Abstract:
:Inflammation and immune response play a pivotal role in the pathophysiology of ischemic stroke giving their contribution to tissue damage and repair. Emerging evidence supports the involvement of epigenetic mechanisms such as methylation, histone modification and miRNAs in the pathogenesis of stroke. Interestingly, epigenetics can influence the molecular events involved in ischemic injury by controlling the switch from pro- to anti-inflammatory response, however, this is still a field to be fully explored. The knowledge of epigenetic processes could to allow for the discovery of more sensitive and specific biomarkers for risk, onset, and progression of disease as well as further novel tools to be used in both primary prevention and therapy of stroke. Indeed, studies performed in vitro and in small animal models seem to suggest a neuroprotective role of HDAC inhibitors (e.g. valproic acid) and antagomir (e.g. anti-miR-181a) in ischemic condition by modulation of both immune and inflammatory pathways. Thus, the clinical implications of altered epigenetic mechanisms for the prevention of stroke are very promising but clinical prospective studies and translational approaches are still warranted.
journal_name
J Neuroimmunoljournal_title
Journal of neuroimmunologyauthors
Picascia A,Grimaldi V,Iannone C,Soricelli A,Napoli Cdoi
10.1016/j.jneuroim.2015.10.013subject
Has Abstractpub_date
2015-12-15 00:00:00pages
111-20eissn
0165-5728issn
1872-8421pii
S0165-5728(15)30059-Xjournal_volume
289pub_type
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