Stroke research at a crossroad: asking the brain for directions

Abstract

There remains an urgent need to develop new strategies and therapies to help protect the brain from ischemic cell death. In this perspective, the authors suggest that learning more about the mechanisms that underlie brain self-preservation and developing multifaceted approaches that act on multiple pathways involved in both cell death and neuroprotection may advance our efforts to treat stroke. Ischemic stroke remains a vexing public health problem. Although progress has been made in prevention and supportive care, efforts to protect the brain from ischemic cell death have failed. Thus, no new treatment has made it from bench to bedside since tissue plasminogen activator was introduced in 1996. The brain has a remarkable capacity for self-preservation, illustrated by the protective responses induced by ischemia, preconditioning and exercise. Here we describe the mechanisms underlying brain self-protection, with the goal of identifying features that could provide insight into stroke therapy. Unlike traditional therapeutic approaches based on counteracting selected pathways of the ischemic cascade, endogenous neuroprotection relies on coordinated neurovascular programs that support cerebral perfusion, mitigate the harmful effects of cerebral ischemia and promote tissue restoration. Learning how the brain triggers and implements these protective measures may advance our quest to treat stroke.