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KMID : 1237720210540020165
Anatomy & Cell Biology
2021 Volume.54 No. 2 p.165 ~ p.177
Blood-brain barrier dysfunction in ischemic stroke and diabetes: the underlying link, mechanisms and future possible therapeutic targets
Wicha Piyawadee

Das Srijit
Mahakkanukrauh Pasuk
Abstract
Ischemic stroke caused by occlusion of cerebral artery is responsible for the majority of stroke that increases the morbidity and mortality worldwide. Diabetes mellitus (DM) is a crucial risk factor for ischemic stroke. Prolonged DM causes various microvascular and macrovascular changes, and blood-brain barrier (BBB) permeability that facilitates inflammatory response following stroke. In the acute phase following stroke, BBB disruption has been considered the initial step that induces neurological deficit and functional disabilities. Stroke outcomes are significantly worse among DM. In this article, we review stroke with diabetes-induce BBB damage, as well as underlying mechanism and possible therapeutic targets for stroke with diabetes.
KEYWORD
Blood-brain barrier, Diabetes mellitus, Hyperglycemia, Inflammation, Ischemic stroke
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