro
Cinzia Sindona
Placido Bramanti
Emanuela Mazzon
author_sort Agnese Gugliandolo
collection DOAJ
description Ischemic stroke (IS) is a cerebrovascular disease with a high rate of disability and mortality. It is classified as the second leading cause of death that arises from the sudden occlusion of small vessels in the brain with consequent lack of oxygen and nutrients in the brain tissue. Following an acute ischemic event, the cascade of events promotes the activation of multiple signaling pathways responsible for irreversible neuronal damage. The mitogen-activated protein kinase (MAPK) signaling pathway transmits signals from the cell membrane to the nucleus in response to different stimuli, regulating proliferation, differentiation, inflammation, and apoptosis. Several lines of evidence showed that MAPK is an important regulator of ischemic and hemorrhagic cerebral vascular disease; indeed, it can impair blood–brain barrier (BBB) integrity and exacerbate neuroinflammation through the release of pro-inflammatory mediators implementing neurovascular damage after ischemic stroke. This review aims to illustrate the miRNAs involved in the regulation of MAPK in IS, in order to highlight possible targets for potential neuroprotective treatments. We also discuss some miRNAs (miR), including miR-145, miR-137, miR-493, and miR-126, that are important as they modulate processes such as apoptosis, neuroinflammation, neurogenesis, and angiogenesis through the regulation of the MAPK pathway in cerebral IS. To date, limited drug therapies are available for the treatment of IS; therefore, it is necessary to implement preclinical and clinical studies aimed at discovering novel therapeutic approaches to minimize post-stroke neurological damage.
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spelling doaj.art-b047f920bee54194af46eb36c12bec072023-11-22T19:04:07ZengMDPI AGMedicina1010-660X1648-91442021-10-015710105310.3390/medicina57101053MiRNA: Involvement of the MAPK Pathway in Ischemic Stroke. A Promising Therapeutic TargetAgnese Gugliandolo0Serena Silvestro1Cinzia Sindona2Placido Bramanti3Emanuela Mazzon4IRCCS Centro Neurolesi “Bonino-Pulejo”, Via Provinciale Palermo, Contrada Casazza, 98124 Messina, ItalyIRCCS Centro Neurolesi “Bonino-Pulejo”, Via Provinciale Palermo, Contrada Casazza, 98124 Messina, ItalyIRCCS Centro Neurolesi “Bonino-Pulejo”, Via Provinciale Palermo, Contrada Casazza, 98124 Messina, ItalyIRCCS Centro Neurolesi “Bonino-Pulejo”, Via Provinciale Palermo, Contrada Casazza, 98124 Messina, ItalyIRCCS Centro Neurolesi “Bonino-Pulejo”, Via Provinciale Palermo, Contrada Casazza, 98124 Messina, ItalyIschemic stroke (IS) is a cerebrovascular disease with a high rate of disability and mortality. It is classified as the second leading cause of death that arises from the sudden occlusion of small vessels in the brain with consequent lack of oxygen and nutrients in the brain tissue. Following an acute ischemic event, the cascade of events promotes the activation of multiple signaling pathways responsible for irreversible neuronal damage. The mitogen-activated protein kinase (MAPK) signaling pathway transmits signals from the cell membrane to the nucleus in response to different stimuli, regulating proliferation, differentiation, inflammation, and apoptosis. Several lines of evidence showed that MAPK is an important regulator of ischemic and hemorrhagic cerebral vascular disease; indeed, it can impair blood–brain barrier (BBB) integrity and exacerbate neuroinflammation through the release of pro-inflammatory mediators implementing neurovascular damage after ischemic stroke. This review aims to illustrate the miRNAs involved in the regulation of MAPK in IS, in order to highlight possible targets for potential neuroprotective treatments. We also discuss some miRNAs (miR), including miR-145, miR-137, miR-493, and miR-126, that are important as they modulate processes such as apoptosis, neuroinflammation, neurogenesis, and angiogenesis through the regulation of the MAPK pathway in cerebral IS. To date, limited drug therapies are available for the treatment of IS; therefore, it is necessary to implement preclinical and clinical studies aimed at discovering novel therapeutic approaches to minimize post-stroke neurological damage.https://www.mdpi.com/1648-9144/57/10/1053ischemic strokemiRNAMAPK pathway
spellingShingle Agnese Gugliandolo
Serena Silvestro
Cinzia Sindona
Placido Bramanti
Emanuela Mazzon
MiRNA: Involvement of the MAPK Pathway in Ischemic Stroke. A Promising Therapeutic Target
Medicina
ischemic stroke
miRNA
MAPK pathway
title MiRNA: Involvement of the MAPK Pathway in Ischemic Stroke. A Promising Therapeutic Target
title_full MiRNA: Involvement of the MAPK Pathway in Ischemic Stroke. A Promising Therapeutic Target
title_fullStr MiRNA: Involvement of the MAPK Pathway in Ischemic Stroke. A Promising Therapeutic Target
title_full_unstemmed MiRNA: Involvement of the MAPK Pathway in Ischemic Stroke. A Promising Therapeutic Target
title_short MiRNA: Involvement of the MAPK Pathway in Ischemic Stroke. A Promising Therapeutic Target
title_sort mirna involvement of the mapk pathway in ischemic stroke a promising therapeutic target
topic ischemic stroke
miRNA
MAPK pathway
url https://www.mdpi.com/1648-9144/57/10/1053
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