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

Concussion and the Autonomic, Immune, and Endocrine Systems: An Introduction to the Field and a Treatment Framework for Persisting Symptoms DOI Open Access

Jon L. Pertab,

Tricia L. Merkley,

Holly R. Winiarski

et al.

Journal of Personalized Medicine, Journal Year: 2025, Volume and Issue: 15(1), P. 33 - 33

Published: Jan. 17, 2025

A significant proportion of patients who sustain a concussion/mild traumatic brain injury endorse persisting, lingering symptoms. The symptoms associated with concussion are nonspecific, and many other medical conditions present similar Medical that overlap symptomatically include anxiety, depression, insomnia, chronic pain, fatigue, fibromyalgia, cervical strain injuries. One the factors may account for these similarities is all disturbances in optimal functioning autonomic nervous system its intricate interactions endocrine immune system—the three primary regulatory systems body. When clinicians working presenting persisting after concussion, evidence-based treatment options drawn from literature limited. We framework assessment following based on available evidence (treatment trials), neuroanatomical principles (research into physiology concussion), clinical judgment. review research supporting premise behavioral interventions designed to stabilize optimize body have potential reduce improve patients. Foundational rehabilitation strategies areas sleep stabilization, fatigue management, physical exercise, nutrition, relaxation protocols, activation outlined along practical implementing intervention modules

Language: Английский

Citations

1

A Systematic Review and Meta-Analysis of the Inflammatory Biomarkers in Mild Traumatic Brain Injury DOI Creative Commons
Ioannis Mavroudis, Alin Ciobîcă,

Ioana Miruna Balmus

et al.

Biomedicines, Journal Year: 2024, Volume and Issue: 12(2), P. 293 - 293

Published: Jan. 26, 2024

Mild traumatic brain injury (mTBI) accounts for most TBI cases, the leading cause of morbidity and mortality worldwide. Despite its high incidence, mTBI pathophysiology remains largely unknown. Recent studies have shown that inflammatory response is activated early after can persist several weeks or months. However, limited evidence on utility biomarkers as predictors clinical outcomes in has been previously provided. Thus, this systematic review meta-analysis aims to provide an overview current knowledge role inflammation pathogenesis potential some biomolecules mTBI. In regard, eight comprising 1184 individuals were selected. it was increase IL-6, TNF-α, IL-1β plasma levels could be implicated development post-concussion symptoms. On other hand, persistence increased plasmatic concentrations IL-10 IL-8 long six months following event suggest chronic neuroinflammation late persistent context, our findings showed relevant diagnosing predicting recovery long-term

Language: Английский

Citations

8

Inflammatory biomarkers for neurobehavioral dysregulation in former American football players: findings from the DIAGNOSE CTE Research Project DOI Creative Commons
Suzan van Amerongen, Surya Pulukuri, Fatima Tuz‐Zahra

et al.

Journal of Neuroinflammation, Journal Year: 2024, Volume and Issue: 21(1)

Published: Feb. 9, 2024

Traumatic encephalopathy syndrome (TES) is defined as the clinical manifestation of neuropathological entity chronic traumatic (CTE). A core feature TES neurobehavioral dysregulation (NBD), a neuropsychiatric in repetitive head impact (RHI)-exposed individuals, characterized by poor regulation emotions/behavior. To discover biological correlates for NBD, we investigated association between biomarkers inflammation (interleukin (IL)-1β, IL-6, IL-8, IL-10, C-reactive protein (CRP), tumor necrosis factor (TNF)-α) cerebrospinal fluid (CSF) and NBD symptoms former American football players unexposed individuals.

Language: Английский

Citations

5

Serum neurofilament light chain, inflammatory markers, and kynurenine metabolites in patients with persistent post-concussion symptoms: A cohort study DOI Creative Commons
Peter Preben Eggertsen, Johan Palmfeldt, Asger Roer Pedersen

et al.

Journal of the Neurological Sciences, Journal Year: 2024, Volume and Issue: 460, P. 123016 - 123016

Published: April 15, 2024

Language: Английский

Citations

5

Longitudinal Associations Between Persistent Post-Concussion Symptoms and Blood Biomarkers of Inflammation and CNS-Injury After Mild Traumatic Brain Injury DOI Creative Commons
Gerard Janez Brett Clarke, Toril Skandsen, Henrik Zetterberg

et al.

Journal of Neurotrauma, Journal Year: 2023, Volume and Issue: 41(7-8), P. 862 - 878

Published: Dec. 20, 2023

The aim of our study was to investigate the biological underpinnings persistent post-concussion symptoms (PPCS) at 3 months following mild traumatic brain injury (mTBI). Patients (

Language: Английский

Citations

10

BTK-NLRP3-Caspase1 and Gasdermin D-Caspase 11 pathways jointly drive neuroinflammation and functional impairments in a rat model of psychosocial stress DOI Open Access

S. D. Tiwari,

Zaidan Mohammed,

Santi Ranjan Atta

et al.

bioRxiv (Cold Spring Harbor Laboratory), Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 6, 2025

Abstract Common psychological disorders related to stress, depression and anxiety pose serious disease economic burden globally especially in lower middle-income countries. Existing pharmacotherapies mostly target neurotransmitter systems are partially effective across a range of diagnostic categories. However, it is also long-standing finding that low grade inflammation persistently present systemic circulation as well the brain anxiety. Specifically, neuroinflammation driven by Interleukin-1β (IL-1β) pleiotropic cytokine. has recently been focus keen interest research. IL-1β probably most prominent proinflammatory cytokine long associated with these conditions. We on molecules cause be synthesized from its precursor, namely Caspase 1, through activation large multiprotein complex known NLRP3 inflammasome complex. Using two different rat models physical psychosocial we validate our earlier findings induction BTK/NLRP3/Caspase 1 Canonical Pathway stressed animals. show involvement Gasdermin D/Caspase11 non canonical pathway contributes enhanced leakage cells pyroptosis, absence lytic cell death. Stressed rats display robust neuroinflammatory phenotype, reduction CA3 Hippocampal spine density, number mature mushroom spines, functional impairments multiple domains behavior. Finally employ FDA approved drugs, Ibrutinib Disulfiram mitigate neural, phenotype behavioral dysfunctions, individually combination. The combination therapy proved more efficacious, suggesting joint inhibition mitigates pathological sequelae stress. Taken together data provides preclinical argues for amelioration dependent release considered an alternative therapeutic strategy

Language: Английский

Citations

0

The stress-immune system axis: Exploring the interplay between stress and immunity DOI
Muhammad Liaquat Raza

Progress in brain research, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 1, 2025

Language: Английский

Citations

0

PACAP a mediator of inflammation following trauma exposure and mild traumatic brain injury: Differential effects in males and females DOI
Shane W. Adams, Aoife O’Donovan, Thomas C. Neylan

et al.

Brain Behavior and Immunity, Journal Year: 2025, Volume and Issue: 128, P. 589 - 599

Published: April 30, 2025

Language: Английский

Citations

0

Neuroprotective effects of naltrexone in a mouse model of post-traumatic seizures DOI Creative Commons
Saul Rodriguez, Shaunik Sharma,

Grant Tiarks

et al.

Scientific Reports, Journal Year: 2024, Volume and Issue: 14(1)

Published: June 12, 2024

Abstract Traumatic Brain Injury (TBI) induces neuroinflammatory response that can initiate epileptogenesis, which develops into epilepsy. Recently, we identified anti-convulsive effects of naltrexone, a mu-opioid receptor (MOR) antagonist, used to treat drug addiction. While blocking opioid receptors reduce inflammation, it is unclear if post-TBI seizures be prevented by MORs. Here, tested naltrexone prevents neuroinflammation and/or post-TBI. TBI was induced modified Marmarou Weight-Drop (WD) method on 4-week-old C57BL/6J male mice. Mice were placed in two groups: non-telemetry assessing the acute or telemetry monitoring for interictal events and spontaneous both following naltrexone. Molecular, histological neuroimaging techniques evaluate neuroinflammation, neurodegeneration fiber track integrity at 8 days 3 months Peripheral immune responses assessed through serum chemokine/cytokine measurements. Our results show an increase MOR expression, nitro-oxidative stress, mRNA expression inflammatory cytokines, microgliosis, neurodegeneration, white matter damage neocortex Video-EEG revealed increased mice, with 71% mice developing post-traumatic (PTS). Naltrexone treatment ameliorated reduced all makes promising candidate against PTS, TBI-associated epileptogenesis WD model TBI.

Language: Английский

Citations

3

Causal effect of circulating cytokines on MRI markers of cerebral small vessel disease: A mendelian randomization study DOI

Yang Yang,

Zhichao Yao,

Li-rong Huo

et al.

Cytokine, Journal Year: 2024, Volume and Issue: 182, P. 156713 - 156713

Published: July 29, 2024

Language: Английский

Citations

3