Erythropoietin: still on the neuroprotection road.

Abstract:

:Acute stroke is one of the major causes of death and disabilities. Since the 1980s many clinical studies have been conducted to evaluate neuroprotective approaches to treat this important brain vascular event. However, to date the only drug approved (recombinant tissue plasminogen activator [rtPA]) represents a thrombolytic, nonneuroprotective approach. An important neuroprotective strategy is based on erythropoietin (EPO). Exogenously administered EPO exhibits neuroprotective effects in numerous animal models, through the activation of anti-apoptotic, anti-oxidant and anti-inflammatory pathways as well as through the stimulation of angiogenic and neurogenic events. The capability of EPO to cross the blood-brain barrier after systemic administration and its effective therapeutic window are advantages for human acute stroke therapy. However, a multicenter stroke trial where recombinant human EPO (rhEPO) was combined with rtPA had negative outcomes. The present paper reviews the EPO neuroprotective strategy and its mechanisms in ischemic stroke and in other human nervous system diseases.

journal_name

Ther Adv Neurol Disord

authors

Subirós N,Del Barco DG,Coro-Antich RM

doi

10.1177/1756285611434926

subject

Has Abstract

pub_date

2012-05-01 00:00:00

pages

161-73

issue

3

eissn

1756-2856

issn

1756-2864

pii

10.1177_1756285611434926

journal_volume

5

pub_type

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