Stroke. 2004;35:2613-2614
Published online before print September 30, 2004,
doi: 10.1161/01.STR.0000144053.28166.a4
(Stroke. 2004;35:2613.)
© 2004 American Heart Association, Inc.
Princeton Conference Supplement
Preface
Richard J. Traystman, PhD
From the Oregon Health and Science University, Portland, Ore.
Correspondence to Dr Richard J. Traystman, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Mail Code L335, Portland, OR. 97239-3098. Email traystma{at}ohsu.edu
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Introduction
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The Princeton Conference has a one-half century history as a
unique, highly focused forum for the presentation and discussion
of current scientific information and future directions in stroke
research. The 24th Princeton Conference on Cerebrovascular Disease
was held in Baltimore, Maryland, April 2 to 4, 2004, at the
Baltimore Marriott Waterfront Hotel. This conference focused
on the current status and future directions of stroke pathophysiology,
diagnosis and treatment, with emphasis on cellular and molecular
mechanisms of ischemic cell death and cell repair, and clinical
aspects of imaging, risk factors, and therapeutic strategies
in stroke. There were 10 major areas of presentation and discussion.
The meeting began with a discussion of vascular dementia and
included discussion of amyloid and epidemiology of Alzheimer
disease and vascular dementias. The next discussion concerned
multimodal imaging and its future in stroke. The role of sex
steroids in stroke was the next area of discussion. Estrogen
and progesterone were discussed as potential neuroprotection
agents, and their differences as neuroprotectants in animal
models was discussed in light of the recent major negative clinical
trials. The ischemic penumbra, what it is, how to image it and
its molecular identification was then discussed, and this was
followed by an in-depth discussion of ischemic preconditioning.
Cerebral ischemic preconditioning was considered from its genomic
aspects and its occurrence in humans and the similarities between
cerebral ischemic preconditioning and myocardial ischemic preconditioning.
The conference continued forward to discuss recovery and rehabilitation
in stroke, including progenitor cells, functional imaging and
forced use-constraint therapy trials. Attention was then focused
on statins and stroke, how they work in vessels and neurons,
how they work in endothelium and on signaling mechanisms, and
finally their role in inflammation in stroke. Clot lysis and
thrombolysis were the next areas of discussion, and attention
was focused on imaging clots, extracting clots, ultrasound identification
of clots, and the potential injurious effect of lytic agents.
Genomics and proteomics in stroke took the next discussion session,
and topics such as multiple genes in stroke, clinical translated
stroke genomics and phosphodiesterase 4D were discussed. The
final session of the conference was devoted to emerging stroke
therapies, new therapeutic targets for neuroprotection, and
fast track therapy for drugs for stroke.
These sessions were unique in that each session was comprised of four speakers, two of whom were clinically oriented individuals, and two were basic scientists. Each speaker was instructed to orient their comments along "translational"$lines and to try to make their comments relevant to the patient. This translational theme was assisted by the fact that the co-chairs of each session (one a clinician, one a researcher) were instructed to lead the discussion along translational lines and bring the discussion back to the patient. Thus, this Princeton Conference provided a unique forum for promoting collaborative interaction in stroke research between the clinician and the basic scientist. There were vigorous interactive discussions among the participants, and the speakers presenting state-of-the-art information made for a very successful and memorable conference. The attendees were also treated to a fantastic lecture given by Peter Agre, the Nobel Prize winner in chemistry in 2003, concerning Aquaporin Water Channels, from Atomic Structure to Clinical Medicine. This lecture, too, kept in mind the overall theme of the conference of translational science.
There was much enthusiasm and excitement in the presentations and in the discussions that ensued, and I believe this reflected the success of the conference. I hope the excitement and enthusiasm of this conference carries over into the next Princeton Conference, and I hope that much new work will result from the discussions of the 24th Princeton Conference and thus advance our knowledge of the basic and clinical aspects of stroke in patients.
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Major Sponsors
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Astra Zeneca Pharmaceuticals
Centocor, Inc
Janssen-Ortho McNeil-Johnson & Johnson
Mitsubishi Pharma
National Institutes of Health - National Institute of Neurological Disorders and Stroke
Bristol-Myers Squibb/Sanofi-Synthelabo
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Sponsors
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American Heart Association, American Stroke Association, Stroke
Council
Boehringer-Ingelheim
Eisai Medical Research, Inc
Galileo Pharmaceuticals
Merck Research Laboratories
Millennium Pharmaceuticals
Pfizer Global Research & Development
Suntory Pharma Co., Ltd
Taisho Pharmaceutical Research & Development, Inc
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Contributors
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Alsius Corporation
ESP Pharma
Fibrogen, Inc
Guilford Pharmaceuticals
Indevus Pharmaceuticals
La Jolla Pharma
Eli Lilly & Company
ThromboGenics, Ltd
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Acknowledgments
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The success of the 24th Princeton Conference on Cerebrovascular
Disease was highly dependent on the contributions and cooperation
of many individuals, including those who gave generously of
their time as part of the Scientific Program Committee (Richard
J. Traystman, PhD; Marc Fisher, MD; Philip B. Gorelick, MD,
MPH; James C. Grotta, MD; Costantino Iadecola, MD; Kennedy R.
Lees, MD; Michael A. Moskowitz, MD; Roger P. Simon, MD; Peter
C.M. van Zijl, PhD). Ms Alysa Kowalski is greatly appreciated
for her outstanding contribution in coordinating the events
of the conference. This conference could not have been coordinated
and executed so effectively without the able assistance and
support of my long-term administrative assistant, Ms Candace
J. Berryman. Her role to keep the organization of this conference
on straight tracks cannot be overemphasized, and her role in
keeping me well organized for the past 25 years is enormously
appreciated. The Princeton Conference received very generous
support from the National Institute of Neurological Disorders
and Stroke (NINDS) and from many colleagues in the pharmaceutical
industry and the American Stroke Association. A list of these
contributors can be found here. Special thanks to our colleagues
at NINDS who provided encouragement and support, in particular
Tom P. Jacobs, PhD, and Katherine Woodbury-Harris, PhD. Their
consistent, positive attitudes toward the Princeton Conference
were helpful. We are also extremely grateful to Vladimir Hachinski,
MD, who agreed to publish the Princeton Conference Proceedings
as a supplement to the journal
Stroke, and to Rebecca Nott whose
consistent hard work managed to allow most of our manuscripts
to be published in this supplement.
Received August 24, 2004;
accepted August 24, 2004.