Brain Sci. 2013, 3(2), 540-560; doi:10.3390/brainsci3020540
Review

Stroke Neuroprotection: Targeting Mitochondria

1 Department of Cellular and Structural Biology, University of Texas Health Science Center San Antonio, San Antonio, TX 78229, USA 2 Department of Neurology, University of Texas Health Science Center San Antonio, San Antonio, TX 78229, USA 3 Research Imaging Institute, University of Texas Health Science Center San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA 4 School of Medicine, University of Texas Health Science Center San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA
* Author to whom correspondence should be addressed.
Received: 8 March 2013; in revised form: 8 April 2013 / Accepted: 9 April 2013 / Published: 19 April 2013
(This article belongs to the Special Issue Neuroprotection against Ischemic Brain Injury)
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Abstract: Stroke is the fourth leading cause of death and the leading cause of long-term disability in the United States. Blood flow deficit results in an expanding infarct core with a time-sensitive peri-infarct penumbra that is considered salvageable and is the primary target for treatment strategies. The only current FDA-approved drug for treating ischemic stroke is recombinant tissue plasminogen activator (rt-PA). However, this treatment is limited to within 4.5 h of stroke onset in a small subset of patients. The goal of this review is to focus on mitochondrial-dependent therapeutic agents that could provide neuroprotection following stroke. Dysfunctional mitochondria are linked to neurodegeneration in many disease processes including stroke. The mechanisms reviewed include: (1) increasing ATP production by purinergic receptor stimulation, (2) decreasing the production of ROS by superoxide dismutase, or (3) increasing antioxidant defenses by methylene blue, and their benefits in providing neuroprotection following a stroke.
Keywords: stroke; purinergic receptor; methylene blue; mitochondria; neuroprotection; superoxide dismutase

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MDPI and ACS Style

Watts, L.T.; Lloyd, R.; Garling, R.J.; Duong, T. Stroke Neuroprotection: Targeting Mitochondria. Brain Sci. 2013, 3, 540-560.

AMA Style

Watts LT, Lloyd R, Garling RJ, Duong T. Stroke Neuroprotection: Targeting Mitochondria. Brain Sciences. 2013; 3(2):540-560.

Chicago/Turabian Style

Watts, Lora T.; Lloyd, Reginald; Garling, Richard J.; Duong, Timothy. 2013. "Stroke Neuroprotection: Targeting Mitochondria." Brain Sci. 3, no. 2: 540-560.

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