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.

Wednesday, September 4, 2013

Cell death protein could offer new anti-inflammatory drug target

We need our researchers following up with this new understanding and apply it to the neuronal cascade of death.
http://www.alphagalileo.org/ViewItem.aspx?ItemId=134152&CultureCode=en
Scientists in Melbourne, Australia, have revealed the structure of a protein that is essential for triggering a form of programmed cell death called necroptosis, making possible the development of new drugs to treat chronic inflammatory diseases such as Crohn’s disease and rheumatoid arthritis.
Dr James Murphy, Associate Professor John Silke, Dr Joanne Hildebrand, Dr Peter Czabotar, Professor Warren Alexander and colleagues from the Walter and Eliza Hall Institute have shown that the protein MLKL plays a crucial role in the signalling pathways that trigger a recently discovered cell death pathway called necroptosis. The results were published today in the journal Immunity.
Usually, when a cell detects that it is infected by a virus or bacteria or has other irreparable damage it self-destructs through a process called apoptosis. But Associate Professor Silke said some bacteria and viruses had developed ways of preventing this cell suicide, also allowing the invaders to survive. It is at this point that the ‘back up’ necroptosis pathway might be activated.
“During necroptosis the cell still self-destructs but in doing so it also sends an ‘SOS’ to the immune system to tell it that something has gone wrong with the cell’s normal cell death process of apoptosis. So internally, the cell is still doing its best to self-destruct in an orderly and programmed way, but it is simultaneously sending signals to the immune system to mount a response to the invaders.”
However there are times when the necroptosis pathway may be inappropriately activated, sending messages to the immune system that promote inflammation and the development of inflammatory diseases.
Dr Murphy said the discovery of MLKL’s role in activating the necroptosis pathway was an important step in understanding this cell death pathway and its role in disease. “Necroptosis has only been defined in the past 10 years and the role MLKL plays was only discovered in 2012,” Dr Murphy said. “This study provides the first genetic proof that MLKL is required for necroptosis as well as the first full-length, atomic level, three-dimensional structure of a protein that regulates necroptosis. These discoveries are really exciting because they give us a new target to look at for developing treatments for people who suffer from an inflammatory disease.”
The three-dimensional images of MLKL, which were obtained using the Australian Synchrotron, revealed an interesting detail about the protein, Dr Murphy said. “The structure revealed that MLKL is a ‘dead enzyme’, making it different from the other proteins in the signalling pathway,” Dr Murphy said. “We discovered that MLKL needs to be ‘switched on’ before it can activate necroptosis. MLKL could therefore be a perfect target for treatments because it is different from almost every other cell-signalling protein, making it easier to develop highly specific drugs and limiting potential side effects.”
Associate Professor Silke said the team was now trying to determine the ‘on’ and ‘off’ states of MLKL and how it could be modified to treat disease. “We are now trying to work out what MLKL looks like at the atomic level when it is switched ‘on’ so that we can begin to develop drugs that will block it,” Associate Professor Silke said. “We are excited about this fundamental discovery and, with colleagues at the institute, we are already using this knowledge to develop specific, drug-like molecules to test in disease models. This could directly lead to treatments that will help patients who have chronic inflammatory diseases including rheumatoid arthritis, inflammatory bowel syndrome, Crohn’s disease and psoriasis.”
The research was supported by the Australian National Health and Medical Research Council, Australian Research Council and the Victorian Government.
http://www.wehi.edu.au/site/latest_news/cell_death_protein_could_offer_new_anti-inflammatory_drug_target

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