The role of complement in stroke therapy

Document Type

Article

Abstract

Cerebral ischemia and reperfusion initiate an inflammatory process which results in secondary neuronal damage. Immunomodulatory agents represent a promising means of salavaging viable tissue following stroke. The complement cascade is a potent mediator of inflammation which is activated following cerebral ischemia. Complement is deposited on apoptotic neurons which likely leads to injury in adjacent viable cells. Studies suggest that blocking the complement cascade during the early phases of infarct evolution may result in decreased penumbral tissue infarction and limit the extent of brain injury. Additionally, other elements of the complement cascade may play a critical role in cell survival. In this paper, we review the role of the complement cascade in neuronal damage following ischemic injury and emphasize possible therapeutic targets.

Medical Subject Headings

Brain Ischemia (physiopathology); Complement System Proteins (therapeutic use); Humans; Inflammation (drug therapy); Neurons (pathology); Reperfusion Injury (drug therapy, physiopathology); Stroke (drug therapy)

Publication Date

1-1-2008

Publication Title

Advances in experimental medicine and biology

ISSN

0065-2598

Volume

632

First Page

23

Last Page

33

PubMed ID

19025111

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