Abstract
Genetic modification of cerebral vessels represents a promising and novel approach for prevention and/or treatment of various cerebral vascular disorders, including cerebral vasospasm. In this review, we focus on the current understanding of the use of gene transfer to the cerebral arteries for prevention and/or treatment of cerebral vasospasm following subarachnoid hemorrhage (SAH). We also discuss the recent developments in vascular therapeutics, involving the autologous use of progenitor cells for repair of damaged vessels, as well as a cell-based gene delivery approach for the prevention and treatment of cerebral vasospasm.
Publication types
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Research Support, N.I.H., Extramural
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Research Support, Non-U.S. Gov't
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Review
MeSH terms
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Animals
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Cerebral Arteries / metabolism*
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Cerebral Arteries / physiopathology
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Endothelin-1 / antagonists & inhibitors
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Endothelin-1 / biosynthesis
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Endothelin-1 / genetics
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Gene Transfer Techniques / trends
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Genetic Therapy / methods*
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Genetic Therapy / trends
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Humans
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Nitric Oxide / biosynthesis
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Nitric Oxide Synthase Type III / genetics
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Oxidative Stress / drug effects
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Oxidative Stress / genetics
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Regeneration / drug effects
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Regeneration / genetics
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Stem Cells / cytology
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Stem Cells / metabolism
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Subarachnoid Hemorrhage / complications*
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Vasospasm, Intracranial / genetics*
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Vasospasm, Intracranial / prevention & control
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Vasospasm, Intracranial / therapy*
Substances
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Endothelin-1
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Nitric Oxide
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Nitric Oxide Synthase Type III