论文标题

弥合糖尿病和中风之间的差距,以寻找高临床相关性治疗靶标

Bridging the Gap Between Diabetes and Stroke in Search of High Clinical Relevance Therapeutic Targets

论文作者

Coppola, Thierry, Béraud-Dufour, Sophie, Lebrun, Patricia, Blondeau, Nicolas

论文摘要

糖尿病影响全球超过4.25亿人,这一规模接近大流行比例。糖尿病是中风的主要危险因素,因此可以积极解决中风预防。然而,糖尿病如何影响中风严重程度尚未得到广泛考虑,这是两种病理的明显但经过研究的常见机械特征,这是令人惊讶的。在存在这种特定危险因素的情况下,糖尿病患者数量的增加,中风的发生率,以及糖尿病状况中缺血性脑损伤的加剧(至少在动物模型中)值得将这种合并症整合在脑部缺血前研究中,以开发新的治疗方法。因此,更好地了解两种疾病过程中涉及的共同物质将提供发现新型神经保护途径的希望,而神经保护途径将更加适用于临床情况。在本文中,我们将回顾已确定为病理的常见特征的相关机制,据我们所知,这两种病理的潜在靶标。

Diabetes affects more than 425 million people worldwide, a scale approaching pandemic proportion. Diabetes represents a major risk factor for stroke, and therefore is actively addressed for stroke prevention. However, how diabetes affects stroke severity has not yet been extensively considered, which is surprising given the evident but understudied common mechanistic features of both pathologies. The increase in number of diabetic people, in the incidence of stroke in presence of this specific risk factor, and the exacerbation of ischemic brain damage in diabetic conditions (at least in animal models) warrant the need to integrate this comorbidity in pre-clinical studies of brain ischemia to develop novel therapeutic approaches. Therefore, a better understanding of the commonalties involved in the course of both diseases would offer the promise of discovering novel neuroprotective pathways that would be more appropriated to clinical situations. In this article, we will review the relevant mechanisms that have been identified as common traits of both pathologies and that could be to our knowledge, potential targets for both pathologies.

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