Abstract:
:Thrombus formation is of paramount importance in the pathophysiology of acute ischemic stroke. Current antithrombotics used to treat or prevent cerebral ischemia are only moderately effective or bear an increased risk of severe bleeding. von Willebrand factor (VWF) has long been known to be a key player in thrombus formation at sites of vascular damage. While the association between VWF and coronary heart disease has been well studied, knowledge about the role of VWF in stroke is much more limited. However, in recent years, an increasing amount of clinical and preclinical evidence has revealed the critical involvement of VWF in stroke development. This review summarizes the latest insights into the pathophysiologic role of VWF-related processes in ischemic brain injury under experimental conditions and in humans. Potential clinical merits of novel inhibitors of VWF-mediated platelet adhesion and activation as powerful and safe tools to combat thromboembolic disorders including ischemic stroke are discussed. Preclinical and clinical evidence illustrates an important role of VWF in ischemic stroke, suggesting that VWF could become a promising target in stroke therapy.
journal_name
Strokejournal_title
Strokeauthors
De Meyer SF,Stoll G,Wagner DD,Kleinschnitz Cdoi
10.1161/STROKEAHA.111.628867subject
Has Abstractpub_date
2012-02-01 00:00:00pages
599-606issue
2eissn
0039-2499issn
1524-4628pii
STROKEAHA.111.628867journal_volume
43pub_type
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