Deshetty Uma Maheswari, Periyasamy Palsamy
Department of Pharmacology and Experimental Neuroscience, University of Nebraska Medical Center, Omaha, NE 68198, USA.
J Clin Med. 2023 Jun 8;12(12):3923. doi: 10.3390/jcm12123923.
Traumatic brain injury (TBI) is a complex and multifaceted disorder that has become a significant public health concern worldwide due to its contribution to mortality and morbidity. This condition encompasses a spectrum of injuries, including axonal damage, contusions, edema, and hemorrhage. Unfortunately, specific effective therapeutic interventions to improve patient outcomes following TBI are currently lacking. Various experimental animal models have been developed to mimic TBI and evaluate potential therapeutic agents to address this issue. These models are designed to recapitulate different biomarkers and mechanisms involved in TBI. However, due to the heterogeneous nature of clinical TBI, no single experimental animal model can effectively mimic all aspects of human TBI. Accurate emulation of clinical TBI mechanisms is also tricky due to ethical considerations. Therefore, the continued study of TBI mechanisms and biomarkers, of the duration and severity of brain injury, treatment strategies, and animal model optimization is necessary. This review focuses on the pathophysiology of TBI, available experimental TBI animal models, and the range of biomarkers and detection methods for TBI. Overall, this review highlights the need for further research to improve patient outcomes and reduce the global burden of TBI.
创伤性脑损伤(TBI)是一种复杂且多方面的病症,由于其对死亡率和发病率的影响,已成为全球重大的公共卫生问题。这种病症涵盖一系列损伤,包括轴突损伤、挫伤、水肿和出血。不幸的是,目前缺乏改善TBI患者预后的特定有效治疗干预措施。已经开发了各种实验动物模型来模拟TBI并评估潜在的治疗药物以解决这一问题。这些模型旨在重现TBI中涉及的不同生物标志物和机制。然而,由于临床TBI的异质性,没有单一的实验动物模型能够有效模拟人类TBI的所有方面。出于伦理考虑,准确模拟临床TBI机制也很棘手。因此,有必要继续研究TBI机制和生物标志物、脑损伤的持续时间和严重程度、治疗策略以及动物模型优化。本综述重点关注TBI的病理生理学、现有的实验性TBI动物模型以及TBI的生物标志物范围和检测方法。总体而言,本综述强调需要进一步研究以改善患者预后并减轻全球TBI负担。