An updated review of autophagy in ischemic stroke: From mechanisms to therapies

Exp Neurol. 2021 Jun:340:113684. doi: 10.1016/j.expneurol.2021.113684. Epub 2021 Mar 5.

Abstract

Stroke is a leading cause of mortality and morbidity worldwide. Understanding the underlying mechanisms is important for developing effective therapies for treating stroke. Autophagy is a self-eating cellular catabolic pathway, which plays a crucial homeostatic role in the regulation of cell survival. Increasing evidence shows that autophagy, observed in various cell types, plays a critical role in brain pathology after ischemic stroke. Therefore, the regulation of autophagy can be a potential target for ischemic stroke treatment. In the present review, we summarize the recent progress that research has made regarding autophagy and ischemic stroke, including common signaling pathways, the role of autophagic subtypes (e.g. mitophagy, pexophagy, aggrephagy, endoplasmic reticulum-phagy, and lipophagy) in ischemic stroke, as well as the current methods for autophagy detection and potential therapeutic strategy.

Keywords: Autophagy; Autophagy detection; Endoplasmic reticulum -phagy; Ischemia stroke; Mitophagy; Therapies.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Autophagy / physiology*
  • Brain Ischemia / metabolism*
  • Brain Ischemia / pathology
  • Brain Ischemia / therapy*
  • Endoplasmic Reticulum Stress / physiology
  • Humans
  • Inflammation Mediators / metabolism
  • Ischemic Stroke / metabolism*
  • Ischemic Stroke / pathology
  • Ischemic Stroke / therapy*
  • Mitophagy / physiology
  • Signal Transduction / physiology

Substances

  • Inflammation Mediators