Cargando…
Microglia and Post-Subarachnoid Hemorrhage Vasospasm: Review of Emerging Mechanisms and Treatment Modalities
Vasospasm is a potentially severe complication of subarachnoid hemorrhage. It can be attributed to neuroinflammation and the robust recruitment of microglia. Emerging evidence has linked this sustained inflammation to the development of delayed cerebral ischemia following subarachnoid hemorrhage. In...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9450560/ https://www.ncbi.nlm.nih.gov/pubmed/36081602 |
_version_ | 1784784548284858368 |
---|---|
author | Small, Coulter Scott, Kyle Smart, Derek Sun, Michael Christie, Carlton Lucke-Wold, Brandon |
author_facet | Small, Coulter Scott, Kyle Smart, Derek Sun, Michael Christie, Carlton Lucke-Wold, Brandon |
author_sort | Small, Coulter |
collection | PubMed |
description | Vasospasm is a potentially severe complication of subarachnoid hemorrhage. It can be attributed to neuroinflammation and the robust recruitment of microglia. Emerging evidence has linked this sustained inflammation to the development of delayed cerebral ischemia following subarachnoid hemorrhage. In this focused review, we provide an overview of the historical understanding of vasospasm. We then delve into the role of neuroinflammation and the activation of microglia. These activated microglia releases a host of inflammatory cytokines contributing to an influx of peripheral macrophages. This thereby opens a new and innovative treatment strategy to prevent vasospasm. Pre-clinical work has been promising, and the transition to clinical trials is warranted. Finally, some of the key mechanistic targets are outlined with emphasis on translation. This review will serve as a catalyst for researchers and clinicians alike in the quest to improve treatment options for vasospasm. |
format | Online Article Text |
id | pubmed-9450560 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
record_format | MEDLINE/PubMed |
spelling | pubmed-94505602022-09-07 Microglia and Post-Subarachnoid Hemorrhage Vasospasm: Review of Emerging Mechanisms and Treatment Modalities Small, Coulter Scott, Kyle Smart, Derek Sun, Michael Christie, Carlton Lucke-Wold, Brandon Clin Surg J Article Vasospasm is a potentially severe complication of subarachnoid hemorrhage. It can be attributed to neuroinflammation and the robust recruitment of microglia. Emerging evidence has linked this sustained inflammation to the development of delayed cerebral ischemia following subarachnoid hemorrhage. In this focused review, we provide an overview of the historical understanding of vasospasm. We then delve into the role of neuroinflammation and the activation of microglia. These activated microglia releases a host of inflammatory cytokines contributing to an influx of peripheral macrophages. This thereby opens a new and innovative treatment strategy to prevent vasospasm. Pre-clinical work has been promising, and the transition to clinical trials is warranted. Finally, some of the key mechanistic targets are outlined with emphasis on translation. This review will serve as a catalyst for researchers and clinicians alike in the quest to improve treatment options for vasospasm. 2022 2022-08-23 /pmc/articles/PMC9450560/ /pubmed/36081602 Text en https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY-4.0). |
spellingShingle | Article Small, Coulter Scott, Kyle Smart, Derek Sun, Michael Christie, Carlton Lucke-Wold, Brandon Microglia and Post-Subarachnoid Hemorrhage Vasospasm: Review of Emerging Mechanisms and Treatment Modalities |
title | Microglia and Post-Subarachnoid Hemorrhage Vasospasm: Review of Emerging Mechanisms and Treatment Modalities |
title_full | Microglia and Post-Subarachnoid Hemorrhage Vasospasm: Review of Emerging Mechanisms and Treatment Modalities |
title_fullStr | Microglia and Post-Subarachnoid Hemorrhage Vasospasm: Review of Emerging Mechanisms and Treatment Modalities |
title_full_unstemmed | Microglia and Post-Subarachnoid Hemorrhage Vasospasm: Review of Emerging Mechanisms and Treatment Modalities |
title_short | Microglia and Post-Subarachnoid Hemorrhage Vasospasm: Review of Emerging Mechanisms and Treatment Modalities |
title_sort | microglia and post-subarachnoid hemorrhage vasospasm: review of emerging mechanisms and treatment modalities |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9450560/ https://www.ncbi.nlm.nih.gov/pubmed/36081602 |
work_keys_str_mv | AT smallcoulter microgliaandpostsubarachnoidhemorrhagevasospasmreviewofemergingmechanismsandtreatmentmodalities AT scottkyle microgliaandpostsubarachnoidhemorrhagevasospasmreviewofemergingmechanismsandtreatmentmodalities AT smartderek microgliaandpostsubarachnoidhemorrhagevasospasmreviewofemergingmechanismsandtreatmentmodalities AT sunmichael microgliaandpostsubarachnoidhemorrhagevasospasmreviewofemergingmechanismsandtreatmentmodalities AT christiecarlton microgliaandpostsubarachnoidhemorrhagevasospasmreviewofemergingmechanismsandtreatmentmodalities AT luckewoldbrandon microgliaandpostsubarachnoidhemorrhagevasospasmreviewofemergingmechanismsandtreatmentmodalities |