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.

Thursday, December 19, 2013

A Translational Paradigm for the Preclinical Evaluation of the Stroke Neuroprotectant Tat-NR2B9c in Gyrencephalic Nonhuman Primates

Written up in Science Translational Medicine so when will this get into stroke protocols? And whom will do that? Dr. Michael Tymianski is the person who talked about 1000+ trials that worked in rodents but failed in humans.
http://stm.sciencemag.org/content/4/154/154ra133.abstract?sid=40d1044d-1d0e-49bc-b846-cee51632ed2c
Sci Transl Med
Vol. 4, Issue 154, p. 154ra133
Sci. Transl. Med. DOI: 10.1126/scitranslmed.3003824
  • Research Article
Neurology

A Translational Paradigm for the Preclinical Evaluation of the Stroke Neuroprotectant Tat-NR2B9c in Gyrencephalic Nonhuman Primates

  1. Michael Tymianski1,2,3,4,*
  1. 1Toronto Western Hospital Research Institute, Toronto, Ontario M5T 2S8, Canada.
  2. 2Department of Physiology, University of Toronto, Toronto, Ontario M5S 1A8, Canada.
  3. 3Institute of Medical Science, University of Toronto, Toronto, Ontario M5S 1A8, Canada.
  4. 4Department of Surgery, University of Toronto, Toronto, Ontario M5S 1A8, Canada.
  1. *To whom correspondence should be addressed. E-mail: mike.tymianski{at}uhn.ca

Abstract

Over decades, all attempts to translate acute stroke neuroprotectants from discovery in lower-order species to human clinical use have failed. This raised concerns about the predictive validity of preclinical studies in animals for outcomes in human stroke trials. To bridge this translational gap, we used high-order gyrencephalic nonhuman primates subjected to an experimental protocol that mimicked that of a corresponding, separately reported, clinical trial in which the human subjects underwent endovascular cerebral aneurysm repair. Both placebo-controlled studies tested neuroprotection by Tat-NR2B9c, a prospective therapeutic compound, in anesthetized subjects. Embolic strokes were produced by small intra-arterial emboli caused by the endovascular procedure. We show that primates treated with Tat-NR2B9c after the onset of embolic strokes exhibited significantly reduced numbers and volumes of strokes, as visualized by diffusion- and T2-weighted magnetic resonance imaging. These results correctly anticipated the outcome of the corresponding human trial, thus validating this study design as a predictor of neuroprotective efficacy in humans. This strategy may facilitate the evaluation of promising neuroprotectants before undertaking similar studies in human subjects.

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