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Benefits - Canadian Stroke Network - CSN

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Advances in basic science: Preventing stroke damage starts with understanding cell death
 

"If you don't understand why something happens, you can't fix it. We believe that basic research to understand brain cell death is the way to prevent stroke damage."
Dr. Michael Tymianski, Toronto Western Hospital

A team of Canadian Stroke Network (CSN) researchers has discovered a major and previously unreported mechanism behind brain cell death in stroke.

The findings represent a huge shift in science's understanding of why strokes kill brain cells, says CSN investigator Dr. Michael Tymianski, a neurosurgeon at Toronto Western Hospital. In late 2003, the findings were published in Cell, the world's leading biological journal. Senior co-author on the paper was Dr. John MacDonald of the University of Toronto.

"If you don't understand why something happens, you can't fix it," Dr. Tymianski says. "We believe that basic research to understand brain cell death is the way to prevent stroke damage."

The team's theory is that when a stroke occurs and brain cells are deprived of oxygen, a special channel on the surface of those cells is activated. When activated, this channel – called TRPM7 – causes brain cells to produce large numbers of free radicals. Free radicals are caustic chemicals that break down a cell's DNA, proteins, and other components. Production of the free radicals ignites a lethal chain reaction.

If a drug could be produced that would interrupt that process, the impact of stroke could be significantly reduced.

Dr. Tymianski believes developing such a drug is possible, adding that medicine already knows there is a window of time during which therapies can be effective. It has already been shown that clot-busting drugs, if administered within about three hours of a stroke, can limit stroke damage.

Dr. Tymianski and colleagues have created a company, called NoNO Inc., which will investigate the development of new therapies. NoNO, which stands for no nitric oxide – the agent that mediates cell damage – has received start-up funding from the Canadian Stroke Network.

"The CSN has been instrumental in bringing top researchers together to fight stroke," Dr. Tymianski says.

Other members of the CSN team studying brain cell death include Dr. Yu Tian Wang (Brain Research Centre, University of British Columbia); Dr. James Gurd (biochemistry researcher, University of Toronto); Dr. Michael Salter (Canada Research Chair in Neuroplasticity and Pain, University of Toronto); and Dr. Richard Tasker (Atlantic Veterinary College, University of Prince Edward Island).

Stroke is the fourth leading cause of death in Canada, claiming about 16,000 lives each year. The Heart and Stroke Foundation estimates that between 40,000 and 50,000 strokes occur each year in Canada and about 300,000 Canadians are living with the effects of stroke.

www.canadianstrokenetwork.ca

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