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创伤性脑损伤改变了正常的大脑信号通路:对新治疗方法的启示。

Traumatic Brain Injury Altered Normal Brain Signaling Pathways: Implications for Novel Therapeutics Approaches.

机构信息

Department of Pharmacology, Indo-Soviet Friendship College of Pharmacy, (ISFCP), Moga, Punjab, India.

Department of Biotechnology, Indo-Soviet Friendship College of Professional Studies (ISFCPS), Moga, Punjab, India.

出版信息

Curr Neuropharmacol. 2019;17(7):614-629. doi: 10.2174/1570159X16666180911121847.

Abstract

Traumatic brain injury (TBI) is the main reason of lifelong disability and casualty worldwide. In the United State alone, 1.7 million traumatic events occur yearly, out of which 50,000 results in deaths. Injury to the brain could alter various biological signaling pathways such as excitotoxicity, ionic imbalance, oxidative stress, inflammation, and apoptosis which can result in various neurological disorders such as Psychosis, Depression, Alzheimer disease, Parkinson disease, etc. In literature, various reports have indicated the alteration of these pathways after traumatic brain injury but the exact mechanism is still unclear. Thus, in the first part of this article, we have tried to summarize TBI as a modulator of various neuronal signaling pathways. Currently, very few drugs are available in the market for the treatment of TBI and these drugs only provide the supportive care. Thus, in the second part of the article, based on TBI altered signaling pathways, we have tried to find out potential targets and promising therapeutic approaches in the treatment of TBI.

摘要

创伤性脑损伤(TBI)是全球导致终身残疾和死亡的主要原因。仅在美国,每年就有 170 万起创伤性事件发生,其中 5 万人导致死亡。大脑损伤可能会改变各种生物信号通路,如兴奋性毒性、离子失衡、氧化应激、炎症和细胞凋亡,从而导致各种神经紊乱,如精神病、抑郁症、阿尔茨海默病、帕金森病等。在文献中,各种报告表明创伤性脑损伤后这些通路发生了改变,但确切的机制仍不清楚。因此,在本文的第一部分,我们试图总结 TBI 作为各种神经元信号通路的调节剂。目前,市场上可用于治疗 TBI 的药物很少,这些药物只能提供支持性护理。因此,在本文的第二部分,我们根据 TBI 改变的信号通路,试图找出 TBI 治疗的潜在靶点和有前途的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d6f/6712292/07ccc4043087/CN-17-614-f1.jpg

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