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AMPK: Potential Therapeutic Target for Ischemic Stroke

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Journal Theranostics
Date 2018 Sep 15
PMID 30214637
Citations 91
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Abstract

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.

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References
1.
Ohira M, Endo K, Saiki A, Miyashita Y, Terai K, Murano T . Atorvastatin and pitavastatin enhance lipoprotein lipase production in L6 skeletal muscle cells through activation of adenosine monophosphate-activated protein kinase. Metabolism. 2012; 61(10):1452-60. DOI: 10.1016/j.metabol.2012.03.010. View

2.
Gammie S, Driessen T, Zhao C, Saul M, Eisinger B . Genetic and neuroendocrine regulation of the postpartum brain. Front Neuroendocrinol. 2016; 42:1-17. PMC: 5030130. DOI: 10.1016/j.yfrne.2016.05.002. View

3.
Ran Q, Chen H, Liu Y, Yu H, Shi F, Wang M . Electroacupuncture preconditioning attenuates ischemic brain injury by activation of the adenosine monophosphate-activated protein kinase signaling pathway. Neural Regen Res. 2015; 10(7):1069-75. PMC: 4541236. DOI: 10.4103/1673-5374.160095. View

4.
Carling D . AMPK signalling in health and disease. Curr Opin Cell Biol. 2017; 45:31-37. DOI: 10.1016/j.ceb.2017.01.005. View

5.
van der Worp H, Sena E, Donnan G, Howells D, Macleod M . Hypothermia in animal models of acute ischaemic stroke: a systematic review and meta-analysis. Brain. 2007; 130(Pt 12):3063-74. DOI: 10.1093/brain/awm083. View