摘要
背景:脑出血性脑卒中(ICH),蛛网膜下腔出血(SAH)和脑梗死后出血性转化是脑神经,神经外科,急诊等临床科室的主要医疗急诊。 这些脑出血性疾病的病理生理机制尚未得到充分阐明,对这些疾病没有有效的药理和分子治疗。 基质金属蛋白酶-9(MMP-9)也称为胶原酶B,是基质金属蛋白酶(MMPs)家族中最重要的成员之一。 目的:本文回顾了MMP-9在脑出血,脑梗塞后出血转化,SAH和脑损伤等疾病发病机制中的作用。 结果:脑出血后脑组织中MMP-9的表达水平升高,与脑出血预后相关。 MMP-9与脑梗死后血栓溶解后出血性转化有关。 抑制MMP-9可以减少脑出血后的继发性脑损伤。 MMP-9加重SAH后早期脑损伤和脑血管痉挛。 结论:MMP-9通过多种机制参与出血性卒中的病理过程,与脑出血性脑卒中后预后密切相关。
关键词: 基质金属蛋白酶-9,脑内出血,蛛网膜下腔出血,出血性转化,脑损伤。
图形摘要
Current Drug Targets
Title:A Therapeutic Target of Cerebral Hemorrhagic Stroke: Matrix Metalloproteinase- 9
Volume: 18 Issue: 12
关键词: 基质金属蛋白酶-9,脑内出血,蛛网膜下腔出血,出血性转化,脑损伤。
摘要: Background: Cerebral hemorrhagic stroke, including intracerebral hemorrhage (ICH), subarachnoid hemorrhage (SAH), and hemorrhagic transformation after cerebral infarction, is a major medical emergency in the neurology, neurosurgery, emergency and other clinical departments. The pathophysiological mechanisms of these cerebral hemorrhagic diseases have not been fully elucidated, and there are no effective pharmacological and molecular treatments against these diseases. Matrix metalloproteinase-9 (MMP-9), also known as collagenase B, is one of the most important members of the matrix metalloproteinases (MMPs) family.
Objective: This article reviews the role of MMP-9 in the pathogenesis of diseases such as brain hemorrhage, hemorrhagic transformation after cerebral infarction, SAH, and brain injury. Results: The expression levels of MMP-9 in brain tissue increased after cerebral hemorrhage and related to the prognosis of brain hemorrhage. MMP-9 is related to post-thrombolytic hemorrhagic transformation after cerebral infarction. Inhibition of MMP-9 can reduce secondary brain injury after brain hemorrhage. MMP-9 aggravates the early brain injury and cerebral vasospasm after SAH. Conclusion: MMP-9 is involved in the pathological process of hemorrhagic stroke through a variety of mechanisms and is closely related to prognosis after cerebral hemorrhagic stroke.Export Options
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Cite this article as:
A Therapeutic Target of Cerebral Hemorrhagic Stroke: Matrix Metalloproteinase- 9, Current Drug Targets 2017; 18 (12) . https://dx.doi.org/10.2174/1389450118666170427151657
DOI https://dx.doi.org/10.2174/1389450118666170427151657 |
Print ISSN 1389-4501 |
Publisher Name Bentham Science Publisher |
Online ISSN 1873-5592 |
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