Potential of anticytokine therapies in central nervous system ischaemia

Wayne M. Clark, Helmi L. Lutsep

Research output: Contribution to journalArticlepeer-review

37 Scopus citations

Abstract

Central nervous system (CNS) ischaemia is associated with an acute inflammatory response which appears to potentiate CNS injury, especially following reperfusion. This response includes die release of inflammatory mediators called cytokines including IL-1 and TNF-a, which triggers the production of additional cytokines including IL-6 and activates leukocytes which infiltrate into the CNS. Increased expression of cytokines has been demonstrated to occur in the first few hours after CNS ischaemia. Preliminary clinical studies suggest that plasma levels of IL-6 are correlated with functional recovery while brain levels of cytokines have been demonstrated to increase following experimental ischaemia. Although there are no current clinical 'anti-cytokine' treatment studies for stroke, experimental studies modulating IL-1 and TNF-a have shown neuroprotection.

Original languageEnglish (US)
Pages (from-to)227-237
Number of pages11
JournalExpert Opinion on Biological Therapy
Volume1
Issue number2
DOIs
StatePublished - 2001

Keywords

  • Central nervous system
  • Cytokines
  • IL-6
  • Interleukins
  • Stroke

ASJC Scopus subject areas

  • Pharmacology
  • Drug Discovery
  • Clinical Biochemistry

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