Cholinergic Anti-inflammatory Pathway and Stroke

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ĎURIŠ Kamil LIPKOVÁ Jolana JURAJDA Michal

Rok publikování 2017
Druh Článek v odborném periodiku
Časopis / Zdroj Current Drug Delivery
Fakulta / Pracoviště MU

Lékařská fakulta

Citace
Doi http://dx.doi.org/10.2174/1567201814666170201150015
Obor Farmakologie a lékárnická chemie
Klíčová slova Cerebral ischemia; cholinergic anti-inflammatory pathway; inflammation; intracerebral hemorrhage; stroke; subarachnoid hemorrhage; Vagus nerve stimulation; alpha 7 nicotinic acetylcholine receptor (alpha 7 nAChR)
Popis Background: Stroke is devastating cerebrovascular event which is responsible for 6.7 million deaths each year worldwide. Inflammation plays an important role in the pathophysiology of stroke. Targeting inflammation after stroke is highly actual topic for both experimental and clinical research. Methods: Research articles related to cholinergic anti-inflammatory pathway (CHAIP) and stroke were reviewed. The first part of review describes the basic characteristics of inflammatory response after stroke, main components and function of CHAIP. The second part reviews studies focused on CHAIP as a therapeutic target for ischemic and hemorrhagic stroke. Both pharmacological stimulation of alpha 7 nAChR and vagus nerve stimulation after stroke are reviewed. Results: Cholinergic anti-inflammatory pathway (CHAIP) is a physiological mechanism by which central nervous system regulates immune response and controls inflammation. Vagus nerve, spleen and alpha 7 nicotinic acetylcholine receptor (alpha 7 nAChR) are the main components of CHAIP. Conclusion: Targeting cholinergic anti-inflammatory pathway is a promising way of immunomodulation which attenuates inflammation in a complex manner without causing immunosuppression.
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