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Astrocyte Activation in Neurovascular Damage and Repair Following Ischaemic Stroke

Patabendige, A; Singh, A; Jenkins, S; Sen, J; Chen, R

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Authors

A Patabendige

A Singh

J Sen



Abstract

Transient or permanent loss of tissue perfusion due to ischaemic stroke can lead to damage to the neurovasculature, and disrupt brain homeostasis, causing long-term motor and cognitive deficits. Despite promising pre-clinical studies, clinically approved neuroprotective therapies are lacking. Most studies have focused on neurons while ignoring the important roles of other cells of the neurovascular unit, such as astrocytes and pericytes. Astrocytes are important for the development and maintenance of the blood–brain barrier, brain homeostasis, structural support, control of cerebral blood flow and secretion of neuroprotective factors. Emerging data suggest that astrocyte activation exerts both beneficial and detrimental effects following ischaemic stroke. Activated astrocytes provide neuroprotection and contribute to neurorestoration, but also secrete inflammatory modulators, leading to aggravation of the ischaemic lesion. Astrocytes are more resistant than other cell types to stroke pathology, and exert a regulative effect in response to ischaemia. These roles of astrocytes following ischaemic stroke remain incompletely understood, though they represent an appealing target for neurovascular protection following stroke. In this review, we summarise the astrocytic contributions to neurovascular damage and repair following ischaemic stroke, and explore mechanisms of neuroprotection that promote revascularisation and neurorestoration, which may be targeted for developing novel therapies for ischaemic stroke.

Citation

Patabendige, A., Singh, A., Jenkins, S., Sen, J., & Chen, R. (2021). Astrocyte Activation in Neurovascular Damage and Repair Following Ischaemic Stroke. International Journal of Molecular Sciences, 22(8), https://doi.org/10.3390/ijms22084280

Journal Article Type Article
Acceptance Date Apr 15, 2021
Publication Date Apr 20, 2021
Journal International Journal of Molecular Sciences
Print ISSN 1661-6596
Publisher MDPI
Peer Reviewed Peer Reviewed
Volume 22
Issue 8
DOI https://doi.org/10.3390/ijms22084280
Keywords stroke, astrocyte, neurovascular, neuroprotection, neurotoxicity, neurorestoration, neuroinflammation, secretion
Publisher URL https://www.mdpi.com/1422-0067/22/8/4280

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