You'd better hope your doctor has a protocol to prevent neurodegeneration post-stroke. Or you'll have to research it all yourself.
From Brain Ischemia to Alzheimer-Like Neurodegeneration
Ryszard Pluta
, Marzena Ułamek-Kozioł
1,2
, Sławomir Januszewski
1
, Stanisław J. Czuczwar
3
1
Laboratory of Ischemic and Neurodegenerative Brain Research, Mossakowski Medical Research Centre, Polish Academy of Sciences,
Warsaw, Poland
2
First Department of Neurology, Institute of Psychiatry and Neurology, Warsaw, Poland
3
Department of Pathophysiology, Medical University of Lublin, Lublin, Poland
†
Author for correspondence: Prof. Ryszard Pluta, Laboratory of Ischemic and Neurodegenerative Brain Research, Mossakowski Medical
Research Centre, Polish Academy of Sciences, 02-106 Warsaw, Pawińskiego 5 Str., Poland, Tel: 48-22-6086-540; fax: 48-22-668-55-32;
email: pluta@imdik.pan.pl
ABSTRACT
Latest studies have revealed a key role of ischemic brain episodes in Alzheimer-like
neurodegeneration and dementia development. This review presents the current progress in
understanding how brain ischemia may promote Alzheimer’s disease pathological changes
and cognitive impairment. It seems that brain ischemia promotes Alzheimer’s disease-like
neurodegeneration development through various mechanisms, including accumulation and
aggravation of different parts of amyloid protein precursor, tau protein phosphorylation,
dysregulation of Alzheimer-related genes, neuroinflammation, neuronal loss, synaptic
dysfunction, white matter lesion and general brain atrophy. Progress in understanding
key mechanisms of ischemia-induced changes of Alzheimer-phenotype will help develop
preventing and treating strategies against sporadic Alzheimer’s disease pathology and
dementia generated by sublethal and/or silent ischemia.
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