Hypertension and Its Impact on Stroke Recovery: From a Vascular to a Parenchymal Overview

Hypertension is the first modifiable vascular risk factor accounting for 10.4 million deaths worldwide; it is strongly and independently associated with the risk of stroke and is related to worse prognosis. In addition, hypertension seems to be a key player in the implementation of vascular cognitiv...

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Main Authors: Benjamin Maïer, Nathalie Kubis
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Neural Plasticity
Online Access:http://dx.doi.org/10.1155/2019/6843895
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author Benjamin Maïer
Nathalie Kubis
author_facet Benjamin Maïer
Nathalie Kubis
author_sort Benjamin Maïer
collection DOAJ
description Hypertension is the first modifiable vascular risk factor accounting for 10.4 million deaths worldwide; it is strongly and independently associated with the risk of stroke and is related to worse prognosis. In addition, hypertension seems to be a key player in the implementation of vascular cognitive impairment. Long-term hypertension, complicated or not by the occurrence of ischemic stroke, is often reviewed on its vascular side, and parenchymal consequences are put aside. Here, we sought to review the impact of isolated hypertension or hypertension associated to stroke on brain atrophy, neuron connectivity and neurogenesis, and phenotype modification of microglia and astrocytes. Finally, we discuss the impact of antihypertensive therapies on cell responses to hypertension and functional recovery. This attractive topic remains a focus of continued investigation and stresses the relevance of including this vascular risk factor in preclinical investigations of stroke outcome.
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series Neural Plasticity
spelling doaj-art-a988e74fb2774332a4466d17c51681832025-02-03T01:12:24ZengWileyNeural Plasticity2090-59041687-54432019-01-01201910.1155/2019/68438956843895Hypertension and Its Impact on Stroke Recovery: From a Vascular to a Parenchymal OverviewBenjamin Maïer0Nathalie Kubis1INSERM U965, CART, Paris, FranceINSERM U1148, Laboratory for Vascular Translational Science, Paris, FranceHypertension is the first modifiable vascular risk factor accounting for 10.4 million deaths worldwide; it is strongly and independently associated with the risk of stroke and is related to worse prognosis. In addition, hypertension seems to be a key player in the implementation of vascular cognitive impairment. Long-term hypertension, complicated or not by the occurrence of ischemic stroke, is often reviewed on its vascular side, and parenchymal consequences are put aside. Here, we sought to review the impact of isolated hypertension or hypertension associated to stroke on brain atrophy, neuron connectivity and neurogenesis, and phenotype modification of microglia and astrocytes. Finally, we discuss the impact of antihypertensive therapies on cell responses to hypertension and functional recovery. This attractive topic remains a focus of continued investigation and stresses the relevance of including this vascular risk factor in preclinical investigations of stroke outcome.http://dx.doi.org/10.1155/2019/6843895
spellingShingle Benjamin Maïer
Nathalie Kubis
Hypertension and Its Impact on Stroke Recovery: From a Vascular to a Parenchymal Overview
Neural Plasticity
title Hypertension and Its Impact on Stroke Recovery: From a Vascular to a Parenchymal Overview
title_full Hypertension and Its Impact on Stroke Recovery: From a Vascular to a Parenchymal Overview
title_fullStr Hypertension and Its Impact on Stroke Recovery: From a Vascular to a Parenchymal Overview
title_full_unstemmed Hypertension and Its Impact on Stroke Recovery: From a Vascular to a Parenchymal Overview
title_short Hypertension and Its Impact on Stroke Recovery: From a Vascular to a Parenchymal Overview
title_sort hypertension and its impact on stroke recovery from a vascular to a parenchymal overview
url http://dx.doi.org/10.1155/2019/6843895
work_keys_str_mv AT benjaminmaier hypertensionanditsimpactonstrokerecoveryfromavasculartoaparenchymaloverview
AT nathaliekubis hypertensionanditsimpactonstrokerecoveryfromavasculartoaparenchymaloverview