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Oxidative stress and post-stroke depression: possible therapeutic role of polyphenols?

Current medicinal chemistry
January 1, 2015
Seyed Fazel Nabavi et al. (6 authors)
Journal ArticleResearch Support, Non-U.S. Gov'tReviewHuman Study
Study Details

Study Goal

The researchers aimed to investigate the role of oxidative stress in post-stroke depression and hypothesize that polyphenols could serve as therapeutic targets for its treatment.

Results Summary

The study suggests that oxidative stress contributes to post-stroke depression and that polyphenols may mitigate ischemic damage and inflammation, potentially improving outcomes.

Population

Post-stroke depression patients (theoretical, as the study is hypothesis-driven).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (9)
InterventionDirectionEndpointPopulationDosageImpactClaim #
polyphenols
decrease
post-stroke depression
post-stroke patients
-
may be useful as therapeutics targets
#1
oxidative stress
increase
depressive-like symptoms following stroke
post-stroke patients
-
implicated in the pathogenesis
#2
reactive oxygen species
increase
oxidative stress, lipid peroxidation, protein oxidation, and DNA damage
neural tissues
-
cause
#3
antioxidants including polyphenols
decrease
ischemia and stroke
-
-
may play an important role in the outcomes
#4
antioxidants including polyphenols
decrease
neurons against oxidative stress
-
-
ability to protect
#5
antioxidants including polyphenols
decrease
ischemic damage
-
-
mitigate
#6
antioxidants including polyphenols
neutral
generation of nitric oxide from the vascular endothelium
-
-
ability to interact with
#7
antioxidants including polyphenols
decrease
inflammation
-
-
decrease
#8
polyphenols
decrease
post-stroke depression
post-stroke patients
-
may be a useful new therapeutic target
#9
Abstract

Post-stroke depression is a common neuropsychiatric affective disorder that may develop after a stroke event. In addition to abnormalities in the biogenic amine neurotransmitters and cytokine expression induced by stroke we will focus on the role of oxidative stress and hypothesize that polyphenols may be useful as therapeutics targets for the treatment of post-stroke depression. In this paper, we discuss the hypothesis that increased oxidative stress in cerebral tissues during ischemia is implicated in the pathogenesis of depressive-like symptoms following stroke. There is substantive evidence regarding the role of oxidative stress in the pathogenesis of both stroke and depression, which provides support to this hypothesis. Reactive oxygen species, generated during stroke, cause oxidative stress, lipid peroxidation, protein oxidation, and DNA damage in neural tissues. The resultant pathophysiological processes in the neural tissues could be considered a leading mechanism in the induction of post-stroke depression. Antioxidants including polyphenols therefore, may play an important role in the outcomes of ischemia and stroke, due to their ability to protect neurons against oxidative stress, to mitigate ischemic damage via inhibition of lipid peroxidation and ability to interact with the generation of nitric oxide from the vascular endothelium, and also to decrease inflammation. These data suggest that polyphenols may therefore be a useful new therapeutic target for the treatment of post-stroke depression.

Medical Subject Headings (MeSH)
AnimalsAntioxidantsDepressionHumansOxidative StressPolyphenolsStroke
Study Links
PubMed ID25386821
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality65/10
Citation Metrics
Total Citations47
Citations/Year4.7
Relative Citation Ratio2.17
NIH Percentile77%
Research Impact Scores
APT Score0.75
Weight Score0.82
Normalized Score0.63
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