PMID- 30214637 OWN - NLM STAT- MEDLINE DCOM- 20190904 LR - 20190904 IS - 1838-7640 (Electronic) IS - 1838-7640 (Linking) VI - 8 IP - 16 DP - 2018 TI - AMPK: Potential Therapeutic Target for Ischemic Stroke. PG - 4535-4551 LID - 10.7150/thno.25674 [doi] AB - 5'-AMP-activated protein kinase (AMPK), a member of the serine/threonine (Ser/Thr) kinase group, is universally distributed in various cells and organs. It is a significant endogenous defensive molecule that responds to harmful stimuli, such as cerebral ischemia, cerebral hemorrhage, and, neurodegenerative diseases (NDD). Cerebral ischemia, which results from insufficient blood flow or the blockage of blood vessels, is a major cause of ischemic stroke. Ischemic stroke has received increased attention due to its '3H' effects, namely high mortality, high morbidity, and high disability. Numerous studies have revealed that activation of AMPK plays a protective role in the brain, whereas its action in ischemic stroke remains elusive and poorly understood. Based on existing evidence, we introduce the basic structure, upstream regulators, and biological roles of AMPK. Second, we analyze the relationship between AMPK and the neurovascular unit (NVU). Third, the actions of AMPK in different phases of ischemia and current therapeutic methods are discussed. Finally, we evaluate existing controversy and provide a detailed analysis, followed by ethical issues, potential directions, and further prospects of AMPK. The information complied here may aid in clinical and basic research of AMPK, which may be a potent drug candidate for ischemic stroke treatment in the future. FAU - Jiang, Shuai AU - Jiang S AD - Key Laboratory of Resource Biology and Biotechnology in Western China, Ministry of Education. Faculty of Life Sciences, Northwest University, 229 Taibai North Road, Xi'an 710069, China. AD - Department of Aerospace Medicine, The Fourth Military Medical University, 169 Changle West Road, Xi'an 710032, China. FAU - Li, Tian AU - Li T AD - Department of Biomedical Engineering, The Fourth Military Medical University, 169 Changle West Road, Xi'an 710032, China. FAU - Ji, Ting AU - Ji T AD - Key Laboratory of Resource Biology and Biotechnology in Western China, Ministry of Education. Faculty of Life Sciences, Northwest University, 229 Taibai North Road, Xi'an 710069, China. FAU - Yi, Wei AU - Yi W AD - Department of Cardiovascular Surgery, Xijing Hospital, The Fourth Military Medical University, 127 Changle West Road, Xi'an 710032, China. FAU - Yang, Zhi AU - Yang Z AD - Department of Biomedical Engineering, The Fourth Military Medical University, 169 Changle West Road, Xi'an 710032, China. FAU - Wang, Simeng AU - Wang S AD - Center for Human Nutrition, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390, USA. FAU - Yang, Yang AU - Yang Y AD - Key Laboratory of Resource Biology and Biotechnology in Western China, Ministry of Education. Faculty of Life Sciences, Northwest University, 229 Taibai North Road, Xi'an 710069, China. FAU - Gu, Chunhu AU - Gu C AD - Department of Cardiovascular Surgery, Xijing Hospital, The Fourth Military Medical University, 127 Changle West Road, Xi'an 710032, China. LA - eng PT - Journal Article PT - Review DEP - 20180810 PL - Australia TA - Theranostics JT - Theranostics JID - 101552395 RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) SB - IM MH - AMP-Activated Protein Kinases/chemistry/genetics/*metabolism MH - Animals MH - Brain Ischemia/*pathology/physiopathology/*therapy MH - Disease Models, Animal MH - Humans MH - Models, Theoretical MH - Molecular Targeted Therapy/*methods MH - Stroke/*pathology/physiopathology/*therapy PMC - PMC6134933 OTO - NOTNLM OT - *5'-AMP-activated protein kinase OT - *Autophagy OT - *Energy metabolism OT - *Ischemic stroke OT - *Metformin COIS- Competing Interests: The authors have declared that no competing interest exists. EDAT- 2018/09/15 06:00 MHDA- 2019/09/05 06:00 PMCR- 2018/01/01 CRDT- 2018/09/15 06:00 PHST- 2018/02/22 00:00 [received] PHST- 2018/07/16 00:00 [accepted] PHST- 2018/09/15 06:00 [entrez] PHST- 2018/09/15 06:00 [pubmed] PHST- 2019/09/05 06:00 [medline] PHST- 2018/01/01 00:00 [pmc-release] AID - thnov08p4535 [pii] AID - 10.7150/thno.25674 [doi] PST - epublish SO - Theranostics. 2018 Aug 10;8(16):4535-4551. doi: 10.7150/thno.25674. eCollection 2018.