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Current understanding of TRPM7 pharmacology and drug development for stroke

  
@article{APS6080,
	author = {Christine You Jin Bae and Hong-shuo Sun},
	title = {Current understanding of TRPM7 pharmacology and drug development for stroke},
	journal = {Acta Pharmacologica Sinica},
	volume = {34},
	number = {1},
	year = {2016},
	keywords = {},
	abstract = {Christine You Jin BAE, Hong-shuo SUN*

Departments of Surgery, Physiology, and Pharmacology, Institute of Medical Science, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada M5S 1A8

 
The initial excitement and countles efforts to find a pharmacological agent that disrupts the excitotoxic pathway of ischemic neuronal death have only led to disappointing clinical trials.  Currently, a thrombolytic agent called recombinant tissue plasminogen activator (rt-PA) is the only pharmacological treatment available for patients with acute ischemic stroke in most countries.  Even though its efficacy has been confirmed repeatedly, rt-PA is considerably underused due to reasons including a short therapeutic window and repeated complications associated with its use.  A search for alternative mechanisms that may operate dependently or independently with the well-established excitotoxic mechanism has led researchers to the discovery of newly described non-glutamate mechanisms.  Among the latter, transient receptor potential melastatin 7 (TRPM7) is one of the important nonglutamate mechanisms in stroke, which has been evaluated in both in-vitro and in-vivo.  In this review, we will discuss the current state of pharmacological treatments of ischemic stroke and provide evidence that TRPM7 is a promising therapeutic target of stroke.

 
Keywords: ion channels; TRPM7; cerebral ischemia; stroke; neuroprotection; recombinant tissue plasminogen activator (rt-PA); glutamate receptors
 
This work was supported by a Discovery Grant from Natural Sciences and Engineering Research Council of Canada to Dr Hong-Shuo SUN.  Christine You Jin BAE is a recipient of Ontario Graduate Scholarship.
* To whom correspondence should be addressed. 
E-mail hss.sun@utoronto.ca
Received 2012-04-04    Accepted 2012-06-12},
	issn = {1745-7254},	url = {http://www.chinaphar.com/article/view/6080}
}