The role of oxidant stress in the development of vascular cognitive disorders

Author:
A.N. BOGOLEPOVA

FGAOU in Russian National Research Medical University named after N.I. Pirogov »Ministry of Health of Russia, Moscow, Russia;

FSBI "Federal Center for Brain and Neurotechnology" FMBA of Russia, Moscow, Russia

Place of publication:
S.S. KORSAKOV JOURNAL OF NEUROLOGY AND PSYCHIATRY 2020, Vol. 120, No. 8, pp. 1-7

Abstract:
Vascular cognitive impairment (VCI) is a pressing problem in clinical neurology and the second most common cause of dementia. VCI encompasses a range of disorders in which vascular factors cause or contribute to cognitive decline. The main risk factors for VCI include advanced age and vascular factors leading to endothelial dysfunction and damage, which in turn can cause neurovascular dysfunction, increased blood-brain barrier permeability, and microvascular thrombosis. Oxidative stress is a key mechanism in the development of VCI, necessitating the use of agents with antioxidant activity. Mexidol (ethylmethylhydroxypyridine succinate) is one such agent. Mexidol has pronounced antioxidant and antihypoxic properties. Its clinical efficacy against VCI has been established in numerous studies. Key words: chronic cerebrovascular insufficiency, oxidative stress, vascular cognitive impairment, endothelial dysfunction, mexidol.

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