Complement Inhibition as a Proposed Neuroprotective Strategy following Cardiac Arrest

Out-of-hospital cardiac arrest (OHCA) is a devastating disease process with neurological injury accounting for a disproportionate amount of the morbidity and mortality following return of spontaneous circu...

Full description

Saved in:
Bibliographic Details
Main Authors: Brad E. Zacharia, Zachary L. Hickman, Bartosz T. Grobelny, Peter A. DeRosa, Andrew F. Ducruet, E. Sander Connolly
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2009/124384
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832550473286025216
author Brad E. Zacharia
Zachary L. Hickman
Bartosz T. Grobelny
Peter A. DeRosa
Andrew F. Ducruet
E. Sander Connolly
author_facet Brad E. Zacharia
Zachary L. Hickman
Bartosz T. Grobelny
Peter A. DeRosa
Andrew F. Ducruet
E. Sander Connolly
author_sort Brad E. Zacharia
collection DOAJ
description Out-of-hospital cardiac arrest (OHCA) is a devastating disease process with neurological injury accounting for a disproportionate amount of the morbidity and mortality following return of spontaneous circulation. A dearth of effective treatment strategies exists for global cerebral ischemia-reperfusion (GCI/R) injury following successful resuscitation from OHCA. Emerging preclinical as well as recent human clinical evidence suggests that activation of the complement cascade plays a critical role in the pathogenesis of GCI/R injury following OHCA. In addition, it is well established that complement inhibition improves outcome in both global and focal models of brain ischemia. Due to the profound impact of GCI/R injury following OHCA, and the relative lack of effective neuroprotective strategies for this pathologic process, complement inhibition provides an exciting opportunity to augment existing treatments to improve patient outcomes. To this end, this paper will explore the pathophysiology of complement-mediated GCI/R injury following OHCA.
format Article
id doaj-art-2b29f388e5e340919fc2b45ac2b414f4
institution Kabale University
issn 0962-9351
1466-1861
language English
publishDate 2009-01-01
publisher Wiley
record_format Article
series Mediators of Inflammation
spelling doaj-art-2b29f388e5e340919fc2b45ac2b414f42025-02-03T06:06:36ZengWileyMediators of Inflammation0962-93511466-18612009-01-01200910.1155/2009/124384124384Complement Inhibition as a Proposed Neuroprotective Strategy following Cardiac ArrestBrad E. Zacharia0Zachary L. Hickman1Bartosz T. Grobelny2Peter A. DeRosa3Andrew F. Ducruet4E. Sander Connolly5Department of Neurological Surgery, Columbia University, 710 W. 168th Street, New York, NY 10032, USADepartment of Neurological Surgery, Columbia University, 710 W. 168th Street, New York, NY 10032, USADepartment of Neurological Surgery, Columbia University, 710 W. 168th Street, New York, NY 10032, USADepartment of Neurological Surgery, Columbia University, 710 W. 168th Street, New York, NY 10032, USADepartment of Neurological Surgery, Columbia University, 710 W. 168th Street, New York, NY 10032, USADepartment of Neurological Surgery, Columbia University, 710 W. 168th Street, New York, NY 10032, USAOut-of-hospital cardiac arrest (OHCA) is a devastating disease process with neurological injury accounting for a disproportionate amount of the morbidity and mortality following return of spontaneous circulation. A dearth of effective treatment strategies exists for global cerebral ischemia-reperfusion (GCI/R) injury following successful resuscitation from OHCA. Emerging preclinical as well as recent human clinical evidence suggests that activation of the complement cascade plays a critical role in the pathogenesis of GCI/R injury following OHCA. In addition, it is well established that complement inhibition improves outcome in both global and focal models of brain ischemia. Due to the profound impact of GCI/R injury following OHCA, and the relative lack of effective neuroprotective strategies for this pathologic process, complement inhibition provides an exciting opportunity to augment existing treatments to improve patient outcomes. To this end, this paper will explore the pathophysiology of complement-mediated GCI/R injury following OHCA.http://dx.doi.org/10.1155/2009/124384
spellingShingle Brad E. Zacharia
Zachary L. Hickman
Bartosz T. Grobelny
Peter A. DeRosa
Andrew F. Ducruet
E. Sander Connolly
Complement Inhibition as a Proposed Neuroprotective Strategy following Cardiac Arrest
Mediators of Inflammation
title Complement Inhibition as a Proposed Neuroprotective Strategy following Cardiac Arrest
title_full Complement Inhibition as a Proposed Neuroprotective Strategy following Cardiac Arrest
title_fullStr Complement Inhibition as a Proposed Neuroprotective Strategy following Cardiac Arrest
title_full_unstemmed Complement Inhibition as a Proposed Neuroprotective Strategy following Cardiac Arrest
title_short Complement Inhibition as a Proposed Neuroprotective Strategy following Cardiac Arrest
title_sort complement inhibition as a proposed neuroprotective strategy following cardiac arrest
url http://dx.doi.org/10.1155/2009/124384
work_keys_str_mv AT bradezacharia complementinhibitionasaproposedneuroprotectivestrategyfollowingcardiacarrest
AT zacharylhickman complementinhibitionasaproposedneuroprotectivestrategyfollowingcardiacarrest
AT bartosztgrobelny complementinhibitionasaproposedneuroprotectivestrategyfollowingcardiacarrest
AT peteraderosa complementinhibitionasaproposedneuroprotectivestrategyfollowingcardiacarrest
AT andrewfducruet complementinhibitionasaproposedneuroprotectivestrategyfollowingcardiacarrest
AT esanderconnolly complementinhibitionasaproposedneuroprotectivestrategyfollowingcardiacarrest