“…[45,46] When inhibitors of PI-3 kinase were added the increase in EPCs was abolished. [44] In a murine infarct model, atorvastatin was found to augment the number of circulating EPCs after infarction. Interestingly, increased levels of circulating EPCs were not seen after treatment with atorvastatin in eNOS -/-mice, suggesting that eNOS has a role in mobilization of EPCs.…”
Section: Mobilization Of Bone-marrow Cellsmentioning
confidence: 98%
“…It is suggested that statins increase the levels of EPCs by acting through the PI3-kinase/AKT pathway. [44] Statins have been shown previously to activate PI-3 Kinase and AKT. [45,46] When inhibitors of PI-3 kinase were added the increase in EPCs was abolished.…”
Section: Mobilization Of Bone-marrow Cellsmentioning
“…[45,46] When inhibitors of PI-3 kinase were added the increase in EPCs was abolished. [44] In a murine infarct model, atorvastatin was found to augment the number of circulating EPCs after infarction. Interestingly, increased levels of circulating EPCs were not seen after treatment with atorvastatin in eNOS -/-mice, suggesting that eNOS has a role in mobilization of EPCs.…”
Section: Mobilization Of Bone-marrow Cellsmentioning
confidence: 98%
“…It is suggested that statins increase the levels of EPCs by acting through the PI3-kinase/AKT pathway. [44] Statins have been shown previously to activate PI-3 Kinase and AKT. [45,46] When inhibitors of PI-3 kinase were added the increase in EPCs was abolished.…”
Section: Mobilization Of Bone-marrow Cellsmentioning
“…60 Statins can also mobilize a larger number of EPCs. 61 Of note, the vasculogenic rebound of tumors recovering from cytotoxic therapy involves the mobilization of EPCs. 62 This raises the possibility of harvesting EPCs after chemotherapy.…”
“…53 These proteins play an important role in regulating vascular and neurogenic, neuroprotective, and neurorestorative effects. 54,55 Specific cell populations and neurorestorative processes are targeted by statins. Statins increase brain endothelial cell expression of VEGF-VEGFR2 and eNOS and thereby activate the PI3K-AKT pathway, which regulates endothelial cell proliferation and migration and increases angiogenesis.…”
Section: Pharmacological Treatment Of Stroke Statinsmentioning
Summary:There is a compelling need to develop cell and pharmacological therapeutic approaches to be administered beyond the hyperacute phase of stroke. These therapies capitalize on the capacity of the brain for neuroregeneration and neuroplasticity and are designed to reduce neurological deficits after stroke. This review provides an update of bone marrowderived mesenchymal stem cells (MSCs) and select pharmacological agents in clinical use for other indications that promote the recovery process in the subacute and chronic phases after stroke. Among these agents are 3-hydroxy-3-methylglutarylcoenzyme A reductase inhibitors (statins), erythropoietin (EPO), and phosphodiesterase type 5 (PDE-5) inhibitors and nitric oxide (NO) donors. Both the MSCs and the pharmacologic agents potentiate brain plasticity and neurobehavioral recovery after stroke.
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