Department of Ophthalmology, University of Tennessee Health Science Center, Memphis, TN, USA.
Department of Anatomy and Neurobiology, University of Tennessee Health Science Center, Memphis, TN, USA.
Histol Histopathol. 2021 Jul;36(7):711-724. doi: 10.14670/HH-18-315. Epub 2021 Feb 18.
Traumatic brain injury (TBI) is frequently described as any head injury ceasing the brain's normal function. Anatomically, developmentally, and physiologically, the eye is deemed as an extension of the brain. Vision in TBI is underrepresented, and the number of active clinical trials in this field are sparse. Frequently, visual problems are overlooked at the time of TBI, often resulting in progressive vision loss, lengthening, and impairing rehabilitation. TBI can be either penetrative or non-penetrative, associated with degeneration of neurons, apoptotic cell death, inflammation, microglial activation, hemorrhage associated with vascular dysfunction; however, precise animal modeling that mimics the extensive visual deficits of TBI pathology remain elusive. Recent works in both the diagnostics and therapeutics fields are starting to make substantial progress in the right direction. Discussion of current advancements in TBI animal models and the recent pathophysiological findings related to the neuro-glia-vascular unit (NVU) will help elucidate novel targets for potential therapeutics lines. Only over the past decade have newer pharmaceutical and stem cell-based treatments begun to come to light. The potency for these new lines of TBI specific curatives will be discussed along with the review of current blast-induced TBI models, providing potential directions for future research.
创伤性脑损伤 (TBI) 通常被描述为任何导致大脑正常功能停止的头部损伤。从解剖学、发育和生理学的角度来看,眼睛被认为是大脑的延伸。TBI 中的视力问题经常被忽视,这一领域的活跃临床试验数量稀少。通常,TBI 发生时会忽略视觉问题,这往往导致视力逐渐下降、延长和妨碍康复。TBI 既可以是穿透性的,也可以是非穿透性的,与神经元退化、细胞凋亡、炎症、小胶质细胞激活、与血管功能障碍相关的出血有关;然而,能够模拟 TBI 病理广泛视觉缺陷的精确动物模型仍然难以捉摸。在诊断和治疗领域的最新研究工作开始朝着正确的方向取得实质性进展。讨论 TBI 动物模型的当前进展和与神经胶质血管单元 (NVU) 相关的最近病理生理学发现将有助于阐明潜在治疗靶点。仅在过去十年中,新的药物和基于干细胞的治疗方法才开始出现。这些新的 TBI 特异性治疗方法的潜力将与当前爆炸诱导 TBI 模型一起讨论,为未来的研究提供潜在的方向。