Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Sunday, November 13, 2011

CAREER: Brain tissue regeneration after stroke

Someone finally looking into creating a structure at the lesion site where new neurons can gather.
http://www.nsf.gov/awardsearch/showAward.do?AwardNumber=1055922
ABSTRACT

1055922, Zhang

A damaging or pathological process in adult brain often results in the disruption of various tissue structures. Persistent cell dysfunction and poor neural regenerative capabilities at the brain lesion site and beyond lead to the formation of irregular shaped lesions comprised of necrotic tissue and/or a fluid-filled cavity that are associated with prolonged neurological impairment. To date, no effective treatment is available for brain lesion in clinical settings. Current treatments, which have been focused on anti-inflammation and neuroprotection with pharmacological agents, have failed to produce clear improvements in the mortality and neurological outcome, perhaps due to their inability to structurally regenerate normal brain tissue at the lesion site. In recent attempts to repopulate the brain lesion site through neural transplantation, poor survival and functionality of the transplanted cells were observed due to the ongoing tissue inflammation and the lack of any supportive tissue structures and vasculatures within the lesion. There is a compelling need for transformative approaches to functionally regenerate brain tissue cross lesions. The PI's long-term career goal is to develop novel biomaterial-based engineering approaches to address life science questions related to the potential and utilization of stem cells for human tissue regeneration, with an emphasis on brain tissue regeneration. As a jump-start of PI's career, this CAREER project aims to develop an injectable hydrogel-based delivery system to manipulate brain-resident endogenous neural stem cells (NSCs) for structural regeneration at brain lesion site. Stroke, which shares the common pathologic sequelae and outcome of brain lesions, will be used as the model in the project.

The overall hypothesis is that a stem cell engineering strategy aiming at functional differentiation of endogenous neural stem cells to repopulate the stroke lesion zone in the brain would promote neural repopulation of the lesion cavity, leading to significant improvement in neurological outcome in stroke patients. Three research thrusts are proposed. Goal 1: To determine the optimal conditions for neural stem cell migration in cell culture. Goal 2: To mobilize and site-specifically control endogenous neural stem cells to migrate to the brain stroke lesion zone. Goal 3: To induce the differentiation of the recruited endogenous neural stem cells into functional neural cells in the stroke zone, and promote the functional integration of the neural cells with the host neural circuitry.

A comprehensive educational plan is integrated with the research goals of this CAREER proposal. The PI's educational activities include: 1) development of google-searchable online tutoring programs that cover fundamentals in diverse areas of biomedical research to provide unlimited access from anywhere at anytime by students at all levels and world-wide self-learners; 2) expanding ongoing activities in K-12 outreach with continuing emphasis on the participation and retention of minority students, women, and students with disabilities into science and engineering research and educational programs; 3) establishing a teacher retraining program for high school science teachers to implement the biomedical educational materials in their own schools; 4) addressing diversity in science and engineering by merging students with diverse backgrounds in multidisciplinary projects while actively involving students from Historically Black Colleges and Universities (HBCUs) in research; and 5) maintaining a well-funded graduate and post-graduate mentoring program and fostering their career development.



Intellectual merits: The proposed research will advance science by filling the gap for structural repair of damaged brain tissue based upon an in vivo tissue engineering concept using the patient's own brain-resident stem cells. Fundamental paradigms established in this project will direct future efforts for tissue engineering in a variety of tissues for functional regeneration. The Clemson University-Medical University of South Carolina joint bioengineering program provides an intellectual multidisciplinary environment that fosters interdisciplinary collaborations and mentoring to ensure PI's success.

Broader impact: The research will generate great impact on several scientific and technological communities, including biomaterials, tissue engineering, stem cell biology and engineering, neuroscience, and regenerative medicine. PI's efforts in integrating research with education would motivate students at all levels for the passion and enthusiasm for science, and prepare them for life-long careers in science and engineering research. Emphasis on encouraging the participation of underrepresented populations, minorities, women, and students with disabilities in research, incorporating research findings into coursework and their dissemination to the public through outreach activities would enhance the diversity in the biomedical research workforce and benefit society.

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