Chiu Chong-Chi, Liao Yi-En, Yang Ling-Yu, Wang Jing-Ya, Tweedie David, Karnati Hanuma K, Greig Nigel H, Wang Jia-Yi
Department of General Surgery, Chi Mei Medical Center, Tainan and Liouying, Taiwan.
School of Pharmacy, College of Pharmacy, Taipei Medical University, Taipei, Taiwan.
J Neurosci Methods. 2016 Oct 15;272:38-49. doi: 10.1016/j.jneumeth.2016.06.018. Epub 2016 Jul 2.
Traumatic brain injury (TBI) is a leading cause of mortality and morbidity worldwide. Neuroinflammation is prominent in the short and long-term consequences of neuronal injuries that occur after TBI. Neuroinflammation involves the activation of glia, including microglia and astrocytes, to release inflammatory mediators within the brain, and the subsequent recruitment of peripheral immune cells. Various animal models of TBI have been developed that have proved valuable to elucidate the pathophysiology of the disorder and to assess the safety and efficacy of novel therapies prior to clinical trials. These models provide an excellent platform to delineate key injury mechanisms that associate with types of injury (concussion, contusion, and penetration injuries) that occur clinically for the investigation of mild, moderate, and severe forms of TBI. Additionally, TBI modeling in genetically engineered mice, in particular, has aided the identification of key molecules and pathways for putative injury mechanisms, as targets for development of novel therapies for human TBI. This Review details the evidence showing that neuroinflammation, characterized by the activation of microglia and astrocytes and elevated production of inflammatory mediators, is a critical process occurring in various TBI animal models, provides a broad overview of commonly used animal models of TBI, and overviews representative techniques to quantify markers of the brain inflammatory process. A better understanding of neuroinflammation could open therapeutic avenues for abrogation of secondary cell death and behavioral symptoms that may mediate the progression of TBI.
创伤性脑损伤(TBI)是全球范围内导致死亡和发病的主要原因。在TBI后发生的神经元损伤的短期和长期后果中,神经炎症十分突出。神经炎症涉及胶质细胞(包括小胶质细胞和星形胶质细胞)的激活,使其在脑内释放炎症介质,随后募集外周免疫细胞。已经开发了各种TBI动物模型,这些模型已被证明对于阐明该疾病的病理生理学以及在临床试验之前评估新疗法的安全性和有效性很有价值。这些模型为描绘与临床上发生的损伤类型(脑震荡、挫伤和穿透伤)相关的关键损伤机制提供了一个极好的平台,用于研究轻度、中度和重度形式的TBI。此外,特别是在基因工程小鼠中进行TBI建模,有助于确定推定损伤机制的关键分子和途径,作为开发人类TBI新疗法的靶点。本综述详细阐述了证据,表明以小胶质细胞和星形胶质细胞激活以及炎症介质产生增加为特征的神经炎症是各种TBI动物模型中发生的关键过程,对常用的TBI动物模型进行了广泛概述,并概述了量化脑炎症过程标志物的代表性技术。更好地理解神经炎症可能为消除可能介导TBI进展的继发性细胞死亡和行为症状开辟治疗途径。