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Innate Tolerance in the CNS - Translational Neuroprotection by Pre- and Post-Conditioning (Hardcover, 2012)
Loot Price: R5,858
Discovery Miles 58 580
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Innate Tolerance in the CNS - Translational Neuroprotection by Pre- and Post-Conditioning (Hardcover, 2012)
Series: Springer Series in Translational Stroke Research
Expected to ship within 10 - 15 working days
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Cerebral preconditioning is a phenomenon wherein a mild insult or
stress induces cellular and tissue adaptation or tolerance to a
later, severe injury, therefore reflecting the efficacy of
endogenous mechanisms of cerebrovascular protection. Initially
identified for rapid cardiac protection, preconditioning has
expanded to all aspects of CNS protection from ischemia, trauma and
potentially neurodegeneration. Many different stimuli or stressors
have been identified as preconditioning agents, suggesting a
downstream convergence of mechanisms and underscoring the potential
for translational application of preconditioning in the clinic.
Moreover, the fundamental mechanisms responsible for
preconditioning-induced tolerance will help in the design novel
pharmacological approaches for neuroprotection. While stroke and
many other brain injuries are not predictable, in some populations
(e.g., metabolic syndrome, patients undergoing carotid
endarterectomy, aneurysm clipping, or with recent TIAs) the risk
for stroke is identifiable and significant, and preconditioning may
represent a useful strategy for neuroprotection. For unpredictable
injuries, post-conditioning the brain - or inducing endogenous
protective mechanisms after the initial injury - can also abrogate
the extent of injury. Finally, remote pre- and post-conditioning
methods have been developed in animals, and are now being tested in
clinical trials, wherein a brief, noninjurious stress to a
noncerebral tissue (i.e., skeletal muscle) can provide protection
to the CNS and thereby allows clinicians the opportunity to
circumvent concerns regarding the direct preconditioning of
neurological tissues.
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