stroke

Chest, Heart and Stroke Scotland

Chest, Heart and Stroke Scotland aims to improve the quality of life for people in Scotland affected by chest, heart and stroke illness, through medical research, influencing public policy, advice and information and support in the community.




stroke

FRET and optical trapping reveal mechanisms of actin activation of the power stroke and phosphate release in myosin V [Enzymology]

Myosins generate force and motion by precisely coordinating their mechanical and chemical cycles, but the nature and timing of this coordination remains controversial. We utilized a FRET approach to examine the kinetics of structural changes in the force-generating lever arm in myosin V. We directly compared the FRET results with single-molecule mechanical events examined by optical trapping. We introduced a mutation (S217A) in the conserved switch I region of the active site to examine how myosin couples structural changes in the actin- and nucleotide-binding regions with force generation. Specifically, S217A enhanced the maximum rate of lever arm priming (recovery stroke) while slowing ATP hydrolysis, demonstrating that it uncouples these two steps. We determined that the mutation dramatically slows both actin-induced rotation of the lever arm (power stroke) and phosphate release (≥10-fold), whereas our simulations suggest that the maximum rate of both steps is unchanged by the mutation. Time-resolved FRET revealed that the structure of the pre– and post–power stroke conformations and mole fractions of these conformations were not altered by the mutation. Optical trapping results demonstrated that S217A does not dramatically alter unitary displacements or slow the working stroke rate constant, consistent with the mutation disrupting an actin-induced conformational change prior to the power stroke. We propose that communication between the actin- and nucleotide-binding regions of myosin assures a proper actin-binding interface and active site have formed before producing a power stroke. Variability in this coupling is likely crucial for mediating motor-based functions such as muscle contraction and intracellular transport.




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Ischemic stroke disrupts the endothelial glycocalyx through activation of proHPSE via acrolein exposure [Molecular Bases of Disease]

Infiltration of peripheral immune cells after blood-brain barrier dysfunction causes severe inflammation after a stroke. Although the endothelial glycocalyx, a network of membrane-bound glycoproteins and proteoglycans that covers the lumen of endothelial cells, functions as a barrier to circulating cells, the relationship between stroke severity and glycocalyx dysfunction remains unclear. In this study, glycosaminoglycans, a component of the endothelial glycocalyx, were studied in the context of ischemic stroke using a photochemically induced thrombosis mouse model. Decreased levels of heparan sulfate and chondroitin sulfate and increased activity of hyaluronidase 1 and heparanase (HPSE) were observed in ischemic brain tissues. HPSE expression in cerebral vessels increased after stroke onset and infarct volume greatly decreased after co-administration of N-acetylcysteine + glycosaminoglycan oligosaccharides as compared with N-acetylcysteine administration alone. These results suggest that the endothelial glycocalyx was injured after the onset of stroke. Interestingly, scission activity of proHPSE produced by immortalized endothelial cells and HEK293 cells transfected with hHPSE1 cDNA were activated by acrolein (ACR) exposure. We identified the ACR-modified amino acid residues of proHPSE using nano LC–MS/MS, suggesting that ACR modification of Lys139 (6-kDa linker), Lys107, and Lys161, located in the immediate vicinity of the 6-kDa linker, at least in part is attributed to the activation of proHPSE. Because proHPSE, but not HPSE, localizes outside cells by binding with heparan sulfate proteoglycans, ACR-modified proHPSE represents a promising target to protect the endothelial glycocalyx.




stroke

A Mouse Brain-based Multi-omics Integrative Approach Reveals Potential Blood Biomarkers for Ischemic Stroke

Alba Simats
Dec 1, 2020; 19:1921-1935
Research




stroke

A Mouse Brain-based Multi-omics Integrative Approach Reveals Potential Blood Biomarkers for Ischemic Stroke [Research]

Stroke remains a leading cause of death and disability worldwide. Despite continuous advances, the identification of key molecular signatures in the hyper-acute phase of ischemic stroke is still a primary interest for translational research on stroke diagnosis, prognosis, and treatment. Data integration from high-throughput -omics techniques has become crucial to unraveling key interactions among different molecular elements in complex biological contexts, such as ischemic stroke. Thus, we used advanced data integration methods for a multi-level joint analysis of transcriptomics and proteomics data sets obtained from mouse brains at 2 h after cerebral ischemia. By modeling net-like correlation structures, we identified an integrated network of genes and proteins that are differentially expressed at a very early stage after stroke. We validated 10 of these deregulated elements in acute stroke, and changes in their expression pattern over time after cerebral ischemia were described. Of these, CLDN20, GADD45G, RGS2, BAG5, and CTNND2 were next evaluated as blood biomarkers of cerebral ischemia in mice and human blood samples, which were obtained from stroke patients and patients presenting stroke-mimicking conditions. Our findings indicate that CTNND2 levels in blood might potentially be useful for distinguishing ischemic strokes from stroke-mimicking conditions in the hyper-acute phase of the disease. Furthermore, circulating GADD45G content within the first 6 h after stroke could also play a key role in predicting poor outcomes in stroke patients. For the first time, we have used an integrative biostatistical approach to elucidate key molecules in the initial stages of stroke pathophysiology and highlight new notable molecules that might be further considered as blood biomarkers of ischemic stroke.




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Patients taking dabigatran to prevent stroke should avoid simvastatin and lovastatin, study suggests




stroke

Moderate alcohol intake is linked to lower risk of ischaemic stroke, study finds




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RCP warns over shortage of stroke physicians




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Lying flat after stroke achieves similar outcomes to sitting up, trial finds




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Endovascular treatment for acute ischaemic stroke in routine clinical practice: prospective, observational cohort study (MR CLEAN Registry)




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Thrombectomy can be considered up to 24 hours after onset of stroke, says NICE




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NICE recommends implantable monitor to identify atrial fibrillation after stroke




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Stroke: “striking reductions” are seen in number of people with symptoms seeking help




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Stroke: Take test for genetic variant to ensure clopidogrel works for prevention, says NICE




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Stroke: New NHS campaign urges people to call 999 as soon as symptoms show




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BSC Develops AI Model to Predict Stroke Risk Using Mobile Devices

Nov. 8, 2024 — Barcelona Supercomputing Center‘s Innostroke project aims to transform the prevention and monitoring of stroke, one of the leading causes of death and disability worldwide, through artificial […]

The post BSC Develops AI Model to Predict Stroke Risk Using Mobile Devices appeared first on HPCwire.




stroke

Ali Stroker Makes History, and More From the Tony Awards

The actress becomes the first wheelchair user ever to take home the coveted prize at the 73rd annual award show




stroke

Migraines With Aura May Raise Stroke Risk

Title: Migraines With Aura May Raise Stroke Risk
Category: Health News
Created: 8/25/2010 11:04:00 AM
Last Editorial Review: 8/25/2010 11:04:22 AM




stroke

Mechanical Blood Clot 'Retrievers' May Aid Stroke Patients

Title: Mechanical Blood Clot 'Retrievers' May Aid Stroke Patients
Category: Health News
Created: 8/27/2012 10:05:00 AM
Last Editorial Review: 8/27/2012 12:00:00 AM




stroke

Can Chocolate Lower Your Risk for Stroke?

Title: Can Chocolate Lower Your Risk for Stroke?
Category: Health News
Created: 8/30/2012 11:00:00 AM
Last Editorial Review: 8/30/2012 12:00:00 AM




stroke

Stress, a 'Type A' Personality May Boost Stroke Risk

Title: Stress, a 'Type A' Personality May Boost Stroke Risk
Category: Health News
Created: 8/30/2012 10:05:00 AM
Last Editorial Review: 8/30/2012 12:00:00 AM




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Adding Plavix to Aspirin Doesn't Help Guard Against Second Stroke: Study

Title: Adding Plavix to Aspirin Doesn't Help Guard Against Second Stroke: Study
Category: Health News
Created: 8/29/2012 6:05:00 PM
Last Editorial Review: 8/30/2012 12:00:00 AM




stroke

Stress Linked to Stroke

Title: Stress Linked to Stroke
Category: Health News
Created: 8/31/2012 11:00:00 AM
Last Editorial Review: 8/31/2012 12:00:00 AM




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Heart Attacks, Strokes Jumped After Japan Earthquake, Study Finds

Title: Heart Attacks, Strokes Jumped After Japan Earthquake, Study Finds
Category: Health News
Created: 8/30/2012 2:05:00 PM
Last Editorial Review: 8/31/2012 12:00:00 AM




stroke

Hospitals Increasingly Give Powerful Clot-Buster for Stroke

Title: Hospitals Increasingly Give Powerful Clot-Buster for Stroke
Category: Health News
Created: 8/23/2013 12:35:00 PM
Last Editorial Review: 8/26/2013 12:00:00 AM




stroke

Mental Decline a Risk Factor for Stroke, Study Suggests

Title: Mental Decline a Risk Factor for Stroke, Study Suggests
Category: Health News
Created: 8/25/2014 12:36:00 PM
Last Editorial Review: 8/26/2014 12:00:00 AM




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Childhood Cancer Survivors Who've Had One Stroke at Risk of Second

Title: Childhood Cancer Survivors Who've Had One Stroke at Risk of Second
Category: Health News
Created: 8/26/2015 12:00:00 AM
Last Editorial Review: 8/27/2015 12:00:00 AM




stroke

Mouse Study Suggests Stem Cells May Reverse Stroke Damage

Title: Mouse Study Suggests Stem Cells May Reverse Stroke Damage
Category: Health News
Created: 8/22/2016 12:00:00 AM
Last Editorial Review: 8/23/2016 12:00:00 AM




stroke

Blood Test Might Someday Predict Your Stroke Risk

Title: Blood Test Might Someday Predict Your Stroke Risk
Category: Health News
Created: 8/24/2016 12:00:00 AM
Last Editorial Review: 8/25/2016 12:00:00 AM




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Calcium in Arteries May Best Predict Risk of Heart Attack, Stroke

Title: Calcium in Arteries May Best Predict Risk of Heart Attack, Stroke
Category: Health News
Created: 8/31/2017 12:00:00 AM
Last Editorial Review: 9/1/2017 12:00:00 AM




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Secret Tunnels Between Skull, Brain Speed Immune Cells After Stroke in Mice

Title: Secret Tunnels Between Skull, Brain Speed Immune Cells After Stroke in Mice
Category: Health News
Created: 8/27/2018 12:00:00 AM
Last Editorial Review: 8/28/2018 12:00:00 AM




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For Seniors, 'Silent Strokes' Are Common Post-Surgery Threat: Study

Title: For Seniors, 'Silent Strokes' Are Common Post-Surgery Threat: Study
Category: Health News
Created: 8/26/2019 12:00:00 AM
Last Editorial Review: 8/27/2019 12:00:00 AM




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AHA News: Study of Skiers Holds Surprises About A-Fib, Stroke and Intense Exercise

Title: AHA News: Study of Skiers Holds Surprises About A-Fib, Stroke and Intense Exercise
Category: Health News
Created: 8/26/2019 12:00:00 AM
Last Editorial Review: 8/27/2019 12:00:00 AM




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AHA News: Mysterious Stroke at 38 Changed How Popular Speaker Connects With a Crowd

Title: AHA News: Mysterious Stroke at 38 Changed How Popular Speaker Connects With a Crowd
Category: Health News
Created: 8/28/2019 12:00:00 AM
Last Editorial Review: 8/29/2019 12:00:00 AM




stroke

Kids in Hot Cars: How to Prevent Heatstroke Deaths

Title: Kids in Hot Cars: How to Prevent Heatstroke Deaths
Category: Health News
Created: 8/29/2019 12:00:00 AM
Last Editorial Review: 8/30/2019 12:00:00 AM




stroke

Rare 'Brain Vein' Strokes Are on the Rise

Title: Rare 'Brain Vein' Strokes Are on the Rise
Category: Health News
Created: 8/26/2020 12:00:00 AM
Last Editorial Review: 8/27/2020 12:00:00 AM




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AHA News: She Had a 20% Chance to Live First From a Stroke, Then From COVID-19

Title: AHA News: She Had a 20% Chance to Live First From a Stroke, Then From COVID-19
Category: Health News
Created: 8/27/2020 12:00:00 AM
Last Editorial Review: 8/28/2020 12:00:00 AM




stroke

Too Much Screen Time Could Raise Your Odds for Stroke

Title: Too Much Screen Time Could Raise Your Odds for Stroke
Category: Health News
Created: 8/23/2021 12:00:00 AM
Last Editorial Review: 8/23/2021 12:00:00 AM




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AHA News: After Three Strokes, He 'Overheard' the Grim Prognosis and Fought Back

Title: AHA News: After Three Strokes, He 'Overheard' the Grim Prognosis and Fought Back
Category: Health News
Created: 8/20/2021 12:00:00 AM
Last Editorial Review: 8/23/2021 12:00:00 AM




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AHA News: He Got Help F.A.S.T. For His Stroke. His Mother Wasn't as Lucky.

Title: AHA News: He Got Help F.A.S.T. For His Stroke. His Mother Wasn't as Lucky.
Category: Health News
Created: 8/26/2021 12:00:00 AM
Last Editorial Review: 8/26/2021 12:00:00 AM




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AHA News: People With Dementia May Be Less Likely to Receive an Advanced Treatment For Stroke

Title: AHA News: People With Dementia May Be Less Likely to Receive an Advanced Treatment For Stroke
Category: Health News
Created: 8/24/2022 12:00:00 AM
Last Editorial Review: 8/24/2022 12:00:00 AM




stroke

Most Post-Stroke Depression Still Goes Untreated

Title: Most Post-Stroke Depression Still Goes Untreated
Category: Health News
Created: 7/25/2022 12:00:00 AM
Last Editorial Review: 7/25/2022 12:00:00 AM




stroke

Optimal Endovascular Therapy Technique for Isolated Intracranial Atherothrombotic Stroke-Related Large-Vessel Occlusion in the Acute-to-Subacute Stage [CLINICAL PRACTICE]

BACKGROUND AND PURPOSE:

Reocclusion after treatment is a concern in endovascular therapy for isolated intracranial atherothrombotic stroke-related large-vessel occlusion (AT-LVO). However, the optimal endovascular therapy technique for AT-LVO has not yet been investigated. This study evaluated the optimal endovascular therapy technique for AT-LVO in a real-world setting.

MATERIALS AND METHODS:

We conducted a historical, multicenter registry study at 51 centers that enrolled patients with AT-LVO. We divided the patients into 3 groups based on the endovascular therapy technique: mechanical thrombectomy alone, percutaneous transluminal angioplasty (PTA), and stent deployment. Mechanical thrombectomy alone was classified into the mechanical thrombectomy-only group; PTA and mechanical thrombectomy–PTA, into the PTA group; and mechanical thrombectomy–stent deployment, mechanical thrombectomy–PTA–stent deployment, PTA–stent deployment, and stent deployment–only into the stent group. The primary outcome was incidence of reocclusion of the treated vessels within 90 days of endovascular therapy completion.

RESULTS:

We enrolled 770 patients and analyzed 509 patients. The rates in the mechanical thrombectomy-only, PTA, and stent deployment groups were 40.7%, 44.4%, and 14.9%, respectively. Incidence rate of residual stenosis >70% of final angiography was significantly higher in the mechanical thrombectomy-only group than in the PTA and stent deployment groups (mechanical thrombectomy-only versus PTA versus stent deployment: 34.5% versus 26.3% versus 13.2%, P = .002). Reocclusion rate was significantly lower in the PTA group than in the mechanical thrombectomy-only group (adjusted hazard ratio, 0.48; 95% CI, 0.29–0.80). Of the patients, 83.5% experienced reocclusion within 10 days after endovascular therapy. Alarmingly, a substantial subset (approximately 62.0%) of patients experienced reocclusion within 2 days of endovascular therapy. Incidence of mRS scores of 0–2 ninety days after endovascular therapy was not significantly different among the 3 groups. Incidences of symptomatic intracranial hemorrhage, any other intracranial hemorrhage, and death were not significantly different.

CONCLUSIONS:

Incidence rate of reocclusion was significantly lower in the PTA group than in the mechanical thrombectomy-only group. We found no meaningful difference in reocclusion rates between the stent deployment and mechanical thrombectomy-only groups. In Japan, glycoprotein IIb/IIIa inhibitors are not reimbursed. Therefore, PTA might be the preferred choice for AT-LVOs due to the higher reocclusion risk with mechanical thrombectomy-only. Reocclusion was likely to occur within 10 days, particularly within 2 days post-endovascular therapy.




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Commonwealth Games 2022: Shock in the pool as Adam Peaty out of the medals in 100m breaststroke

  • Track cycling abandoned after riders and fans caught in huge crash
  • England's Jake Jarman takes gold in the men's all-round gymnastics final while James Hall takes silver
  • England's Ondine Achampong wins silver in women's all-around
  • Alice Tai wins gold in the pool just six months after having her leg amputated 
  • Shock as Peaty finishes out of the medals in the 100m breaststroke as James Wilby wins gold
  • ]]>




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    Adam Peaty accused of disrespecting Commonwealth Games after roaring into breaststroke final

    Adam Peaty roared back at those writing him off after cruising through his 50 metres breaststroke semi-final – but was later accused of being disrespectful towards Commonwealth Games competitors.

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    stroke

    HEART RHYTHM SOCIETY RAISES AWARENESS OF THE DEVASTATING IMPACT OF AFIB-RELATED STROKE FOR MILLIONS OF AMERICANS - AFib Can Cause A Stroke - :60-PSA

    Atrial Fibrillation affects your heart, but it can also affect your mind. The risk of stroke is five times higher in those with AFib. Learn more and take an online AFib risk assessment at MyAFib.org (1)




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    Could this little robot help rehabilitate stroke patients?

    Robotic "coaches" programmed to guide stroke patients through rehabilitation exercises could soon be tested in Scotland.




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    Nurses: Key Players in Stroke Recovery

    Nurses play a crucial role in addressing the emotional and social needs of medlinkstroke/medlink patients, helping them navigate the challenges of