Cerebrolysin
Cerebrolysin (FPF-1070) is not a single peptide but a porcine-brain-derived preparation of low-molecular-weight peptides and free amino acids, produced by standardised enzymatic proteolysis. It is approved in several countries (including Austria, Russia and parts of Asia) for stroke, dementia and traumatic brain injury, but is not FDA-approved in the United States and not centrally approved by the EMA. Its efficacy is contested: Cochrane systematic reviews found no convincing benefit and flagged possible harm signals.
Mechanism of action
Cerebrolysin is a mixture of low-molecular-weight peptides (predominantly below 10 kDa) and free amino acids obtained by enzymatic cleavage of lipid-free porcine brain proteins. The manufacturer and preclinical literature describe a neurotrophic and neuroprotective mode of action said to mimic endogenous neurotrophic factors; cell and animal models have reported effects on neuronal survival, synaptogenesis and anti-apoptotic signalling (including PI3K/Akt). Because it is a complex, incompletely characterised mixture, the precise mechanism in humans remains unclear.
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Wat de studies laten zien
Waar studies elkaar tegenspreken
Does Cerebrolysin have a proven clinical benefit in stroke and neurological disease?
Farmacokinetiek
Toedieningswegen in de literatuur
Veiliger gebruik & risico's
Bekende bijwerkingen uit studies
Interacties & combinaties
Juridische status per land
Reconstitutie-calculator
Peptiden komen als droog poeder. Eenmaal opgelost in een vloeistof (reconstitutie) beantwoordt deze calculator één enkele vraag: hoeveel stof zit er daarna in één milliliter oplossing?
- 1Voer de hoeveelheid stof van de flacon in (staat op het etiket).
- 2Voer in hoeveel oplosmiddel je toevoegt.
- 3Resultaat = concentratie in mg per mL.
Begeleidende stoffen
Deze begeleidende stoffen betreffen de peptideklasse, niet een specifiek gebruik. Geen aanbeveling, geen dosering.
Studieregister
Cerebrolysin for acute ischaemic stroke
Cerebrolysin for vascular dementia
Safety and efficacy of Cerebrolysin in acute brain injury and neurorecovery: CAPTAIN I-a randomized, placebo-controlled, double-blind, Asian-Pacific trial
Safety and Efficacy of Cerebrolysin in Early Post-stroke Recovery: a Meta-analysis of Nine Randomized Clinical Trials
Bronnen & methode
Ontvang nieuwe studies over Cerebrolysin
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