Ischemic cascade

The ischemic cascade is a series of biochemical reactions that take place in the brain after seconds to minutes of ischemia (inadequate blood supply) (Arnold, 2003). Most ischemic neurons that die do so due to the activation of chemicals produced during and after ischemia (Internet Stroke Center, 2003). The ischemic cascade usually goes on for two to three hours but can last for days, even after normal blood flow returns (NINDS, 1999; Panacea Pharmaceuticals, 2004).

A cascade is a series of events in which one event triggers the next, in a linear fashion. Thus "ischemic cascade" is actually a misnomer, since in it, events are not always linear: in some cases, they are circular, and sometimes one event can cause or be caused by multiple other events (Hinkle and Bowman, 2003). In addition, cells receiving different amounts of blood may go through different chemical processes. Despite these facts, the ischemic cascade can be generally characterized as follows:


 * Lack of oxygen causes the neuron's normal process for making ATP for energy to fail.
 * The cell switches to anaerobic metabolism, producing lactic acid.
 * ATP-reliant ion transport pumps fail, causing the cell to become depolarized, allowing ions, including calcium (Ca++), to flow into the cell.
 * The ion pumps can no longer transport calcium out of the cell, and intracellular calcium levels get too high.
 * The presence of calcium triggers the release of the excitatory amino acid neurotransmitter glutamate.
 * Glutamate stimulates AMPA receptors and Ca++-permeable NMDA receptors, which open to allow more calcium into cells.
 * Excess calcium overexcites cells and causes the generation of harmful chemicals like free radicals, phospholipases, and calcium-dependent enzymes such as calpain, endonucleases, ATPases, and phospholipases (Jauch, 2003; National Stroke Association, 2002; Conway, 2000). Calcium can also cause the release of more glutamate.
 * As the cell's membrane is broken down by phospholipases, it becomes more permeable, and more ions and harmful chemicals flow into the cell.
 * Mitochondria break down, releasing toxins and apoptotic factors into the cell.
 * The caspase-dependent apoptosis cascade is initiated, causing cells to "commit suicide."
 * If the cell dies through necrosis, it releases glutamate and toxic chemicals into the environment around it. Toxins poison nearby neurons, and glutamate can overexcite them.
 * If and when the brain is reperfused, a number of factors lead to reperfusion injury.
 * An inflammatory response is mounted, and phagocytic cells engulf damaged but still viable tissue.
 * Harmful chemicals damage the blood brain barrier.
 * Cerebral edema (swelling of the brain) occurs due to leakage of large molecules like albumin from blood vessels through the damaged blood brain barrier. These large molecules pull water into the brain tissue after them by osmosis.  This "vasogenic edema" causes compression of and damage to brain tissue.

The fact that the ischemic cascade involves a number of steps has led doctors to suspect that neuroprotectants such as calcium channel blockers could be produced to interrupt the cascade at a single one of the steps, blocking the downstream effects. Though initial trials for such neuroprotective drugs led many to be hopeful, human clinical trials with neuroprotectants were unsuccessful and had to be cancelled.