Mashkouri Sherwin, Crowley Marci G, Liska Michael G, Corey Sydney, Borlongan Cesar V
Department of Neurosurgery and Brain Repair, University of South Florida Morsani College of Medicine, Tampa, FL, USA.
Neural Regen Res. 2016 Sep;11(9):1379-1384. doi: 10.4103/1673-5374.191197.
The pathologic process of chronic phase traumatic brain injury is associated with spreading inflammation, cell death, and neural dysfunction. It is thought that sequestration of inflammatory mediators can facilitate recovery and promote an environment that fosters cellular regeneration. Studies have targeted post-traumatic brain injury inflammation with the use of pharmacotherapy and cell therapy. These therapeutic options are aimed at reducing the edematous and neurodegenerative inflammation that have been associated with compromising the integrity of the blood-brain barrier. Although studies have yielded positive results from anti-inflammatory pharmacotherapy and cell therapy individually, emerging research has begun to target inflammation using combination therapy. The joint use of anti-inflammatory drugs alongside stem cell transplantation may provide better clinical outcomes for traumatic brain injury patients. Despite the promising results in this field of research, it is important to note that most of the studies mentioned in this review have completed their studies using animal models. Translation of this research into a clinical setting will require additional laboratory experiments and larger preclinical trials.
慢性创伤性脑损伤的病理过程与炎症扩散、细胞死亡和神经功能障碍有关。据认为,隔离炎症介质可促进恢复并营造有利于细胞再生的环境。研究已通过药物治疗和细胞治疗针对创伤性脑损伤后的炎症。这些治疗选择旨在减少与损害血脑屏障完整性相关的水肿性和神经退行性炎症。尽管研究分别从抗炎药物治疗和细胞治疗中取得了积极成果,但新兴研究已开始使用联合疗法针对炎症。抗炎药物与干细胞移植联合使用可能为创伤性脑损伤患者带来更好的临床结果。尽管该研究领域取得了令人鼓舞的结果,但必须注意的是,本综述中提到的大多数研究都是使用动物模型完成的。将这项研究转化为临床应用将需要额外的实验室实验和更大规模的临床前试验。