Unveiling the predictive power of biomarkers in traumatic brain injury: A narrative review focused on clinical outcomes DOI Creative Commons
Shuang Liang,

Zihui Hu

Biomedical Papers, Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 17, 2024

Traumatic brain injury (TBI) has long-term consequences, including neurodegenerative disease risk. Current diagnostic tools are limited in detecting subtle damage. This review explores emerging biomarkers for TBI, those related to neuronal injury, inflammation, EVs, and ncRNAs, evaluating their potential predict clinical outcomes like mortality, recovery, cognitive impairment. It addresses challenges opportunities implementing practice, aiming improve TBI diagnosis, prognosis, treatment.

Language: Английский

Mesenchymal stem cell exosomes therapy for the treatment of traumatic brain injury: mechanism, progress, challenges and prospects DOI Creative Commons
Ming-wei Liu, Hua Li,

Gang Xiong

et al.

Journal of Translational Medicine, Journal Year: 2025, Volume and Issue: 23(1)

Published: April 11, 2025

Language: Английский

Citations

1

Long Noncoding RNA VLDLR-AS1 Levels in Serum Correlate with Combat-Related Chronic Mild Traumatic Brain Injury and Depression Symptoms in US Veterans DOI Open Access
Rekha Patel, Meredith Krause‐Hauch, Kimbra Kenney

et al.

International Journal of Molecular Sciences, Journal Year: 2024, Volume and Issue: 25(3), P. 1473 - 1473

Published: Jan. 25, 2024

More than 75% of traumatic brain injuries (TBIs) are mild (mTBI) and military service members often experience repeated combat-related mTBI. The chronic comorbidities concomitant with repetitive mTBI (rmTBI) include depression, post-traumatic stress disorder or neurological dysfunction. This study sought to determine a long noncoding RNA (lncRNA) expression signature in serum samples that correlated rmTBI years after the incidences. Serum were obtained from Long-Term Impact Military-Relevant Brain-Injury Consortium Chronic Effects Neurotrauma (LIMBIC CENC) repository, participants unexposed TBI who had rmTBI. Four lncRNAs identified as consistently present all samples, detected via droplet digital PCR packaged exosomes enriched for CNS origin. results, using qPCR, demonstrated lncRNA VLDLR-AS1 levels significantly lower among individuals compared those no lifetime TBI. ROC analysis determined an AUC 0.74 (95% CI: 0.6124 0.8741; p = 0.0012). optimal cutoff was ≤153.8 ng. A secondary clinical data LIMBIC CENC conducted evaluate psychological symptom burden, results show MALAT1 symptoms depression. In conclusion, may serve blood biomarker identifying depression patients.

Language: Английский

Citations

8

Astrocytes, reactive astrogliosis, and glial scar formation in traumatic brain injury DOI Creative Commons

María Belén Cieri,

Alberto Javier Ramos

Neural Regeneration Research, Journal Year: 2024, Volume and Issue: 20(4), P. 973 - 989

Published: May 16, 2024

Traumatic brain injury is a global health crisis, causing significant death and disability worldwide. Neuroinflammation that follows traumatic has serious consequences for neuronal survival cognitive impairments, with astrocytes involved in this response. Following injury, rapidly become reactive, astrogliosis propagates from the core to distant regions. Homeostatic astroglial proteins are downregulated near core, while pro-inflammatory genes overexpressed. This altered gene expression considered pathological remodeling of produces recovery. In addition, glial scar formed by reactive initially necessary limit immune cell infiltration, but long term impedes axonal reconnection functional Current therapeutic strategies focused on preventing acute complications. Statins, cannabinoids, progesterone, beta-blockers, cerebrolysin demonstrate neuroprotective benefits most them have not been studied context astrocytes. review, we discuss signaling pathways activated following some potential new aimed modulate responses especially using cell-targeted miRNAs or lncRNA, viral vectors, repurposed drugs.

Language: Английский

Citations

8

Therapeutic application of adipose-derived stromal vascular fraction in myocardial infarction DOI Creative Commons
Ilgiz Gareev,

Ozal Beylerli,

Tatiana Ilyasova

et al.

iScience, Journal Year: 2024, Volume and Issue: 27(5), P. 109791 - 109791

Published: April 18, 2024

The insufficiency of natural regeneration processes in higher organisms, including humans, underlies myocardial infarction (MI), which is one the main causes disability and mortality population developed countries. solution to this problem lies field revealing mechanisms creating on basis new technologies for stimulating endogenous regenerative or replacing lost parts tissues organs with transplanted cells. Of great interest use so-called stromal vascular fraction (SVF), derived from autologous adipose tissue. It known that functions SVF are angiogenetic, antiapoptotic, antifibrotic, immune regulation, anti-inflammatory, trophic. This study presents data possibility using SVF, targeted regulation its properties reparative potential, as well results research studies restoration damaged ischemic tissue after MI.

Language: Английский

Citations

7

Beneficial Effects of Human Schwann Cell-Derived Exosomes in Mitigating Secondary Damage After Penetrating Ballistic-Like Brain Injury DOI
Kengo Nishimura,

Juliana Sanchez‐Molano,

Nadine Kerr

et al.

Journal of Neurotrauma, Journal Year: 2024, Volume and Issue: 41(21-22), P. 2395 - 2412

Published: March 6, 2024

There is a growing body of evidence that the delivery cell-derived exosomes normally involved in intracellular communication can reduce secondary injury mechanisms after brain and spinal cord improve outcomes. Exosomes are nanometer-sized vesicles released by Schwann cells may have neuroprotective effects reducing posttraumatic inflammatory processes as well promoting tissue healing functional recovery. The purpose this study was to evaluate beneficial human Schwann-cell (hSC-Exos) severe model penetrating ballistic-like (PBBI) rats investigate on multiple Human cell processing protocols followed Current Good Manufacturing Practices (cGMP) with exosome extraction purification steps approved FDA for an expanded access single ALS patient IND. Anesthetized male Sprague-Dawley (280-350g) underwent PBBI surgery or sham procedures starting 30 min received either dose hSC-Exos PBS through jugular vein. At 48hrs PBBI, flow cytometry analysis cortical revealed administration reduced number activated microglia levels caspase-1, marker inflammasome activation. Neuropathological at 21 days showed treatment significantly overall contusion volume decreased frequency Iba-1 positive amoeboid immunocytochemical analysis. This systemic TBI reduces histopathological damage. represents clinically relevant cell-based therapy limit detrimental neurotrauma other progressive neurological injuries impacting pathophysiological events

Language: Английский

Citations

5

Exosome-based therapies for inflammatory disorders: a review of recent advances DOI Creative Commons
Mahmood Saleem, Khawar Ali Shahzad,

Munazzah Marryum

et al.

Stem Cell Research & Therapy, Journal Year: 2024, Volume and Issue: 15(1)

Published: Dec. 18, 2024

Exosomes, small extracellular vesicles secreted by cells, have emerged as focal mediators in intercellular communication and therapeutic interventions across diverse biomedical fields. Inflammatory disorders, including inflammatory bowel disease, acute liver injury, lung neuroinflammation, myocardial infarction, are complex conditions that require innovative approaches. This review summarizes recent advances exosome-based therapies for highlighting their potential diagnostic biomarkers agents. Exosomes shown promise reducing inflammation, promoting tissue repair, improving functional outcomes preclinical models of disorders. However, further research is needed to overcome the challenges associated with exosome isolation, characterization, delivery, well fully understand mechanisms action. Current limitations future directions underscore need enhanced isolation techniques deeper mechanistic insights harness exosomes' full clinical applications. Despite these challenges, hold great treatment disorders may offer a new paradigm personalized medication.

Language: Английский

Citations

4

Extracellular vesicles as drug and gene delivery vehicles in central nervous system diseases DOI Creative Commons

Xi Shi,

Weilong He,

Ashwin Gupta

et al.

Biomaterials Science, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 1, 2025

This review summarizes naïve extracellular vesicles (EVs) in clinical trials for central nervous system (CNS) diseases and updates recent translational preclinical research on EV-loaded drugs or genes CNS treatments.

Language: Английский

Citations

0

Stromal vascular fraction cell therapy: A promising therapeutic method for intracerebral hemorrhage DOI Creative Commons
Ilgiz Gareev,

Ozal Beylerli,

Albert Sufianov

et al.

Brain Hemorrhages, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 1, 2025

Language: Английский

Citations

0

Suppression of TP Rat Pancreatic Acinar Cell Apoptosis by hucMSC‐Ex Carrying hsa‐miR‐21‐5p via PTEN/PI3K Regulation DOI Creative Commons
Zhirong Zhao, Kexin Jiang, Mu Yuan

et al.

Stem Cells International, Journal Year: 2025, Volume and Issue: 2025(1)

Published: Jan. 1, 2025

Objective: The traumatic pancreatitis (TP) has an alarmingly high mortality rate. Our previous research demonstrated that human umbilical cord mesenchymal stem cells-derived exosomes (hucMSC-Exs) could treat TP by inhibiting acinar cell apoptosis. Accordingly, the objective of this study is to unravel intricate mechanism behind repair pancreatic injury in rats. Methods: A gene interaction network miRNA was constructed based on Gene Expression Omnibus (GEO) database (GSE 159814). investigation divided into two groups, and appropriate controls were implemented for each group. expression levels inflammatory factors group detected, along with pathological damage tissue, percentage apoptotic cells, key mRNA protein levels. Results: miRNA-mRNA suggests hsa-miR-21-5p/phosphatase tensin homolog (PTEN) are positioned at core network. Enzyme-linked immunosorbent assay (ELISA) histological examination (HE) results suggest increased miR-21 inhibitor EXW whereas it decreased activator EXC groups compared EX PCR, western blot (WB), TdT-mediated dUTP Nick-End Labeling (TUNEL) indicate hucMSC-Ex carrying hsa-miR-21-5p suppresses excessive activation PTEN phosphoinositide 3-kinase (PI3K), exerting therapeutic effects. Conclusion: This discovered effectively inhibits translation via transported hsa-miR-21-5p, consequently affecting PI3K/serine-threonine kinase (AKT) signaling pathway. reduced inflammation inhibition apoptosis regulating enzyme leakage, thereby providing a effect TP.

Language: Английский

Citations

0

Exosomal non-coding RNAs: gatekeepers of inflammation in autoimmune disease DOI Creative Commons

Mohamed J. Saadh,

Omer Qutaiba B. Allela,

Ali Fawzi Al-Hussainy

et al.

Journal of Inflammation, Journal Year: 2025, Volume and Issue: 22(1)

Published: May 14, 2025

Language: Английский

Citations

0