Revisiting Traumatic Brain Injury: From Molecular Mechanisms to Therapeutic Interventions

Studying the complex molecular mechanisms involved in traumatic brain injury (TBI) is crucial for developing new therapies for TBI. Current treatments for TBI are primarily focused on patient stabilization and symptom mitigation. However, the field lacks defined therapies to prevent cell death, oxid...

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Main Authors: Abbas Jarrahi, Molly Braun, Meenakshi Ahluwalia, Rohan V. Gupta, Michael Wilson, Stephanie Munie, Pankaj Ahluwalia, John R. Vender, Fernando L. Vale, Krishnan M. Dhandapani, Kumar Vaibhav
Format: Article
Language:English
Published: MDPI AG 2020-09-01
Series:Biomedicines
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Online Access:https://www.mdpi.com/2227-9059/8/10/389
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author Abbas Jarrahi
Molly Braun
Meenakshi Ahluwalia
Rohan V. Gupta
Michael Wilson
Stephanie Munie
Pankaj Ahluwalia
John R. Vender
Fernando L. Vale
Krishnan M. Dhandapani
Kumar Vaibhav
author_facet Abbas Jarrahi
Molly Braun
Meenakshi Ahluwalia
Rohan V. Gupta
Michael Wilson
Stephanie Munie
Pankaj Ahluwalia
John R. Vender
Fernando L. Vale
Krishnan M. Dhandapani
Kumar Vaibhav
author_sort Abbas Jarrahi
collection DOAJ
description Studying the complex molecular mechanisms involved in traumatic brain injury (TBI) is crucial for developing new therapies for TBI. Current treatments for TBI are primarily focused on patient stabilization and symptom mitigation. However, the field lacks defined therapies to prevent cell death, oxidative stress, and inflammatory cascades which lead to chronic pathology. Little can be done to treat the mechanical damage that occurs during the primary insult of a TBI; however, secondary injury mechanisms, such as inflammation, blood-brain barrier (BBB) breakdown, edema formation, excitotoxicity, oxidative stress, and cell death, can be targeted by therapeutic interventions. Elucidating the many mechanisms underlying secondary injury and studying targets of neuroprotective therapeutic agents is critical for developing new treatments. Therefore, we present a review on the molecular events following TBI from inflammation to programmed cell death and discuss current research and the latest therapeutic strategies to help understand TBI-mediated secondary injury.
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spelling doaj.art-bb91645a71ad4425b422bb5d8ce87e972023-11-20T15:29:36ZengMDPI AGBiomedicines2227-90592020-09-0181038910.3390/biomedicines8100389Revisiting Traumatic Brain Injury: From Molecular Mechanisms to Therapeutic InterventionsAbbas Jarrahi0Molly Braun1Meenakshi Ahluwalia2Rohan V. Gupta3Michael Wilson4Stephanie Munie5Pankaj Ahluwalia6John R. Vender7Fernando L. Vale8Krishnan M. Dhandapani9Kumar Vaibhav10Department of Neurosurgery, Medical College of Georgia, Augusta University, Augusta, GA 30912, USADepartment of Neurosurgery, Medical College of Georgia, Augusta University, Augusta, GA 30912, USADepartment of Pathology, Medical College of Georgia, Augusta University, Augusta, GA 30912, USADepartment of Neurosurgery, Medical College of Georgia, Augusta University, Augusta, GA 30912, USADepartment of Neurosurgery, Medical College of Georgia, Augusta University, Augusta, GA 30912, USADepartment of Neurosurgery, Medical College of Georgia, Augusta University, Augusta, GA 30912, USADepartment of Pathology, Medical College of Georgia, Augusta University, Augusta, GA 30912, USADepartment of Neurosurgery, Medical College of Georgia, Augusta University, Augusta, GA 30912, USADepartment of Neurosurgery, Medical College of Georgia, Augusta University, Augusta, GA 30912, USADepartment of Neurosurgery, Medical College of Georgia, Augusta University, Augusta, GA 30912, USADepartment of Neurosurgery, Medical College of Georgia, Augusta University, Augusta, GA 30912, USAStudying the complex molecular mechanisms involved in traumatic brain injury (TBI) is crucial for developing new therapies for TBI. Current treatments for TBI are primarily focused on patient stabilization and symptom mitigation. However, the field lacks defined therapies to prevent cell death, oxidative stress, and inflammatory cascades which lead to chronic pathology. Little can be done to treat the mechanical damage that occurs during the primary insult of a TBI; however, secondary injury mechanisms, such as inflammation, blood-brain barrier (BBB) breakdown, edema formation, excitotoxicity, oxidative stress, and cell death, can be targeted by therapeutic interventions. Elucidating the many mechanisms underlying secondary injury and studying targets of neuroprotective therapeutic agents is critical for developing new treatments. Therefore, we present a review on the molecular events following TBI from inflammation to programmed cell death and discuss current research and the latest therapeutic strategies to help understand TBI-mediated secondary injury.https://www.mdpi.com/2227-9059/8/10/389neurotraumaneuroinflammationexcitotoxicityoxidative stressapoptosisedema
spellingShingle Abbas Jarrahi
Molly Braun
Meenakshi Ahluwalia
Rohan V. Gupta
Michael Wilson
Stephanie Munie
Pankaj Ahluwalia
John R. Vender
Fernando L. Vale
Krishnan M. Dhandapani
Kumar Vaibhav
Revisiting Traumatic Brain Injury: From Molecular Mechanisms to Therapeutic Interventions
Biomedicines
neurotrauma
neuroinflammation
excitotoxicity
oxidative stress
apoptosis
edema
title Revisiting Traumatic Brain Injury: From Molecular Mechanisms to Therapeutic Interventions
title_full Revisiting Traumatic Brain Injury: From Molecular Mechanisms to Therapeutic Interventions
title_fullStr Revisiting Traumatic Brain Injury: From Molecular Mechanisms to Therapeutic Interventions
title_full_unstemmed Revisiting Traumatic Brain Injury: From Molecular Mechanisms to Therapeutic Interventions
title_short Revisiting Traumatic Brain Injury: From Molecular Mechanisms to Therapeutic Interventions
title_sort revisiting traumatic brain injury from molecular mechanisms to therapeutic interventions
topic neurotrauma
neuroinflammation
excitotoxicity
oxidative stress
apoptosis
edema
url https://www.mdpi.com/2227-9059/8/10/389
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