Werhane Madeleine L, Evangelista Nicole D, Clark Alexandra L, Sorg Scott F, Bangen Katherine J, Tran My, Schiehser Dawn M, Delano-Wood Lisa
San Diego State University/University of California, San Diego (SDSU/UC San Diego) Joint Doctoral Program in Clinical Psychology, San Diego, CA 92120, USA.
VA San Diego Healthcare System, San Diego, CA 92161, USA.
Concussion. 2017 Mar 17;2(1):CNC30. doi: 10.2217/cnc-2016-0022. eCollection 2017 Mar.
Given the demand for developing objective methods for characterizing traumatic brain injury (TBI), research dedicated to evaluating putative biomarkers has burgeoned over the past decade. Since it is critical to elucidate the underlying pathological processes that underlie the higher diverse outcomes that follow neurotrauma, considerable efforts have been aimed at identifying biomarkers of both the acute- and chronic-phase TBI. Such information is not only critical for helping to elucidate the pathological changes that lead to poor long-term outcomes following TBI but it may also assist in the identification of possible prevention and interventions for individuals who sustain head trauma. In the current review, we discuss the potential role of vascular dysfunction and chronic inflammation in both acute- and chronic-phase TBI, and we also highlight existing studies that have investigated inflammation biomarkers associated with poorer injury outcome.
鉴于对开发用于表征创伤性脑损伤(TBI)的客观方法的需求,在过去十年中,致力于评估假定生物标志物的研究蓬勃发展。由于阐明神经创伤后出现的高度多样化结果背后的潜在病理过程至关重要,因此人们付出了相当大的努力来识别急性和慢性期TBI的生物标志物。这些信息不仅对于帮助阐明导致TBI后长期不良结果的病理变化至关重要,而且还可能有助于确定对头部创伤患者可能的预防和干预措施。在本综述中,我们讨论了血管功能障碍和慢性炎症在急性和慢性期TBI中的潜在作用,并且我们还重点介绍了现有研究,这些研究调查了与较差损伤结果相关的炎症生物标志物。