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The Inflammatory Response and Its Effect on Rehabilitation-Induced Repair Processes After Stroke

  • Ali Alawieh
  • Farris Langley
  • Stephen TomlinsonEmail author
Chapter
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Part of the Springer Series in Translational Stroke Research book series (SSTSR)

Abstract

Post-stroke inflammation is associated with a significant exacerbation of acute injury, and at the same time promotes an unfavorable environment for regeneration and recovery. Sustained inflammation after stroke is associated with poor motor and cognitive recovery and limits the ability of the brain to engage in and benefit from rehabilitation paradigms. Stroke comorbidities such as aging, diabetes, and smoking are all associated with a more robust neuroinflammatory response after stroke and poor outcomes. Preclinical and clinical studies have not yet investigated the role of post-stroke neuroinflammation in predicting the response to rehabilitation therapy. Here, we review the interaction between post-stroke neuroinflammation and determinants of response to rehabilitation therapy, we discuss the few studies that used anti-inflammatory therapy to boost the response to rehabilitative interventions, and we emphasize the need for combining anti-inflammatory therapy and rehabilitation in both therapeutic and mechanistic studies of experimental stroke.

Keywords

Inflammation Post-stroke plasticity Stroke Neurogenesis Rehabilitation Combination therapy 

Abbreviations

NSAID

Nonsteroidal anti-inflammatory drug

CRP

C-reactive protein

SVZ

Sub-ventricular zone

SGZ

Sub-granular zone

CR2-fH

Complement receptor 2—Factor H

RV

Resveratrol

sTNFαR1

soluble Tumor Necrosis Factor α receptor 1

TNFα

Tumor Necrosis Factor α

Notes

Acknowledgements

Authors acknowledge support from the NIH (1P20GM109040, U54 GM10494) to ST, the Department of Veterans Affairs (Merit Award 1I01RX001141 and 1BX001218) to ST, and an American Heart Association Pre-doctoral Fellowship to AA (15PRE25250009).

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Ali Alawieh
    • 1
    • 2
  • Farris Langley
    • 1
    • 2
  • Stephen Tomlinson
    • 1
    • 3
    • 4
    Email author
  1. 1.Department of Microbiology and ImmunologyMedical University of South CarolinaCharlestonUSA
  2. 2.Medical Scientist Training ProgramMedical University of South CarolinaCharlestonUSA
  3. 3.Ralph H. Johnson VA Medical CenterCharlestonUSA
  4. 4.CharlestonUSA

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