Endocrine Reviews,
Год журнала:
2015,
Номер
36(3), С. 305 - 342
Опубликована: Май 7, 2015
Traumatic
brain
injury
(TBI)
is
a
growing
public
health
problem
worldwide
and
leading
cause
of
death
disability.
The
causes
TBI
include
motor
vehicle
accidents,
which
are
the
most
common
cause,
falls,
acts
violence,
sports-related
head
traumas,
war
accidents
including
blast-related
injuries.
Recently,
pituitary
dysfunction
has
also
been
described
in
boxers
kickboxers.
Neuroendocrine
due
to
was
for
first
time
1918.
Only
case
reports
small
series
were
reported
until
2000,
but
since
then
function
victims
investigated
more
detail.
frequency
hypopituitarism
after
varies
widely
among
different
studies
(15–50%
patients
with
studies).
estimates
persistent
decrease
12%
if
repeated
testing
applied.
GH
hormone
lost
TBI,
followed
by
ACTH,
gonadotropins
(FSH
LH),
TSH.
underlying
mechanisms
responsible
not
entirely
clear;
however,
recent
have
shown
that
genetic
predisposition
autoimmunity
may
role.
Hypopituitarism
negative
impact
on
pace
or
degree
functional
recovery
cognition.
What
clear
whether
treatment
beneficial
effect
specific
function.
In
this
review,
current
data
related
anterior
adult
updated,
guidelines
diagnosis,
follow-up
strategies,
therapeutic
approaches
reported.
The FASEB Journal,
Год журнала:
2017,
Номер
32(1), С. 512 - 528
Опубликована: Сен. 21, 2017
Neuronal
inflammation
is
the
characteristic
pathologic
change
of
acute
neurologic
impairment
and
chronic
traumatic
encephalopathy
after
brain
injury
(TBI).
Inhibiting
excessive
inflammatory
response
essential
for
improving
outcome.
To
clarify
regulatory
mechanism
microglial
exosomes
on
neu-ronal
in
TBI,
we
focused
studying
impact
exosomal
miRNAs
injured
neurons
this
research.
We
used
a
repetitive
(r)TBI
mouse
model
harvested
extracts
from
to
phase
TBI
treat
cultured
BV2
microglia
vitro.
The
were
collected
miRNA
microarray
analysis,
which
showed
that
expression
level
miR-124-3p
increased
most
apparently
miRNAs.
found
promoted
anti-inflamed
M2
polarization
microglia,
inhibited
neuronal
scratch-injured
neurons.
Further,
mammalian
target
rapamycin
(mTOR)
signaling
was
implicated
as
being
involved
regulation
by
Gene
Ontology
Kyoto
Encyclopedia
Genes
Genomes
pathway
analyses.
Using
mTOR
activator
MHY1485
confirmed
inhibitory
effect
exerted
suppressing
activity
signaling.
PDE4B
predicted
be
gene
analysis.
proved
it
directly
targeted
with
luciferase
reporter
assay.
overexpressed
lentivirus
transfection
system,
suggested
suppressed
mainly
through
inhibiting
PDE4B.
In
addition,
neurite
outgrowth
scratch
injury,
characterized
an
increase
number
branches
total
length,
decreasedexpressiononRhoAand
neurodegenerative
proteins
[Aß-peptide
p-Tau].
It
also
improved
outcome
neuro-inflammation
mice
rTBI.
Taken
together,
can
inhibit
contribute
via
their
transfer
into
these
effects
targeting
PDE4B,
thus
Therefore,
could
promising
therapeutic
interventions
TBI.
manipulated
may
provide
novel
therapy
other
diseases.—Huang,
S.,
Ge,
X.,
Yu,
J.,
Han,
Z.,
Yin,
Li,
Y.,
Chen,
F.,
Wang,
H.,
Zhang,
Lei,
P.
Increased
following
inhibits
contributes
FASEB
J.
32,
512-528
(2018).
www.fasebj.org
JAMA Neurology,
Год журнала:
2014,
Номер
71(6), С. 684 - 684
Опубликована: Март 13, 2014
Lack
of
objective
biomarkers
for
brain
damage
hampers
acute
diagnosis
and
clinical
decision
making
about
return
to
play
after
sports-related
concussion.To
determine
whether
concussion
is
associated
with
elevated
levels
blood
biochemical
markers
injury
the
central
nervous
system
assess
plasma
these
predict
in
professional
ice
hockey
players
concussion.Multicenter
prospective
cohort
study
involving
all
12
teams
top
league
Sweden,
Swedish
Hockey
League.
Two
hundred
eighty-eight
from
contesting
during
2012-2013
season
consented
participate.
All
underwent
preseason
baseline
testing
regarding
assessment
measures.
Forty-seven
2
sampling
prior
start
season.
Thirty-five
had
a
September
13,
2012,
January
31,
2013;
players,
28
repeated
at
1,
12,
36,
144
hours
when
returned
play.Total
tau,
S-100
calcium-binding
protein
B,
neuron-specific
enolase
concentrations
serum
were
measured.Concussed
increased
axonal
biomarker
total
tau(median,
10.0
pg/mL;
range,
2.0-102
pg/mL)
compared
values
(median,
4.5pg/mL;
0.06-22.7
(P
<
.001).
The
astroglial
B
also
concussion(median,
0.075
μg/L;
0.037-0.24
μg/L)
(median,0.045
0.005-0.45
highest
tau
measured
immediately
concussion,
they
decreased
rehabilitation.
No
significant
changes
detected
6.5
range,3.45-18.0
postconcussion
6.1
3.6-12.8
=
.10).Sports-related
injury.
This
can
be
monitored
using
biomarkers,
which
may
developed
into
tools
guide
sport
physicians
medical
counseling
athletes
return-to-play
decisions.
Brain,
Год журнала:
2017,
Номер
141(2), С. 422 - 458
Опубликована: Дек. 2, 2017
The
mechanisms
underpinning
concussion,
traumatic
brain
injury,
and
chronic
encephalopathy,
the
relationships
between
these
disorders,
are
poorly
understood.
We
examined
post-mortem
brains
from
teenage
athletes
in
acute-subacute
period
after
mild
closed-head
impact
injury
found
astrocytosis,
myelinated
axonopathy,
microvascular
perivascular
neuroinflammation,
phosphorylated
tau
protein
pathology.
To
investigate
causal
mechanisms,
we
developed
a
mouse
model
of
lateral
that
uses
momentum
transfer
to
induce
head
acceleration.
Unanaesthetized
mice
subjected
unilateral
exhibited
abrupt
onset,
transient
course,
rapid
resolution
concussion-like
syndrome
characterized
by
altered
arousal,
contralateral
hemiparesis,
truncal
ataxia,
locomotor
balance
impairments,
neurobehavioural
deficits.
Experimental
was
associated
with
blood–brain
barrier
disruption,
microgliosis
(with
activation
triggering
receptor
expressed
on
myeloid
cells,
TREM2),
monocyte
infiltration,
tauopathy
cerebral
cortex
ipsilateral
subjacent
impact.
Phosphorylated
detected
axons
24
h,
bilateral
soma
2
weeks,
distant
bilaterally
at
5.5
months
post-injury.
Impact
pathologies
co-localized
serum
albumin
extravasation
diagnostically
detectable
living
dynamic
contrast-enhanced
MRI.
These
were
also
accompanied
early,
persistent,
impairment
axonal
conduction
velocity
hippocampus
defective
long-term
potentiation
synaptic
neurotransmission
medial
prefrontal
cortex,
regions
acute
injury.
Surprisingly,
deficits
time
did
not
correlate
microgliosis,
tauopathy,
or
electrophysiological
dysfunction.
Furthermore,
observed
but
blast
exposure
under
experimental
conditions
matched
for
kinematics.
Computational
modelling
showed
generated
focal
point
loading
seven-fold
greater
peak
shear
stress
compared
exposure.
Moreover,
intracerebral
peaked
before
onset
gross
motion.
By
comparison,
induced
distributed
force
diffuse,
lower
magnitude
brain.
conclude
mechanics
shape
responses,
structural
damage,
neuropathological
sequelae
triggered
neurotrauma.
results
indicate
injuries,
independent
concussive
signs,
can
as
well
early
functional
encephalopathy.
shed
light
origins
concussion
relationship
its
aftermath.
EBioMedicine,
Год журнала:
2018,
Номер
28, С. 21 - 30
Опубликована: Янв. 31, 2018
Traumatic
brain
injury
(TBI)
and
Alzheimer's
disease
(AD)
are
devastating
neurological
disorders,
whose
complex
relationship
is
not
completely
understood.
Cerebrovascular
pathology,
a
key
element
in
both
conditions,
could
represent
mechanistic
link
between
Aβ/tau
deposition
after
TBI
the
development
of
post
concussive
syndrome,
dementia
chronic
traumatic
encephalopathy
(CTE).
In
addition
to
debilitating
acute
effects,
TBI-induced
neurovascular
injuries
accelerate
amyloid
β
(Aβ)
production
perivascular
accumulation,
arterial
stiffness,
tau
hyperphosphorylation
tau/Aβ-induced
blood
barrier
damage,
giving
rise
deleterious
feed-forward
loop.
We
postulate
that
can
initiate
cerebrovascular
which
causally
involved
multiple
forms
neurodegeneration
including
AD-like
dementias.
this
review,
we
will
explore
how
novel
biomarkers,
animal
human
studies
with
focus
on
dysfunction
contributing
understanding
consequences
pathology.
Abstract
Axonal
white
matter
injury
is
believed
to
be
a
major
determinant
of
adverse
outcomes
following
traumatic
brain
(TBI).
We
hypothesized
that
measurement
neurofilament
light
protein
(NF-L),
found
in
long
white-matter
axons,
blood
samples,
may
serve
as
suitable
biomarker
for
neuronal
damage
TBI
patients.
To
test
our
hypotheses,
we
designed
study
two
parts:
i)
developed
an
immunoassay
based
on
Single
molecule
array
technology
quantification
NF-L
blood,
and
ii)
proof-of-concept
study,
tested
newly
method
serial
serum
samples
from
severe
(sTBI)
patients
(n
=
72)
controls
35).
also
compared
the
diagnostic
prognostic
utility
with
established
S100B.
levels
were
markedly
increased
sTBI
controls.
at
admission
yielded
AUC
0.99
detect
versus
(AUC
0.96
S100B),
1.00
day
12
(0.65
S100B).
Importantly,
initial
predicted
poor
12-month
clinical
outcome.
In
contrast,
S100B
was
not
related
Taken
together,
data
suggests
useful
assess
severity
sTBI.
Neurology,
Год журнала:
2014,
Номер
83(4), С. 312 - 319
Опубликована: Июнь 26, 2014
Objectives:
Traumatic
brain
injury
(TBI)
is
common
in
military
personnel,
and
there
growing
concern
about
the
long-term
effects
of
TBI
on
brain;
however,
few
studies
have
examined
association
between
risk
dementia
veterans.
Methods:
We
performed
a
retrospective
cohort
study
188,764
US
veterans
aged
55
years
or
older
who
had
at
least
one
inpatient
outpatient
visit
during
both
baseline
(2000–2003)
follow-up
(2003–2012)
periods
did
not
diagnosis
baseline.
diagnoses
were
determined
using
ICD-9
codes
electronic
medical
records.
Fine-Gray
proportional
hazards
models
used
to
determine
whether
was
associated
with
greater
incident
dementia,
accounting
for
competing
death
adjusting
demographics,
comorbidities,
psychiatric
disorders.
Results:
Veterans
mean
age
68
During
9-year
period,
16%
those
developed
compared
10%
without
(adjusted
hazard
ratio,
1.57;
95%
confidence
interval:
1.35–1.83).
There
evidence
an
additive
other
conditions
dementia.
Conclusions:
60%
increase
developing
over
9
after
risks
potential
confounders.
Our
results
suggest
that
may
predispose
toward
development
symptomatic
raise
consequences
younger
civilians.
Journal of Neuroinflammation,
Год журнала:
2017,
Номер
14(1)
Опубликована: Янв. 13, 2017
Epilepsy
is
a
common
and
debilitating
consequence
of
traumatic
brain
injury
(TBI).
Seizures
contribute
to
progressive
neurodegeneration
poor
functional
psychosocial
outcomes
for
TBI
survivors,
epilepsy
after
often
resistant
existing
anti-epileptic
drugs.
The
development
post-traumatic
(PTE)
occurs
in
complex
neurobiological
environment
characterized
by
ongoing
TBI-induced
secondary
processes.
Neuroinflammation
an
important
process,
though
how
it
contributes
epileptogenesis,
the
chronic,
spontaneous
seizure
activity,
remains
poorly
understood.
A
mechanistic
understanding
inflammation
(epileptogenesis)
facilitate
identification
novel
therapeutic
strategies
reduce
or
prevent
seizures.
We
reviewed
previous
clinical
pre-clinical
data
evaluate
hypothesis
that
seizures
TBI.
Increasing
evidence
indicates
neuroinflammation
epileptic
also
epileptogenesis
as
well
initiation
(ictogenesis)
perpetuation.
Three
key
signaling
factors
implicated
both
activity
pathogenesis
are
highlighted
this
review:
high-mobility
group
box
protein-1
interacting
with
toll-like
receptors,
interleukin-1β
its
transforming
growth
factor-β
from
extravascular
albumin.
Lastly,
we
consider
age-dependent
differences
susceptibility
mechanisms
which
may
heightened
vulnerability
young
brain-injured
patients.
Several
inflammatory
mediators
exhibit
epileptogenic
ictogenic
properties,
acting
on
glia
neurons
directly
indirectly
influence
neuronal
excitability.
Further
research
required
establish
causality
between
cascades
post-TBI,
potential
pharmaceuticals
targeting
pathways
mitigate
PTE.