Introduction:Ischemic injury to the brain can result in a variety of life-threatening conditions,
mortality, or varying degrees of disability. Hypoxia-inducible factor 1α (HIF 1α), an oxygen-
sensitive transcription factor that controls the adaptive metabolic response to hypoxia, is a critical
constituent of cerebral ischemia. It participates in numerous processes, such as metabolism, proliferation,
and angiogenesis, and plays a major role in cerebral ischemia.Methods:Through the use of a number of different search engines like Scopus, PubMed, Bentham,
and Elsevier databases, a literature review was carried out for investigating the pharmacological
modulation of HIF-1α pathways for the treatment of cerebral ischemia.Results:Various signalling pathways, such as Mitogen-activated protein kinase (MAPK), Janus kinase/
signal transducers and activators (JAK/STAT), Phosphoinositide-3-kinase (PI3-K), and cAMPresponse
element binding protein (CREB) play a vital role in modulation of HIF-1α pathway, which
helps in preventing the pathogenesis of cerebral ischemia.Conclusion:The pharmacological modulation of the HIF-1α pathway via various molecular signalling
pathways, such as PI3-K, MAPK, CREB, and JAK/STAT activators, offer a promising prospect
for future interventions and treatment for cerebral ischemia.