June 23, 2008 - For more than a decade, the drug called tPA has proven its worth as the most effective emergency treatment for the most common kind of stroke, but its promise is blemished by two facts: tPA can cause dangerous bleeding in the brain, and its brain-saving power fades fast after the third hour of a stroke.
Now, a new paper published recently online in Nature Medicine reveals why tPA has these limitations. It also gives tantalizing evidence about how those problems might be overcome, if a stroke victim first takes a drug currently used to treat leukemia.