TY - JOUR PY - 2015// TI - Pharmacological preventions of brain injury following experimental germinal matrix hemorrhage: an up-to-date review JO - Translational stroke research A1 - Tang, Jun A1 - Tao, Yihao A1 - Jiang, Bing A1 - Chen, Qianwei A1 - Hua, Feng A1 - Zhang, John A1 - Zhu, Gang A1 - Chen, Zhiyong SP - 20 EP - 32 VL - 7 IS - 1 N2 - Germinal matrix hemorrhage (GMH) is defined as the rupture of immature blood vessels in the subependymal zone of premature infants with significant mortality and morbidity. Considering the notable social and ecological stress brought by GMH-induced brain injury and sequelae, safe and efficient pharmacological preventions are badly needed. Currently, several appropriate animal models are available to mimic the clinical outcomes of GMH in human patients. In the long run, hemorrhagic strokes are the research target. Previously, we found that minocycline was efficient to alleviate GMH-induced brain edema and posthemorrhagic hydrocephalus (PHH) in rats, which may be closely related to the activation of cannabinoid receptor 2 (CB2R). However, how the two molecules correlate and the underlined molecular pathway remain unknown. To extensively understand current experimental GMH treatment, this literature review critically evaluates existing therapeutic strategies, potential treatments, and potentially involved molecular mechanisms. Each strategy has its own advantages and disadvantages. Some of the mechanisms are still controversial, requiring an increasing number of animal experiments before the therapeutic strategy would be widely accepted.

Language: en

LA - en SN - 1868-4483 UR - http://dx.doi.org/10.1007/s12975-015-0432-8 ID - ref1 ER -