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Article
| Open AccessStroke genetics informs drug discovery and risk prediction across ancestries
A cross-ancestry meta-analysis of genome-wide association studies identifies association signals for stroke and its subtypes at 89 (61 new) independent loci, reveals putative causal genes, highlighting F11, KLKB1, PROC, GP1BA, LAMC2 and VCAM1 as potential drug targets, and provides cross-ancestry integrative risk prediction.
- Aniket Mishra
- , Rainer Malik
- & Stephanie Debette
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Article |
PIK3CA and CCM mutations fuel cavernomas through a cancer-like mechanism
Aggressive cerebral cavernous malformations (CCMs) are found to grow through a three-hit cancer-like mechanism, involving gain of function of a gene that promotes vascular growth, and loss of function of genes that suppress it.
- Aileen A. Ren
- , Daniel A. Snellings
- & Mark L. Kahn
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Article |
Restoration of brain circulation and cellular functions hours post-mortem
A specialized technology can restore and preserve microcirculation and cellular functions hours post-mortem in an isolated pig brain.
- Zvonimir Vrselja
- , Stefano G. Daniele
- & Nenad Sestan
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Article |
Endothelial TLR4 and the microbiome drive cerebral cavernous malformations
Lipopolysaccharide derived from gut bacteria can accelerate the formation of cerebral cavernous malformations by activating TLR4 on endothelial cells, and polymorphisms that increase expression of the genes encoding TLR4 or its co-receptor CD14 are associated with higher CCM lesion burden in humans.
- Alan T. Tang
- , Jaesung P. Choi
- & Mark L. Kahn
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Letter |
Transfer of mitochondria from astrocytes to neurons after stroke
In a mouse model of ischaemia, mitochondrial particles released from astroctyes are taken up by adjacent neurons, leading to enhanced cell survival signalling; disruption of this release mechanism resulted in worsened neurological outcomes.
- Kazuhide Hayakawa
- , Elga Esposito
- & Eng H. Lo
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Letter |
Cerebral cavernous malformations arise from endothelial gain of MEKK3–KLF2/4 signalling
Gain of MEKK3 signalling is shown to cause cerebral cavernous malformations (CCMs) via activation of the target genes Klf2 and Klf4; endothelial-specific loss of MEKK3, KLF2 or KLF4 prevents lesion formation and lethality in a mouse CCM model.
- Zinan Zhou
- , Alan T. Tang
- & Mark L. Kahn
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Letter |
Proton-gated Ca2+-permeable TRP channels damage myelin in conditions mimicking ischaemia
Ischaemia damages nerve myelin by depriving neurons and their myelinating oligodendrocytes of oxygen and glucose; here it is shown that ischaemic damage is caused through the H+-dependent activation of TRPA1 channels, and not via glutamate receptors of the NMDA type, as previously thought, providing a new mechanism and promising therapeutic targets for diseases as diverse and prevalent as cerebral palsy, spinal cord injury, stroke and multiple sclerosis.
- Nicola B. Hamilton
- , Karolina Kolodziejczyk
- & David Attwell
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Outlook |
Physiology: Beating stroke
New drugs and more focused therapy might cut down on atrial fibrillation and reduce the incidence of stroke.
- Neil Savage
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Research Highlights |
Nanoparticles home in to clear clots
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Research Highlights |
p53 triggers cell death in stroke
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Letter |
Treatment of stroke with a PSD-95 inhibitor in the gyrencephalic primate brain
Tat-NR2B9c, a PSD-95 inhibitor, is shown to reduce stroke-induced behavioural and neuroanatomical deficits in cynomolgous macaques when administered in the presence of an ischemic penumbra, suggesting the potential of PSD-95 inhibition as a neuroprotectant strategy for clinical investigation.
- Douglas J. Cook
- , Lucy Teves
- & Michael Tymianski
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Research Highlights |
Rapid recovery from stroke
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News & Views |
Recovery inhibitors under attack
Once a blood vessel supplying the brain has been blocked, the opportunity to prevent brain damage is fleeting. An alternative strategy might be to guide the damaged area onto the path to recovery. See Letter p.305
- Kevin Staley
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Letter |
Reducing excessive GABA-mediated tonic inhibition promotes functional recovery after stroke
Following a stroke, there is generally limited functional recovery, but plasticity in adjacent intact areas may be critical to rehabilitation. These authors report that tonic GABAA inhibition is elevated in cortex immediately surrounding the stroke site. Furthermore, genetically or pharmacologically reducing tonic GABAA receptor signalling leads to improved functional and motor recovery in a mouse model of stroke, suggesting that this could be a new pharmacological target for stroke therapy.
- Andrew N. Clarkson
- , Ben S. Huang
- & S. Thomas Carmichael