PMID- 18076367 OWN - NLM STAT- MEDLINE DCOM- 20080411 LR - 20191110 IS - 1744-7631 (Electronic) IS - 1472-8222 (Linking) VI - 12 IP - 1 DP - 2008 Jan TI - Targeting ischemic brain injury with intravenous immunoglobulin. PG - 19-29 AB - BACKGROUND: Intravenous immunoglobulin (IVIG) is a therapeutic modality approved for the treatment of autoimmune disorders. OBJECTIVE: This review discusses how IVIG can prevent brain damage following ischemic stroke and discuss the potential mechanisms of action. METHODS: Medline and the world wide web were searched and the relevant literature was classified under the following categories: IVIG, IVIG mechanism of action, and ischemic stroke injury mechanisms. RESULTS/CONCLUSION: Brain ischemia induces an inflammatory response that contributes to neuronal cell death. Because of its ability to block multiple molecular events, IVIG may have particularly strong neuroprotective action against ischemic brain injury. In light of the extensive clinical experience with IVIG for other indications, development of clinical trials to evaluate the use of IVIG in human stroke patients are warranted. FAU - Arumugam, Thiruma V AU - Arumugam TV AD - Texas Tech University Health Sciences Center, Department of Pharmaceutical Sciences, School of Pharmacy, Amarillo, Texas 79106, USA. thiruma.arumugam@ttuhsc.edu FAU - Selvaraj, Pradeep K AU - Selvaraj PK FAU - Woodruff, Trent M AU - Woodruff TM FAU - Mattson, Mark P AU - Mattson MP LA - eng GR - Intramural NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Intramural PT - Review PL - England TA - Expert Opin Ther Targets JT - Expert opinion on therapeutic targets JID - 101127833 RN - 0 (Immunoglobulins, Intravenous) SB - IM MH - Animals MH - Brain Injuries/drug therapy/metabolism MH - Brain Ischemia/*drug therapy/metabolism MH - Drug Delivery Systems/*methods/trends MH - Humans MH - Immunoglobulins, Intravenous/*administration & dosage MH - Signal Transduction/drug effects/physiology RF - 114 EDAT- 2007/12/14 09:00 MHDA- 2008/04/12 09:00 CRDT- 2007/12/14 09:00 PHST- 2007/12/14 09:00 [pubmed] PHST- 2008/04/12 09:00 [medline] PHST- 2007/12/14 09:00 [entrez] AID - 10.1517/14728222.12.1.19 [doi] PST - ppublish SO - Expert Opin Ther Targets. 2008 Jan;12(1):19-29. doi: 10.1517/14728222.12.1.19.