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Biological Networks in Ischemic Tolerance — Rethinking the Approach to Clinical Conditioning

机译:缺血耐受性中的生物网络—对临床调理方法的重新思考

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The adaptive response (conditioning) to environmental stressors evokes evolutionarily conserved programs in uni- and multicellular organisms that result in increased fitness and resistance to stressor induced injury. Although the concept of conditioning has been around for a while, its translation into clinical therapies targeting neurovascular diseases has only recently begun. The slow pace of clinical adoption might be partially explained by our poor understanding of underpinning mechanisms and of the complex responses of the organism to the stressor. At the 2nd Translational Preconditioning Meeting, participants engaged in an intense discussion addressing whether the time has come to more aggressively implement clinical conditioning protocols in the treatment of cerebrovascular diseases or whether it would be better to wait until preclinical data would help to minimize clinical empiricism. This review addresses the complex involvement of biological networks in establishing ischemic tolerance at the organism level using two clinically promising conditioning modalities, namely remote ischemic preconditioning, and per- or post-conditioning, as examples.
机译:对环境应激源的适应性反应(调节)在单细胞和多细胞生物中引发进化保守的程序,导致适应性增强和对应激源诱发的伤害的抵抗力提高。尽管调节的概念已经存在了一段时间,但其转化为针对神经血管疾病的临床疗法才刚刚开始。临床采用步伐缓慢的部分原因可能是由于我们对基本机制和生物体对应激物的复杂反应的了解不足。在第二届翻译预适应会议上,与会人员进行了激烈的讨论,讨论是否是时候更积极地在脑血管疾病的治疗中实施临床适应方案了,还是最好等到临床前数据有助于最大程度地减少临床经验。这篇综述使用两个临床上有希望的调节方式,即远程缺血预处理和过或后调节,举例说明了生物网络在生物体水平建立缺血耐受中的复杂参与。

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