The emerging importance of skull-brain interactions in traumatic brain injury

The recent identification of skull bone marrow as a reactive hematopoietic niche that can contribute to and direct leukocyte trafficking into the meninges and brain has transformed our view of this bone structure from a solid, protective casing to a living, dynamic tissue poised to modulate brain ho...

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Main Authors: Grant W. Goodman, Patrick Devlin, Bryce E. West, Rodney M. Ritzel
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-04-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2024.1353513/full
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author Grant W. Goodman
Patrick Devlin
Bryce E. West
Rodney M. Ritzel
author_facet Grant W. Goodman
Patrick Devlin
Bryce E. West
Rodney M. Ritzel
author_sort Grant W. Goodman
collection DOAJ
description The recent identification of skull bone marrow as a reactive hematopoietic niche that can contribute to and direct leukocyte trafficking into the meninges and brain has transformed our view of this bone structure from a solid, protective casing to a living, dynamic tissue poised to modulate brain homeostasis and neuroinflammation. This emerging concept may be highly relevant to injuries that directly impact the skull such as in traumatic brain injury (TBI). From mild concussion to severe contusion with skull fracturing, the bone marrow response of this local myeloid cell reservoir has the potential to impact not just the acute inflammatory response in the brain, but also the remodeling of the calvarium itself, influencing its response to future head impacts. If we borrow understanding from recent discoveries in other CNS immunological niches and extend them to this nascent, but growing, subfield of neuroimmunology, it is not unreasonable to consider the hematopoietic compartment in the skull may similarly play an important role in health, aging, and neurodegenerative disease following TBI. This literature review briefly summarizes the traditional role of the skull in TBI and offers some additional insights into skull-brain interactions and their potential role in affecting secondary neuroinflammation and injury outcomes.
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spelling doaj.art-9c3adc64cd084c0f91218f1afc34240d2024-04-11T04:27:51ZengFrontiers Media S.A.Frontiers in Immunology1664-32242024-04-011510.3389/fimmu.2024.13535131353513The emerging importance of skull-brain interactions in traumatic brain injuryGrant W. GoodmanPatrick DevlinBryce E. WestRodney M. RitzelThe recent identification of skull bone marrow as a reactive hematopoietic niche that can contribute to and direct leukocyte trafficking into the meninges and brain has transformed our view of this bone structure from a solid, protective casing to a living, dynamic tissue poised to modulate brain homeostasis and neuroinflammation. This emerging concept may be highly relevant to injuries that directly impact the skull such as in traumatic brain injury (TBI). From mild concussion to severe contusion with skull fracturing, the bone marrow response of this local myeloid cell reservoir has the potential to impact not just the acute inflammatory response in the brain, but also the remodeling of the calvarium itself, influencing its response to future head impacts. If we borrow understanding from recent discoveries in other CNS immunological niches and extend them to this nascent, but growing, subfield of neuroimmunology, it is not unreasonable to consider the hematopoietic compartment in the skull may similarly play an important role in health, aging, and neurodegenerative disease following TBI. This literature review briefly summarizes the traditional role of the skull in TBI and offers some additional insights into skull-brain interactions and their potential role in affecting secondary neuroinflammation and injury outcomes.https://www.frontiersin.org/articles/10.3389/fimmu.2024.1353513/fullTBI - traumatic brain injurybone marrowskull & brainneuroinflammationMyelopoiesis
spellingShingle Grant W. Goodman
Patrick Devlin
Bryce E. West
Rodney M. Ritzel
The emerging importance of skull-brain interactions in traumatic brain injury
Frontiers in Immunology
TBI - traumatic brain injury
bone marrow
skull & brain
neuroinflammation
Myelopoiesis
title The emerging importance of skull-brain interactions in traumatic brain injury
title_full The emerging importance of skull-brain interactions in traumatic brain injury
title_fullStr The emerging importance of skull-brain interactions in traumatic brain injury
title_full_unstemmed The emerging importance of skull-brain interactions in traumatic brain injury
title_short The emerging importance of skull-brain interactions in traumatic brain injury
title_sort emerging importance of skull brain interactions in traumatic brain injury
topic TBI - traumatic brain injury
bone marrow
skull & brain
neuroinflammation
Myelopoiesis
url https://www.frontiersin.org/articles/10.3389/fimmu.2024.1353513/full
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