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引用本文:黄海雯,林浩然,李汶潞,戴海斌.组蛋白去乙酰化酶在缺血性脑卒中后血脑屏障损伤中作用的研究进展[J].中国现代应用药学,2021,38(15):1889-1893.
HUANG Haiwen,LIN Haoran,LI Wenlu,DAI Haibin.Research Progress on the Role of Histone Deacetylase in Blood-brain Barrier Injury After Ischemic Stroke[J].Chin J Mod Appl Pharm(中国现代应用药学),2021,38(15):1889-1893.
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组蛋白去乙酰化酶在缺血性脑卒中后血脑屏障损伤中作用的研究进展
黄海雯, 林浩然, 李汶潞, 戴海斌
浙江大学医学院附属第二医院, 杭州 310009
摘要:
血脑屏障(blood-brain barrier,BBB)损伤是缺血性脑卒中的病理特征之一,会促进神经炎症和出血性转化。本文对各类组蛋白去乙酰化酶(histone deacetylase,HDAC)在缺血性脑卒中后BBB损伤中的作用进行综述,发现使用HDAC抑制剂靶向抑制HDAC3、HDAC9、Sirt5或使用Sirt激活剂上调Sirt3和Sirt6能减轻患者的术后炎症、降低出血性转化风险,从而挽救患者在缺血性脑卒中后的BBB损伤、扩展r-tPA用药时间窗、促进患者的神经功能恢复。
关键词:  组蛋白去乙酰化酶  缺血性脑卒中  血脑屏障
DOI:10.13748/j.cnki.issn1007-7693.2021.15.016
分类号:R966
基金项目:国家自然科学基金项目(81573402)
Research Progress on the Role of Histone Deacetylase in Blood-brain Barrier Injury After Ischemic Stroke
HUANG Haiwen, LIN Haoran, LI Wenlu, DAI Haibin
The Second Affiliated Hospital, Zhejiang University, School of Medicine, Hangzhou 310009, China
Abstract:
Disruption of the blood brain barrier(BBB) is one of the pathophysiological features of ischemic stroke, which will lead to neuroinflammation and hemorrhagic transformation. This paper summarize the research progress on the role of all kinds of histone deacetylase(HDAC) on BBB injury after ischemic stroke, and find that HDAC inhibitors that be used to target HDAC3, HDAC9 and Sirt5 or Sirt activators or be used to target Sirt3 and Sirt6, can reduce postoperative inflammation, reduce the risk of hemorrhagic transformation. Thus, it can save patients from BBB injury after ischemic stroke, extend the time window of r-tPA medication, and promote the recovery of patients' neurological function.
Key words:  histone deacetylase  ischemic stroke  blood-brain barrier
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