Thromboinflammation in Brain Ischemia: Recent Updates and Future Perspectives

Stroke. 2022 May;53(5):1487-1499. doi: 10.1161/STROKEAHA.122.038733. Epub 2022 Apr 1.

Abstract

Despite decades of promising preclinical validation and clinical translation, ischemic stroke still remains as one of the leading causes of death and disability worldwide. Within its complex pathophysiological signatures, thrombosis and inflammation, that is, thromboinflammation, are highly interconnected processes leading to cerebral vessel occlusion, inflammatory responses, and severe neuronal damage following the ischemic event. Hence, we here review the most recent updates on thromboinflammatory-dependent mediators relevant after stroke focusing on recent discoveries on platelet modulation, a potential regulation of the innate and adaptive immune system in thromboinflammation, utterly providing a thorough up-to-date overview of all therapeutic approaches currently undergoing clinical trial.

Keywords: inflammation; ischemic stroke; microglia; thromboinflammation; thrombosis.

Publication types

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

MeSH terms

  • Brain Ischemia* / drug therapy
  • Humans
  • Inflammation
  • Stroke* / drug therapy
  • Thromboinflammation
  • Thrombosis*