中国神经再生研究(英文版) ›› 2020, Vol. 15 ›› Issue (5): 773-782.doi: 10.4103/1673-5374.268898

• 综述:脑损伤修复保护与再生 •    下一篇

米诺环素对局灶性脑缺血损伤的神经保护作用:系统评价

  

  • 出版日期:2020-05-15 发布日期:2020-05-30

Neuroprotective effects of minocycline on focal cerebral ischemia injury: a systematic review

Yazdan Naderi1, Yunes Panahi2, George E. Barreto3, Amirhosein Sahebkar4, 5, 6   

  1. 1 Chemical Injuries Research Center, Systems Biology and Poisonings Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
    2 Pharmacotherapy Department, Faculty of Pharmacy, Baqiyatallah University of Medical Sciences, Tehran, Iran
    3 Department of Biological Sciences, University of Limerick, Limerick, Ireland
    4 Halal Research Center of IRI, FDA, Tehran, Iran
    5 Biotechnology Research Center, Pharmaceutical Technology Institute, Mashhad University of Medical Sciences, Mashhad, Iran
    6 Neurogenic Inflammation Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
  • Online:2020-05-15 Published:2020-05-30
  • Contact: Yunes Panahi, PhD,yunespanahi@yahoo.com; Amirhossein Sahebkar, PharmD, PhD,sahebkara@mums.ac.ir;amir_saheb2000@yahoo.com.

摘要: orcid: 0000-0002-8656-1444 (Amirhossein Sahebkar)

Abstract: To review the neuroprotective effects of minocycline in focal cerebral ischemia in animal models. By searching in the databases of PubMed, ScienceDirect, and Scopus, and considering the inclusion and exclusion criteria of the study. Studies were included if focal cerebral ischemia model was performed in mammals and including a control group that has been compared with a minocycline group. Written in languages other than English; duplicate data; in vitro studies and combination of minocycline with other neuroprotective agents were excluded. Neurological function of patients was assessed by National Institute of Health Stroke Scale, modified Rankin Scale, and modified Barthel Index. Neuroprotective effects were assessed by detecting the expression of inflammatory cytokines. We examined 35 papers concerning the protective effects of minocycline in focal cerebral ischemia in animal models and 6 clinical trials which had evaluated the neuroprotective effects of minocycline in ischemic stroke. These studies revealed that minocycline increases the viability of neurons and decreases the infarct volume following cerebral ischemia. The mechanisms that were reported in these studies included anti-inflammatory, antioxidant, as well as anti-apoptotic effects. Minocycline also increases the neuronal regeneration following cerebral ischemia. Minocycline has considerable neuroprotective effects against cerebral ischemia-induced neuronal damages. However, larger clinical trials may be required before using minocycline as a neuroprotective drug in ischemic stroke.

Key words: ischemic stroke, minocycline, neuronal regeneration, neuroprotection, stroke