Journal of Clinical Medicine,
Год журнала:
2023,
Номер
12(12), С. 3923 - 3923
Опубликована: Июнь 8, 2023
Traumatic
brain
injury
(TBI)
is
a
complex
and
multifaceted
disorder
that
has
become
significant
public
health
concern
worldwide
due
to
its
contribution
mortality
morbidity.
This
condition
encompasses
spectrum
of
injuries,
including
axonal
damage,
contusions,
edema,
hemorrhage.
Unfortunately,
specific
effective
therapeutic
interventions
improve
patient
outcomes
following
TBI
are
currently
lacking.
Various
experimental
animal
models
have
been
developed
mimic
evaluate
potential
agents
address
this
issue.
These
designed
recapitulate
different
biomarkers
mechanisms
involved
in
TBI.
However,
the
heterogeneous
nature
clinical
TBI,
no
single
model
can
effectively
all
aspects
human
Accurate
emulation
also
tricky
ethical
considerations.
Therefore,
continued
study
biomarkers,
duration
severity
injury,
treatment
strategies,
optimization
necessary.
review
focuses
on
pathophysiology
available
models,
range
detection
methods
for
Overall,
highlights
need
further
research
reduce
global
burden
Signal Transduction and Targeted Therapy,
Год журнала:
2023,
Номер
8(1)
Опубликована: Окт. 13, 2023
Astroglia
are
a
broad
class
of
neural
parenchymal
cells
primarily
dedicated
to
homoeostasis
and
defence
the
central
nervous
system
(CNS).
contribute
pathophysiology
all
neurological
neuropsychiatric
disorders
in
ways
that
can
be
either
beneficial
or
detrimental
disorder
outcome.
Pathophysiological
changes
astroglia
primary
secondary
result
gain
loss
functions.
respond
external,
non-cell
autonomous
signals
associated
with
any
form
CNS
pathology
by
undergoing
complex
variable
their
structure,
molecular
expression,
function.
In
addition,
internally
driven,
cell
astroglial
innate
properties
lead
pathologies.
Astroglial
is
complex,
different
pathophysiological
states
phenotypes
context-specific
vary
disorder,
disorder-stage,
comorbidities,
age,
sex.
Here,
we
classify
into
(i)
reactive
astrogliosis,
(ii)
atrophy
function,
(iii)
degeneration
death,
(iv)
astrocytopathies
characterised
aberrant
forms
drive
disease.
We
review
across
spectrum
human
diseases
disorders,
including
neurotrauma,
stroke,
neuroinfection,
autoimmune
attack
epilepsy,
as
well
neurodevelopmental,
neurodegenerative,
metabolic
disorders.
Characterising
cellular
mechanisms
represents
new
frontier
identify
novel
therapeutic
strategies.
Biomedicines,
Год журнала:
2022,
Номер
10(9), С. 2167 - 2167
Опубликована: Сен. 2, 2022
Any
type
of
brain
injury
that
transpires
post-birth
is
referred
to
as
Acquired
Brain
Injury
(ABI).
In
general,
ABI
does
not
result
from
congenital
disorders,
degenerative
diseases,
or
by
trauma
at
birth.
Although
the
human
protected
external
world
layers
tissues
and
bone,
floating
in
nutrient-rich
cerebrospinal
fluid
(CSF);
it
remains
susceptible
harm
impairment.
damage
resulting
leads
changes
normal
neuronal
tissue
activity
and/or
structure
one
multiple
areas
brain,
which
can
often
affect
functions.
Impairment
sustained
an
last
anywhere
days
a
lifetime
depending
on
severity
injury;
however,
many
patients
face
trouble
integrating
themselves
back
into
community
due
possible
psychological
physiological
outcomes.
this
review,
we
discuss
pathologies,
their
types,
cellular
mechanisms
summarize
therapeutic
approaches
for
better
understanding
subject
create
awareness
among
public.
Biology,
Год журнала:
2023,
Номер
12(8), С. 1139 - 1139
Опубликована: Авг. 17, 2023
Traumatic
brain
injury
(TBI)
is
one
of
the
leading
causes
long-lasting
morbidity
and
mortality
worldwide,
being
a
devastating
condition
related
to
impairment
nervous
system
after
an
external
traumatic
event
resulting
in
transitory
or
permanent
functional
disability,
with
significant
burden
healthcare
system.
Harmful
events
underlying
TBI
can
be
classified
into
two
sequential
stages,
primary
secondary,
which
are
both
associated
breakdown
tissue
homeostasis
due
blood–brain
barrier,
osmotic
imbalance,
inflammatory
processes,
oxidative
stress,
excitotoxicity,
apoptotic
cell
death,
ultimately
loss
functionality.
The
present
study
provides
updated
review
concerning
roles
edema,
inflammation,
stress
on
changes
from
TBI.
proper
characterization
phenomena
contribute
improvement
care,
rehabilitation
quality
life
affected
people.
Frontiers in Cellular Neuroscience,
Год журнала:
2024,
Номер
18
Опубликована: Фев. 28, 2024
Traumatic
brain
injury
(TBI)
is
one
of
the
most
common
pathological
conditions
impacting
central
nervous
system
(CNS).
A
neurological
deficit
associated
with
TBI
results
from
a
complex
pathogenetic
mechanisms
including
glutamate
excitotoxicity,
inflammation,
demyelination,
programmed
cell
death,
or
development
edema.
The
critical
components
contributing
to
CNS
response,
damage
control,
and
regeneration
after
are
glial
cells–in
reaction
tissue
damage,
their
activation,
hypertrophy,
proliferation
occur,
followed
by
formation
scar.
scar
creates
barrier
in
damaged
helps
protect
acute
phase
post-injury.
However,
this
process
prevents
complete
recovery
late/chronic
producing
permanent
scarring,
which
significantly
impacts
function.
Various
types
participate
formation,
but
mostly
attributed
reactive
astrocytes
microglia,
play
important
roles
several
pathologies.
Novel
technologies
whole-genome
transcriptomic
epigenomic
analyses,
unbiased
proteomics,
show
that
both
microglia
represent
groups
heterogenic
subpopulations
different
genomic
functional
characteristics,
responsible
for
role
neurodegeneration,
neuroprotection
regeneration.
Depending
on
representation
distinct
glia
subpopulations,
as
well
regenerative
processes
delayed
neurodegeneration
may
thus
differ
nearby
remote
areas
structures.
This
review
summarizes
process,
where
resultant
effect
severity-,
region-
time-dependent
determined
model
distance
explored
area
lesion
site.
Here,
we
also
discuss
findings
concerning
intercellular
signaling,
long-term
possibilities
novel
therapeutical
approaches.
We
believe
comprehensive
study
an
emphasis
cells,
involved
post-injury
processes,
be
helpful
further
research
decisive
factor
when
choosing
model.
Frontiers in Bioengineering and Biotechnology,
Год журнала:
2025,
Номер
12
Опубликована: Янв. 6, 2025
Traumatic
brain
injury
(TBI)
represents
a
significant
global
public
health
issue,
with
effective
management
posing
numerous
challenges.
The
pathophysiology
of
TBI
is
typically
categorized
into
two
phases:
primary
and
secondary
injuries.
Secondary
involves
pathophysiological
mechanisms
such
as
blood-brain
barrier
(BBB)
disruption,
mitochondrial
dysfunction,
oxidative
stress,
inflammatory
responses.
Current
pharmacological
strategies
often
encounter
obstacles
in
treating
effectively,
primarily
due
to
challenges
BBB
penetration,
inadequate
target
site
accumulation,
off-target
toxicity.
Versatile
hydrogels
nanoparticles
offer
potential
solutions
these
limitations.
This
review
discusses
recent
progress
utilizing
for
treatment
over
the
past
5
years,
highlighting
their
relevance
underlying
pathophysiology.
Hydrogels
demonstrate
substantial
promise
addressing
injury,
providing
broad
spectrum
future
therapeutic
opportunities.
Frontiers in Immunology,
Год журнала:
2022,
Номер
13
Опубликована: Март 22, 2022
Traumatic
brain
injury
(TBI)
is
associated
with
high
mortality
and
disability,
a
substantial
socioeconomic
burden.
With
the
standardization
of
treatment
process,
there
increasing
interest
in
role
that
secondary
insult
TBI
plays
outcome
heterogeneity.
The
neither
detrimental
nor
beneficial
an
absolute
sense,
among
which
inflammatory
response
was
complex
cascade
events
can
thus
be
regarded
as
double-edged
sword.
Therefore,
clinicians
should
take
generation
balance
neuroinflammation
following
seriously.
In
this
review,
we
summarize
current
human
animal
model
studies
provide
better
understanding
different
stages
TBI.
particular,
advances
using
proteomic
transcriptomic
techniques
have
enabled
us
to
identify
functional
specific
delineation
immune
cell
patients.
Based
on
recent
our
activation,
present
difference
between
diffuse
axonal
focal
injury.
addition,
give
figurative
profiling
general
paradigm
pre-
post-injury
settings
employing
bow-tie
framework.
International Journal of Molecular Sciences,
Год журнала:
2022,
Номер
23(3), С. 1268 - 1268
Опубликована: Янв. 23, 2022
N-acetyl-aspartyl-glutamate
(NAAG)
is
the
most
abundant
dipeptide
in
brain,
where
it
acts
as
a
neuromodulator
of
glutamatergic
synapses
by
activating
presynaptic
metabotropic
glutamate
receptor
3
(mGluR3).
Recent
data
suggest
that
NAAG
selectively
localized
to
postsynaptic
dendrites
and
works
retrograde
neurotransmitter.
released
response
provides
neuron
with
feedback
mechanisms
inhibit
excessive
signaling.
A
key
regulator
synaptically
available
rapid
degradation
extracellular
enzyme
carboxypeptidase
II
(GCPII).
Increasing
endogenous
NAAG-for
instance
inhibiting
GCPII-is
promising
treatment
option
for
many
brain
disorders
excitotoxicity
plays
role.
The
main
effect
occurs
through
increased
mGluR3
activation
thereby
reduced
release.
In
present
review,
we
summarize
transmitter
role
discuss
involvement
normal
physiology.
We
further
suggested
roles
various
neurological
psychiatric
diseases
therapeutic
potential
strategies
aiming
enhance
levels.
Traumatic
brain
injury
(TBI)
induces
instant
activation
of
innate
immunity
in
tissue,
followed
by
a
systematization
the
inflammatory
response.
The
subsequent
response,
evolved
to
limit
an
overwhelming
systemic
response
and
induce
healing,
involves
autonomic
nervous
system,
hormonal
systems,
regulation
immune
cells.
This
physiological
immunosuppression
tolerance
state
that
promotes
occurrence
secondary
infections.
review
describes
immunological
consequences
TBI
highlights
potential
novel
therapeutic
approaches
using
modulation
restore
homeostasis
between
system
immunity.
Materials Today Bio,
Год журнала:
2023,
Номер
19, С. 100606 - 100606
Опубликована: Март 8, 2023
Neural
stem
cell
(NSC)
has
gained
considerable
attention
in
traumatic
brain
injury
(TBI)
treatment
because
of
their
ability
to
replenish
dysfunctional
neurons
and
stimulate
endogenous
neurorestorative
processes.
However,
therapeutic
effects
are
hindered
by
the
low
retention
rate
after
transplantation
into
dynamic
brain.
In
this
study,
we
found
cerebrospinal
fluid
(CSF)
flow
TBI
is
an
important
factor
associated
with
loss
following
NSC
transplantation.
Recently,
several
studies
have
shown
that
hydrogels
could
serve
as
a
beneficial
carrier
for
transplantation,
which
provides
solution
prevent
CSF
flow-induced
TBI.
For
purpose,
evaluated
three
different
hydrogel
scaffolds
gelatin
methacrylate
(GelMA)/sodium
alginate
(Alg)
(GelMA/Alg)
scaffold
showed
best
capabilities
adherence,
growth,
differentiation.
Additionally,
detected
pre-differentiated
NSCs,
were
loaded
on
GelMA/Alg
cultured
7
days
neuronal
differentiation
medium
(NSC
[7d]),
had
highest
impact.
Next,
neuroprotective
NSC-loaded
rat
model
[7d]-loaded
markedly
decreased
microglial
activation
death
acute
phase,
reduced
tissue
loss,
alleviated
astrogliosis,
promoted
neurogenesis,
improved
neurological
recovery
chronic
phase.
summary,
demonstrated
integration
modification
inhibit
influence
transplanted
leading
increased
number
retained
NSCs
effects,
providing
promising
alternative
treatment.
Nature Communications,
Год журнала:
2024,
Номер
15(1)
Опубликована: Апрель 3, 2024
Traumatic
brain
injury
leads
to
a
highly
orchestrated
immune-
and
glial
cell
response
partially
responsible
for
long-lasting
disability
the
development
of
secondary
neurodegenerative
diseases.
A
holistic
understanding
mechanisms
controlling
responses
specific
types
their
crosstalk
is
required
develop
an
efficient
strategy
better
regeneration.
Here,
we
combine
spatial
single-cell
transcriptomics
chart
transcriptomic
signature
injured
male
murine
cerebral
cortex,
identify
states
different
cells
contributing
this
signature.
Interestingly,
distinct
share
large
fraction
injury-regulated
genes,
including
inflammatory
programs
downstream
innate
immune-associated
pathways
Cxcr3
Tlr1/2.
Systemic
manipulation
these
decreases
reactivity
state
associated
with
poor
The
functional
relevance
discovered
shared
highlights
importance
our
resource
enabling
comprehensive
analysis
early
events
after
injury.