PMID- 10584265 OWN - NLM STAT- MEDLINE DCOM- 19991221 LR - 20090528 IS - 0210-0010 (Print) IS - 0210-0010 (Linking) VI - 29 IP - 6 DP - 1999 Sep 16-30 TI - [Neuronal death mechanisms in cerebral ischemia]. PG - 515-21 AB - INTRODUCTION: Morphological and biochemical studies have shown an apoptotic component in neurons following either focal or global ischemia in adults, or hypoxia-ischemia during development. DEVELOPMENT: Different factors, including transcription factors, members of the Bcl-2 family, caspases and trophic factors, participate in the cascade of events leading to cell death. Transcription factor c-Jun is induced and expressed in the three models of ischemia as a non-specific response to the ischemic stress. The role played by the different members of the Bcl-2 family is not clear in cerebral ischemia. It is feasible that Bcl-2 expression is not sufficient to protect nerve cells from dying in those animals with physiological dotations of this protein. Yet Bcl-xS may have a role in ischemia-induced cell death following global ischemia in the adult or hypoxia-ischemia during development. Recent studies have also shown a similar putative role of caspase 1 and caspase 3 following cerebral ischemia. Finally, the ischemic insult is usually accompanied by modifications in the expression of neurotrophins and receptors. CONCLUSIONS: Brain-derived neurotrophic factor (BDNF) administration preserves nerve cells from dying following focal or global ischemia in adults, and hypoxia-ischemia during development. This positive effect is probably dependent on the cross-signaling between BDNF and its specific receptor TrkB. Cumulative evidence in experimental models indicates BDNF as a putative agent in the treatment of cerebral ischemia in humans. FAU - Ferrer, I AU - Ferrer I AD - Unidad de Neuropatologia, Hospital Principes de Espana, Bellvitge, Espana. iferrer@sakma.es LA - spa PT - English Abstract PT - Journal Article PT - Review TT - Mecanismos de muerte neuronal en la isquemia cerebral. PL - Spain TA - Rev Neurol JT - Revista de neurologia JID - 7706841 RN - 0 (Brain-Derived Neurotrophic Factor) SB - IM MH - Adult MH - Apoptosis/drug effects/*genetics MH - Brain Ischemia/drug therapy/genetics/*pathology MH - Brain-Derived Neurotrophic Factor/pharmacology/therapeutic use MH - Cell Death/drug effects/*genetics MH - Gene Expression/genetics MH - Genes, bcl-2/genetics MH - Genes, jun/genetics MH - Humans MH - Neurons/drug effects/*pathology MH - Transcription, Genetic/genetics RF - 118 EDAT- 1999/12/10 00:00 MHDA- 1999/12/10 00:01 CRDT- 1999/12/10 00:00 PHST- 1999/12/10 00:00 [pubmed] PHST- 1999/12/10 00:01 [medline] PHST- 1999/12/10 00:00 [entrez] PST - ppublish SO - Rev Neurol. 1999 Sep 16-30;29(6):515-21.