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• W1972544011 abstract "Global or focal sublethal cerebral ischaemia for a few minutes confers transient tolerance to a subsequent more severe and sustained ischaemic event. This phenomenon, called ischaemic tolerance, has been demonstrated in animal models of cerebral ischaemia, and in other diseases of the central nervous system, 1 Schaller B Graf R Cerebral ischemic preconditioning: an experimental phenomenon or clinical important entity of stroke prevention?. J Neurol. 2002; 11: 1503-1511 Crossref Scopus (133) Google Scholar , 2 Dirnagl U Simon RP Hallenbeck JM Ischemic tolerance and endogenous neuroprotection. Trends Neurosci. 2003; 26: 248-254 Summary Full Text Full Text PDF PubMed Scopus (709) Google Scholar and can be observed in human beings with different conditions of reduced cerebral blood flow. 3 Moncayo J deFreitas GR Bogousslavsky J Altieri M van Melle G Do transient ischemic attacks have a neuroprotective effect?. Neurology. 2000; 54: 2089-2094 Crossref PubMed Scopus (250) Google Scholar , 4 Hadjikhani N Sanchez Del Rio M Wu O et al. Mechanisms of migraine aura revealed by functional MRI in human visual cortex. Proc Natl Acad Sci USA. 2001; 98: 4687-4692 Crossref PubMed Scopus (1137) Google Scholar Ischaemic tolerance seems to be a fundamental nonspecific cellular response, because its signals, transducers, and effectors have also been seen in hypoxia-tolerant or hibernating animals. 5 Bickler PE Donohoe PH Buck LT Molecular adaptations for survival during anoxia: lessons from lower vertebrates. Neuroscientist. 2002; 8: 234-242 Crossref PubMed Scopus (32) Google Scholar Because ischaemic tolerance can confer endogenous neuroprotection, the underlying molecular mechanisms of tolerance induction have been studied extensively in animal models and in cell culture. 1 Schaller B Graf R Cerebral ischemic preconditioning: an experimental phenomenon or clinical important entity of stroke prevention?. J Neurol. 2002; 11: 1503-1511 Crossref Scopus (133) Google Scholar , 2 Dirnagl U Simon RP Hallenbeck JM Ischemic tolerance and endogenous neuroprotection. Trends Neurosci. 2003; 26: 248-254 Summary Full Text Full Text PDF PubMed Scopus (709) Google Scholar , 3 Moncayo J deFreitas GR Bogousslavsky J Altieri M van Melle G Do transient ischemic attacks have a neuroprotective effect?. Neurology. 2000; 54: 2089-2094 Crossref PubMed Scopus (250) Google Scholar , 6 Prass K Ruscher K Kursch M et al. Desferrioxamine induces delayed tolerance against cerebral ischemia in vivo and in vitro. J Cereb Blood Flow Metab. 2002; 22: 520-525 Crossref PubMed Scopus (170) Google Scholar , 7 Kapinya KJ Lowl D Futterer C et al. Tolerance against ischemic neuronal injury can be induced by volatile anaesthetics and is inducible NO synthase dependent. Stroke. 2002; 33: 1889-1898 Crossref PubMed Scopus (259) Google Scholar , 8 Shimizu K Lacza Z Rajapakse N Horiguchi T Snipes J Busija DW MitoKATP opener, diazoxide, reduces neuronal damage after middle cerebral artery occlusion in the rat. Am J Physiol Heart Circ Physiol. 2002; 283: H1005-H1011 Crossref PubMed Scopus (110) Google Scholar From this knowledge, cerebral ischaemic tolerance can be subdivided into at least two temporal profiles: a “classical” rapid form, in which the trigger induces neuroprotection within minutes; and a “delayed” form, in which the protected cellular state develops over hours or days and usually involves de-novo protein synthesis. 1 Schaller B Graf R Cerebral ischemic preconditioning: an experimental phenomenon or clinical important entity of stroke prevention?. J Neurol. 2002; 11: 1503-1511 Crossref Scopus (133) Google Scholar Effect of ischaemic preconditioning on genomic response to cerebral ischaemia: similarity to neuroprotective strategies in hibernation and hypoxia-tolerant statesPreconditioning reprogrammes the response to ischaemic injury. Similar changes reported by others support an evolutionarily conserved endogenous response to decreased blood flow and oxygen limitation such as seen during hibernation. Full-Text PDF" @default.
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• W1972544011 title "Ischaemic tolerance: a window to endogenous neuroprotection?" @default.
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