Abstract

Cerebral ischemia is the second leading cause of death in the world and multimodal stroke therapy is needed. The ischemic stroke generally reduces the gene expression due to suppression of acetylation of histones H3 and H4. Histone deacetylases inhibitors have been shown to be effective in protecting the brain from ischemic damage. Histone deacetylases inhibitors induce neurogenesis and angiogenesis in damaged brain areas promoting functional recovery after cerebral ischemia. However, the role of different histone deacetylases isoforms in the survival and death of brain cells after stroke is still controversial. This review aims to analyze the data on the neuroprotective activity of nonspecific and selective histone deacetylase inhibitors in ischemic stroke.

Highlights

  • Cerebral ischemia is the second leading cause of death in the world and multimodal stroke therapy is needed

  • This review aims to analyze the data on the neuroprotective activity of nonspecific and selective histone deacetylase inhibitors in ischemic stroke

  • In the present review we focus on the role of non-mitochondrial SIRT1, SIRT2, and SIRT6 in the brain damage and recovery after ischemic stroke

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Summary

Ischemic Stroke Treatment Challenges

Stroke is one of the leading causes of death in the world [1]. About 5 million people die every year. Stroke is a developing over time multi-stage process It starts from the primary minor changes and leads to the formation of a penumbra, death or restoration of its cells, and to the irreversible structural damage of brain tissue causing neurodegeneration. A huge number of pathophysiological and biochemical processes in intracellular and intercellular signaling, proteolysis, and regulation of the transcriptional activity of the genome are occurred in between these phases Each of these stages is the time point of possible application of anti-stroke drugs. Numerous studies searching targets for neuroprotection have highlighted the importance of multimodal stroke therapy An example of such a strategy, which has been shown to be effective in various models of ischemia, is the inhibition of histone deacetylases.

Histone Deacetylases
Class I HDACs
Class II HDACs
Sirtuins
Pan-Inhibitors of Histone Deacetylases in Cerebral Ischemia
Inhibition of Class I HDACs
Inhibition of Class II HDACs
Sirtuins Activators and Inhibitors
Findings
Conclusions

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