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. 2023 Mar 21;13(3):571. doi: 10.3390/biom13030571

Table 1.

Pathophysiology and therapeutic targets of ischemic stroke in the acute, subacute, and chronic phases. BBB, blood-brain barrier; ROS, reactive oxygen species.

Acute Phase of Stroke Subacute Phase of Stroke Chronic Phase of Stroke
Time course Minutes to days Days to weeks Weeks to mouths
Pathophysiological mechanisms Infiltration of peripheral immune cells;
activation of resident glial cells;
disturbance of ionic homeostasis;
oxidative stress;
BBB destruction;
mitochondrial dysfunction;
DNA damage
Amplification of immune responses;
increased ROS production;
cell edema and ion imbalances
Decrease in excitotoxicity;
protective inflammatory response
Axonal sprouting, dendrite remodeling;
neurogenesis, angiogenesis;
increased levels of growth factors
Consequences Cell injury or death Onset of neuroplasticity Tissue repair
Therapeutic targets Neuroprotection;
reducing reperfusion injury
Functional rehabilitation