NEUROPROTECTIVE EFFECT MECHANISMS OF HYPOXIA AND HYPERCAPNIA COMBINED IMPACT

The authors show maximum neuroprotective efficacy of hypoxia and hypercapnia combined effect in comparison with their isolated use. They discuss the role of possible mechanism of this A-1 receptors efficacy to adenosine, mitochondrial ATP-sensitive potassium channels, apoptosis, cellular synthetic activity, chaperones, neurotrophic protein S-100b, stress of the endoplasmic reticulum, HIF-1a transcription factor. The hypothesis about carbon dioxide potentiation of neuroprotective efficacy of hypoxia is formulated. The prospects of clinical use of hypercapnic hypoxia in neurology are considered.

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