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Reporter brief

Systematic review of sex and age differences in ischemic stroke molecular pathology and therapeutic response

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This systematic review examined how biological sex and aging shape molecular mechanisms in ischemic stroke, emphasizing sex-specific cell death pathways, mitochondrial dysfunction, and NAD+-sirtuin signaling. The authors describe how premenopausal females show caspase-dependent apoptosis while males exhibit PARP-1-mediated parthanatos, and how postmenopausal females lose neuroprotective advantages due to estrogen receptor changes and mitochondrial decay. The review proposes precision medicine approaches including ER-alpha modulators, NAD+ precursors, and senolytic combinations tailored to sex and reproductive stage.

Assessment pending; this report does not establish a change in evidence.

  • Limitations have not been recorded; consult the primary source.

Systematic review; Human.

Humans with ischemic stroke across the lifespan, stratified by biological sex and reproductive age

Design
Systematic review
Sample
—
Journal
Progress in Neurobiology
Published
Sep 16, 2026

Not recorded.

  • Assessment: Pending.
  • Only the source material recorded on this evidence page was assessed.

Not reported · Not reported

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