Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 29,112 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke.DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER, BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
Changing stroke rehab and research worldwide now.Time is Brain!trillions and trillions of neuronsthatDIEeach day because there areNOeffective 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.
Funding information: National Heart, Lung, and
Blood Institute, Grant/Award Number: R01HL146574; National Institute on
Aging, Grant/Award Numbers: R21AG064422, R21AG073862, RF1AG065345
Abstract
Oligodendrocytes are the cells that myelinate axons and
provide trophic support to neurons in the CNS. Their dysfunction has
been associated with a group of disorders known as demyelinating
diseases, such as multiple sclerosis. Oligodendrocytes are derived from
oligodendrocyte precursor cells, which differentiate into premyelinating
oligodendrocytes and eventually mature oligodendrocytes. The
development and function of oligodendrocytes are tightly regulated by a
variety of molecules, including laminin, a major protein of the
extracellular matrix. Accumulating evidence suggests that laminin
actively regulates every aspect of oligodendrocyte biology, including
survival, migration, proliferation, differentiation, and myelination.
How can laminin exert such diverse functions in oligodendrocytes? It is
speculated that the distinct laminin isoforms, laminin receptors, and/or
key signaling molecules expressed in oligodendrocytes at different
developmental stages are the reasons. Understanding molecular targets
and signaling pathways unique to each aspect of oligodendrocyte biology
will enable more accurate manipulation of oligodendrocyte development
and function, which may have implications in the therapies of
demyelinating diseases. Here in this review, we first introduce
oligodendrocyte biology, followed by the expression of laminin and
laminin receptors in oligodendrocytes and other CNS cells. Next, the
functions of laminin in oligodendrocyte biology, including survival,
migration, proliferation, differentiation, and myelination, are
discussed in detail. Last, key questions and challenges in the field are
discussed. By providing a comprehensive review on laminin's roles in OL
lineage cells, we hope to stimulate novel hypotheses and encourage new
research in the field.
Ask your doctor and hospital what has been done with this information since it came out in Jan 2009. Part of the solution to this problem is quite simple; reduce the size of the tPA bolus substantially because you are using magnetic nanoparticles to deliver it straight to the clot. https://phys.org/news/2009-01-discovery-scientists-death-cascade-neurons.html
(PhysOrg.com) -- Distressed
swimmers often panic, sapping the strength they need to keep their heads
above water until help arrives. When desperate for oxygen, neurons
behave in a similar way. They freak out, stupidly discharging energy
until they drown in a sea of their own extruded salts. Every year,
millions of victims of stroke or brain trauma suffer permanent brain
damage because of this mad rush to oblivion that begins once a part of
the brain is deprived of blood.
It is well known that a
ubiquitous cell receptor drives these oxygen-starved neurons’
lemming-like behavior. But this particular receptor, for the
neurotransmitter glutamate, is also responsible for the rapid
transmission of information between neurons required for all cognition,
among other things. Shutting it off has serious consequences, like coma.
Now, a team of scientists at The Rockefeller University has identified a
single subunit of this receptor that drives neuronal death. This new
discovery suggests that drugs targeting a specific subunit of the
complex glutamate receptor might be able to slow brain damage without
disrupting other crucial brain functions.
“We
have found that you can make mice resistant to this kind of cell death
by blocking one piece of the receptor without the terrible side effects
you get by blocking the whole thing,” says Sidney Strickland, head of
the Laboratory of Neurobiology and Genetics, who directed the research.
“Now we can start exploring potential drugs to do that in humans.”
The neuronal panic that occurs when a clot or other insult blocks the
flow of blood to part of the brain is called excitotoxic
neurodegeneration. It results in the brain cells spitting out glutamate,
which then accumulates in the synapses between neurons and stimulates
the release of more glutamate. It’s a vicious cycle that kills the cells
quickly and continues until blood flow is restored. Doctors often treat
stroke victims by administering a heavy dose of a clot-buster called
tissue plasminogen activator (tPA), a protein that can stimulate the
dissolution of clots. Ironically, however, the same drug that does this
crucial clot-busting also accelerates the panicky process that kills
neurons, research by Strickland and others has shown. Investigating
exactly how tPA does that is what led Strickland’s team to the recent
discovery.
Neurons are typically couched in laminin, an extracellular matrix
protein known to be involved with tPA in the neuronal “death cascade.”
The Strickland lab’s experiments, published in The Journal of Cell
Biology, show that tPA produces an enzyme that degrades laminin into
toxic products that kill the neurons in their midst, specifically by
stimulating the production of one of five subunits for a particular kind
of glutamate receptor. The overproduction of this specific subunit,
KA1, makes the cells hypersensitive to glutamate, which fans the
glutamate frenzy leading to their death.
To better understand the process, Zu-Lin Chen and other colleagues at
Rockefeller in the Strickland lab and at the University of Leicester in
England designed lines of genetically modified mice that lacked either
tPA or laminin specifically in the hippocampus, a region of the brain
often damaged by stroke. To their surprise, they found that mice without
laminin were protected from the typical neural degeneration that
follows a simulated stroke in regular mice. They also found that mice
with laminin but not tPA were relatively protected.
But when they injected degraded laminin into mouse brains without
laminin or tPA they found a similar overproduction of the subunit of the
glutamate receptor that they measured when inducing stroke in normal
mice. The problem: Laminin, once degraded by tPA, prompts the
proliferation of the receptor subunit that makes the cells suicidally
sensitive to glutamate. By preventively injecting a molecule that
disables that particular subunit, they were able to dramatically reduce
the cell death following a stroke. A big plus: The treated mice did not
suffer the severe side effects that come with blocking the entire
glutamate receptor.
Whether this will turn into a therapy that can be applied after a stroke is uncertain.
“Can you do it after the fact? That will be a question,” Strickland
says. “Cell death happens pretty quickly. But it’s an interesting avenue
to pursue.”
Reference: The Journal of Cell Biology 183(7): 1299-1313 (December 29, 2008), jcb.rupress.org/cgi/content/abstract/183/7/1299
Provided by Rockefeller University