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ISSN:2171-6625

http://www.jneuro.com

September 18-19, 2017 | Dallas, USA

4

th

International Conference on

NEUROLOGY AND NEUROIMMUNOLOGY

Modulation of endogenous cholinergic cytoprotection in Ischemic stroke

Victor V Uteshev

University of North Texas Health Science Center, USA

T

he cholinergic system is essential for maintenance

of cognitive, autonomic and immune homeostasis in

mammals. Pre-clinical studies utilizing rodent models of

ischemic stroke suggest that endogenous cholinergic tone

elevated by injury, infection and/or inflammation serves as a

combinationtherapyaimingatmultiplecellularandmolecular

pathways with converging anti-inflammatory cytoprotective

efficacies. These hardwired endogenous protective

mechanisms can be augmented by cholinergic treatments

including nicotinic acetylcholine receptor (nAChR) agonists,

positive allosteric modulation and vagus nerve stimulation.

Strategies that augment endogenous cholinergic protective

mechanisms are expected to selectively target ischemic

brain injury with high spatiotemporal precision. The α7

subtype of nAChRs is uniquely positioned as a promising

therapeutic target in ischemic stroke because of the high

anti-inflammatory cytoprotective efficacy of α7 nAChR

activation and the ubiquitous expression of α7 nAChRs in

mammalian neuronal, glial and immune tissues. The injury-

induced endogenous α7-dependent auto-therapy may act

as an important physiological function of these receptors.

Selective cholinergic agents that enhance endogenous

protective mechanisms may hold significant translational

potential.

Speaker Biography

Victor V Uteshev has made the long-term goal of his laboratory to help develop

clinically useful drug therapies that will ameliorate or even restore cognitive and

autonomic functions in patients with age-, disease- and trauma-related impairments.

His research concentrates on the positive effects chemicals such as nicotine may have

on the brain – as in enhancing cognitive performance and resistance to brain injury,

particularly in aging patients and people who have high risk for stroke and traumatic

brain injury. He is focusing on compounds that are similar to nicotine but can bring

mostly positive effects. In many diseases and pathological conditions, the brain

doesn’t create enough nicotine receptors and natural compounds that activate these

receptors. In diseases and conditions such as schizophrenia, Alzheimer’s and traumatic

brain injury, the level of activation of nicotine receptors is deficient and cannot support

normal brain function. His team’s goal is to develop clinically tested drug therapies that

can compensate for these deficits and improve or restore cognitive and autonomic

functions in patients with age-, disease- and trauma-related impairments. He also

serves as an Adjunct Associate Professor in the Department of Pharmacology of

Southern Illinois University School of Medicine at Springfield, Ill., where he previously

served as an Assistant Professor.

e:

victor.uteshev@unthsc.edu

Victor V Uteshev, J Neurol Neurosci, 8:5

DOI: 10.21767/2171-6625-C1-002