2011
DOI: 10.1007/s13311-011-0029-1
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Targeting Microvasculature for Neuroprotection after SCI

Abstract: Summary Spinal cord injury (SCI) is characterized by secondary degeneration, which leads to tissue loss at the epicenter and subsequent functional deficits. This review provides insight into the pathophysiology of microvascular dysfunction and endothelial cell loss, which are among the earliest responses during the first postinjury day. The enigmatic role of the angiogenic response in the penumbra around the lost tissue, which occurs during the first 2 weeks, is also discussed. The importance of stabilizing an… Show more

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Cited by 64 publications
(59 citation statements)
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References 158 publications
(205 reference statements)
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“…Endothelial cells, basement membranes, pericytes, and astrocytic end-feet processes constitute a specialized system for this functional barrier [5]. Early microvascular reactions and BSCB disruption are instrumental in the pathophysiology of SCI and repair [6,7].…”
Section: Electronic Supplementary Materialsmentioning
confidence: 99%
“…Endothelial cells, basement membranes, pericytes, and astrocytic end-feet processes constitute a specialized system for this functional barrier [5]. Early microvascular reactions and BSCB disruption are instrumental in the pathophysiology of SCI and repair [6,7].…”
Section: Electronic Supplementary Materialsmentioning
confidence: 99%
“…Following SCI, the specialized microstructure of the bloodspinal cord barrier is damaged, and the permeability between spinal cord tissue and blood vessels is unrestricted until the subacute phase [110] . Thus, by harnessing this window of barrier impairment, the delivery of pharmacological agents is a feasible approach to treat SCi.…”
Section: Pharmacological Strategiesmentioning
confidence: 99%
“…The lack of local vascular tissue at the injury site hinders the ability of the body to self-heal and limits the use of treatment measures. Reducing blood loss, promoting new blood vessel formation, and restoring blood supply to the lesions may contribute to the recovery of spinal cord injury (Fassbender et al, 2011). One of the primary mechanisms of vascular formation and proliferation involves increased expression of vascular endothelial growth factor (VEGF).…”
Section: Introductionmentioning
confidence: 99%