I
report
an
unusual
case
in
Saudi
Arabia
of
a
28-year-old
man
who
had
bipolar
disorder
due
to
traumatic
brain
injury
suffered
10
years
previously.
He
been
evaluated
and
diagnosed
with
schizoaffective
as
well
amphetamine
hash
use
until
recently,
when
the
team
noticed
poor
response
treatment
continuation
his
cognitive
features.
After
reevaluation
history
evidence
lesions
on
MRI,
diagnosis
was
changed
injury.
The
patient
shown
fair
valproate
risperidone.
This
emphasizes
significance
ruling
out
medical
factors
contributing
manifestation
any
novel
psychiatric
symptom,
necessitating
greater
attention
account
cranial
trauma
periods
unconsciousness.
Psychiatrists
should
be
aware
these
overlooked
cases
encourage
colleagues
field
maintain
high
index
suspicion
take
good
relevant
insults,
especially
there
are
features
medications.
exhibited
symptoms
inattention,
memory
difficulties,
reasoning
deficits,
judgment,
but
he
did
not
meet
criteria
for
minor
or
major
disorder.
Cell Death and Disease,
Год журнала:
2025,
Номер
16(1)
Опубликована: Март 4, 2025
Abstract
Neuronal
cell
death
is
a
causative
process
in
traumatic
brain
injury
(TBI)-induced
structural
and
functional
impairment
of
the
central
nervous
system.
However,
upstream
trigger
TBI-induced
neuronal
loss
underlying
molecular
pathways
remain
unclear.
Zipper-interacting
protein
kinase
(ZIPK)
has
been
shown
to
be
upregulated
Alzheimer’s
disease
ischemic
stroke
play
role
cellular
apoptosis,
while
its
pathological
significance
TBI
not
reported.
Herein,
we
discovered
for
first
time
that
ZIPK
expression
was
markedly
elevated
neurons
after
caused
massive
apoptosis
peri-contusional
regions.
Zipk
haploinsufficiency
antagonized
reversed
several
typical
neuropathological
changes
induced
by
TBI.
Mechanistically,
found
affected
viability
modulating
effector
domain-containing
DNA
binding
(DEDD)
caspase-3
pathway.
Specifically,
could
bind
phosphorylate
DEDD
at
S9
residue,
thus
enhancing
stability
DEDD,
leading
activation
caspase-3-mediated
apoptotic
cascade
neurons.
The
rescue
downregulation
effectively
alleviated
behavioral
deficits
preserving
motor
cognitive
abilities
vivo,
supporting
decisive
dysregulation
TBI-associated
dysfunctions
survival.
Furthermore,
pharmacological
suppression
activity
specific
inhibitor
prior
protected
from
injury-induced
degeneration
vitro
vivo
preventing
upregulation
activation.
In
conclusion,
our
data
reveal
essential
contribution
through
DEDD/caspase-3
cascade,
suggest
potential
targeting
as
an
effective
strategy
treating
TBI-related
neuropathologies.
Advanced Functional Materials,
Год журнала:
2024,
Номер
34(29)
Опубликована: Март 14, 2024
Abstract
The
prognosis
for
traumatic
brain
injury
(TBI)
depends
largely
on
prompt
hemostasis
and
effective
pharmacologic
interventions.
Natural
all‐small‐molecule
self‐gelling
powder,
integrating
the
advantages
of
self‐assembled
small‐molecule
hydrogels
powders,
is
expected
to
provide
timely
prehospital
management
TBI.
However,
synthesis
application
natural
powder
still
uncharted
territory.
In
this
study,
an
co‐assembled
MGF‐H
3
BO
‐RUT
(MBR)
fabricated
through
co‐assembly
mangiferin
(MGF)
rutin
(RUT)
in
H
/NaOH
aqueous
solution.
Both
compounds
can
bind
with
boric
acid,
leading
co‐assembling
into
hydrogen‐bonding
interactions
π
–
stacking.
MBR
then
obtained
by
drying
as‐prepared
hydrogels,
thus
pharmacodynamics
one.
Remarkably,
it
displays
robust
regeneration
capabilities,
while
retaining
excellent
self‐healing
properties
injectability
after
drying‐hydration
cycles.
Moreover,
not
only
achieves
rapid
but
also
attenuates
conspicuously
cerebral
edema
inflammatory
response
TBI
situ
spraying,
exhibiting
notable
neuroprotective
effects
without
discernible
toxic
side
effects.
This
study
provides
a
novel
assembly
strategy
form
gel
materials
originating
from
small
molecules,
offering
promising
avenues
treatment
acute
phase.
ACS Nano,
Год журнала:
2024,
Номер
18(42), С. 28894 - 28909
Опубликована: Окт. 9, 2024
Self-assembly
of
hydrogels
for
mechanical
support
and
drug
delivery
has
been
extensively
researched
in
traumatic
brain
injury
(TBI),
where
treatment
options
are
limited.
The
chief
challenge
is
that
most
self-assembled
rely
on
high
molecular
carriers
or
the
incorporation
exogenous
inactive
substances
as
mediators.
It
difficult
these
systems
to
achieve
clinical
translation
due
concerns
regarding
biological
safety.
Here
we
report
a
small
molecule
hydrogel
(GBR-gel)
loading
drugs
(glycyrrhizic
acid,
berberine,
rhein)
originated
from
popular
Chinese
medicines
without
additional
components
under
physiological
conditions.
In
long
run,
GBR-gel
possesses
several
advantages,
including
ease
preparation,
cost-effectiveness,
biocompatibility.
As
proof-of-concept,
allows
prompt
administration
at
site
exert
potent
pharmacodynamic
effects.
Further
single-cell
RNA
sequencing
experimental
validation
indicated
can
effectively
rescue
suppressed
glutamatergic
synapse
pathway
after
TBI,
thereby
attenuating
inflammatory
responses
neural
impairments.
Our
work
provides
an
alternative
strategy
timely
intervention
TBI.
Scientific Reports,
Год журнала:
2025,
Номер
15(1)
Опубликована: Янв. 10, 2025
Health-related
behavioral
changes
may
occur
following
traumatic
brain
injury.
We
focused
on
understanding
the
impact
of
mild
injury
(TBI)
health-related
behaviors
and
identifying
factors
associated
with
such
changes.
utilized
health
check-up
records
from
Korean
National
Health
Insurance
Service
database
spanning
January
1,
2009,
to
December
31,
2017.
The
sample
included
49,212
patients
diagnosed
TBI
1:1
matched
controls
who
participated
in
national
check-ups
2009–2010,
2011–2012,
2016–2017.
Multivariable
logistic
regression
analysis
was
examine
association
between
short-
long-term
Mild
significantly
an
increased
risk
insufficient
physical
activity
at
[odds
ratio
(OR),
1.04;
95%
confidence
interval
(CI),
1.01
−
1.07]
(OR,
1.06;
CI,
1.03
1.09)
follow-ups.
Age
≥
65
years
female
sex
were
significant
effect
modifiers
for
1.11;
1.02
1.21)
smoking
1.31;
1.14
1.51),
respectively.
lead
detrimental
changes,
varying
by
age
sex.
Thus,
age-
sex-specific
interventions
be
needed
address
these
ACS Nano,
Год журнала:
2024,
Номер
18(29), С. 19038 - 19053
Опубликована: Июль 9, 2024
Surgical
intervention
is
the
most
common
first-line
treatment
for
severe
traumatic
brain
injuries
(TBIs)
associated
with
high
intracranial
pressure,
while
complexity
of
these
surgical
procedures
often
results
in
complications.
Surgeons
struggle
to
comprehensively
evaluate
TBI
status,
making
it
difficult
select
optimal
strategy.
Here,
we
introduce
a
fluorescence
imaging-based
technology
that
uses
high-quality
silver
indium
selenide-based
quantum
dots
(QDs)
integrated
diagnosis
and
guidance.
These
engineered,
poly(ethylene
glycol)-capped
QDs
emit
near-infrared
region,
are
resistant
phagocytosis,
importantly,
ultrastable
after
epitaxial
growth
an
aluminum-doped
zinc
sulfide
shell
aqueous
phase
renders
long-term
light
irradiation
complex
physiological
environments.
We
found
intravenous
injection
enabled
both
precise
mouse
model
and,
more
comprehensive
evaluation
status
before,
during,
operation
distinguish
from
superficial
hemorrhages,
provide
real-time
monitoring
secondary
hemorrhage,
guide
decision
on
evacuation
hematomas.
This
QD-based
diagnostic
system
could
ultimately
complement
existing
clinical
tools
treating
TBI,
which
may
help
surgeons
improve
patient
outcomes
avoid
unnecessary
procedures.
Journal of Neurology Neurosurgery & Psychiatry,
Год журнала:
2024,
Номер
unknown, С. jnnp - 333777
Опубликована: Окт. 11, 2024
Background
Traumatic
brain
injury
(TBI)
is
common
in
military
campaigns
and
a
risk
factor
for
dementia.
A
rme
D
Ser
V
ices
Tr
uma
Rehabilitatio
N
Out
C
om
E
-TBI
(ADVANCE-TBI)
aims
to
ascertain
neurological
outcomes
UK
personnel
with
major
battlefield
trauma,
leveraging
advances
quantification
of
axonal
breakdown
markers
like
neurofilament
light
(NfL),
astroglial
marker
glial
fibrillar
acidic
protein
(GFAP)
blood.
We
aimed
describe
the
causes,
prevalence
consequences
TBI,
its
fluid
biomarker
associations.
Methods
TBI
history
was
ascertained
1145
servicemen
veterans,
whom
579
had
been
exposed
trauma.
Functional
mental
health
assessments
were
administered,
blood
samples
collected
approximately
8
years
postinjury,
plasma
biomarkers
quantified
(n=1125)
NfL,
GFAP,
total
tau,
phospho-tau
181
,
amyloid-β
42
40.
Outcomes
related
neurotrauma
exposure.
Results
present
16.9%
(n=98)
participants,
46.9%
classified
as
mild-probable
53.1%
moderate
severe.
Depression
(β=1.65,
95%
CI
(1.33
2.03)),
anxiety
(β=1.65
(1.34
2.03))
post-traumatic
stress
disorder
(β=1.30
(1.19
1.41))
symptoms
more
after
alongside
poorer
6
minute
walk
distance
(β=0.79
(0.74
0.84))
quality
life
(β=1.27
1.36),
all
p<0.001).
Plasma
GFAP
11%
(95%
2
21)
higher
post-TBI
(p=0.013),
greater
concentrations
moderate-to-severe
injuries
(47%
than
20%
82%,
Unemployment
among
those
elevated
levels
post-TBI,
showing
1.14-fold
increase
1.03
1.27,
p<0.001)
every
doubling
concentration.
Conclusions
affected
nearly
fifth
trauma-exposed
personnel,
worse
health,
motor
functional
outcomes,
well
post-injury.
This
absent
extracranial
showed
dose-response
relationship
severity
injury.
JAMA Network Open,
Год журнала:
2024,
Номер
7(12), С. e2450499 - e2450499
Опубликована: Дек. 12, 2024
Importance
Traumatic
brain
injury
(TBI)
is
associated
with
chronic
medical
conditions.
Evidence
from
diverse
clinical
administrative
datasets
may
improve
care
delivery.
Objective
To
characterize
post-TBI
risk
of
incident
neuropsychiatric
and
conditions
in
a
California
health
system
database
validate
findings
Massachusetts
dataset.
Design,
Setting,
Participants
In
this
cohort
study,
prospective
longitudinal
cohorts
using
data
5
University
settings
between
2013
2022
were
studied.
Patients
aged
18
years
older
mild
(mTBI)
or
moderate
to
severe
TBI
(msTBI)
included.
Unexposed
individuals
propensity
matched
by
age,
race
ethnicity,
sex,
site,
insurance
coverage,
area
deprivation
index
(ADI)
score,
duration
date
most
recent
encounter.
study
comorbidities
interest
before
the
excluded.
Data
analyzed
August
October
2024.
Exposure
TBI.
Main
Outcomes
Measures
International
Classification
Diseases,
Ninth
Revision
(
ICD-9
)
Statistical
Tenth
Revision,
Clinical
Modification
ICD-10-CM
codes
used
identify
patients
up
22
within
neurological,
psychiatric,
cardiovascular,
endocrine
umbrella
groupings.
Cox
proportional
hazard
models
generate
yearly
ratios
(HRs)
6
months
10
after
Models
further
stratified
age
ADI
score.
Results
The
consisted
20
400
(9264
female
[45.4%];
1576
Black
[7.7%],
3944
Latinx
[19.3%],
480
White
[51.4%]),
including
5100
mTBI
(median
[IQR]
36.0
[25.0-51.0]
years),
msTBI
[IQR
35.0
[25.0-52.0]
200
control
group
years).
By
score
quintile,
there
2757
unexposed
(27.0%),
1561
(30.6%),
1550
(30.4%)
lowest
(1-2)
quintiles
1523
(14.9%),
769
(15.1%),
804
(15.8%)
highest
(9-10).
any
severity
was
increased
nearly
all
(mTBI
HRs
ranged
1.30;
95%
CI,
1.07-1.57
for
hypothyroidism
4.06;
3.06-5.39
dementia,
1.35;
1.12-1.62
3.45;
2.73-4.35
seizure
disorder).
Separate
stratifications
revealed
patient
populations
at
risk,
middle-age
adults
(ages
41-60
suicidality
(mTBI:
HR,
4.84;
3.01-7.78;
msTBI:
4.08;
2.51-6.62).
Suicidality
persisted
high
subgroup
(HR,
2.23;
1.36-3.66).
Conclusions
Relevance
factor
treatable
other
conditions,
validating
similar
Additional
exploratory
suggested
varying
demographic
regional
patterns,
which
causal
hypotheses
research
inform
surveillance
strategies.
Journal of Neurotrauma,
Год журнала:
2024,
Номер
unknown
Опубликована: Июль 6, 2024
Psychopathology,
including
depression,
anxiety,
and
post-traumatic
stress,
is
a
significant
yet
inadequately
addressed
feature
of
moderate-severe
traumatic
brain
injury
(TBI).
Progress
in
understanding
treating
post-TBI
psychopathology
may
be
hindered
by
limitations
associated
with
conventional
diagnostic
approaches,
specifically
the
Acta Neuropathologica Communications,
Год журнала:
2024,
Номер
12(1)
Опубликована: Авг. 7, 2024
Abstract
Traumatic
brain
injury
(TBI)
survivors
face
debilitating
long-term
psychosocial
consequences,
including
social
isolation
and
depression.
TBI
modifies
neurovascular
physiology
behavior
but
the
chronic
physiological
implications
of
altered
perfusion
on
interactions
are
unknown.
Adult
C57/BL6
male
mice
received
a
moderate
cortical
TBI,
behaviors
were
assessed
at
baseline,
3-,
7-,
14-,
30-,
60-days
post
(dpi).
Magnetic
resonance
imaging
(MRI,
9.4T)
using
dynamic
susceptibility
contrast
weighted
MRI
acquired.
At
60dpi
underwent
histological
angioarchitectural
mapping.
Analysis
utilized
standardized
protocols
followed
by
cross-correlation
metrics.
Social
deficits
emerged
as
reduced
with
familiar
cage-mate
(partner)
that
mirrored
significant
reductions
in
cerebral
blood
flow
(CBF)
60dpi.
CBF
perturbations
temporally
across
regions
known
to
regulate
such
hippocampus,
hypothalamus,
rhinal
cortex.
TBI-mice
decline
preference
spend
time
cage
mate.
Cortical
vascular
density
was
also
corroborating
interactions.
Thus,
late
emergence
interaction
be
involved
behaviors.
Vascular
morphology
function
improved
prior
decrements
our
correlations
strongly
implicate
linkage
between
density,
perfusion,
Our
study
provides
clinically
relevant
timeline
alterations
alongside
functional
recovery
can
guide
future
therapeutics.