Wicking Dementia Research and Education Centre, College of Health and Medicine, University of Tasmania, Hobart, Tasmania, Australia.
School of Pharmacy, and College of Health and Medicine, University of Tasmania, Hobart, Tasmania, Australia.
J Neurotrauma. 2020 Mar 1;37(5):782-791. doi: 10.1089/neu.2019.6906.
Traumatic brain injury (TBI) can cause persistent cognitive changes and ongoing neurodegeneration in the brain. Accumulating epidemiological and pathological evidence implicates TBI in the development of Alzheimer's disease, the most common cause of dementia. Further, the TBI-induced form of dementia, called chronic traumatic encephalopathy, shares many pathological hallmarks present in multiple different diseases which cause dementia. The inflammatory and neuritic responses to TBI and dementia overlap, indicating that they may share common pathological mechanisms and that TBI may ultimately cause a pathological cascade culminating in the development of dementia. This review explores Australian pre-clinical research investigating the pathological links between TBI and dementia.
创伤性脑损伤(TBI)可导致大脑持续的认知变化和神经退行性病变。越来越多的流行病学和病理学证据表明,TBI 与阿尔茨海默病的发生有关,后者是痴呆症最常见的病因。此外,TBI 引起的痴呆症,即慢性创伤性脑病,与多种引起痴呆症的疾病具有许多相同的病理学特征。TBI 和痴呆症的炎症和神经原纤维反应重叠,表明它们可能具有共同的病理机制,而且 TBI 最终可能导致病理性级联反应,导致痴呆症的发生。这篇综述探讨了澳大利亚在创伤性脑损伤和痴呆症之间的病理联系方面的临床前研究。