Department of General Anesthesiology, Anesthesia Institute, Cleveland Clinic, Ohio, USA.
Curr Opin Anaesthesiol. 2023 Oct 1;36(5):476-484. doi: 10.1097/ACO.0000000000001292. Epub 2023 Jul 24.
The brain is the command center of the rest of the body organs. The normal multiorgan talks between the brain and the rest of the body organs are essential for the normal body homeostasis. In the presence of brain injury, the disturbed talks between the brain and the rest of body organs will result in several pathological conditions. The aim of this review is to present the most recent findings for the pathological conditions that would result from the impaired multiorgan talks in the presence of brain injury.
The brain injury such as in acute ischemic stroke, subarachnoid hemorrhage and traumatic brain injury will result in cascade of pathological talks between the brain and the rest of body organs. These pathological talks could result in pathological conditions such as cardiomyopathy, acute lung and kidney injuries, impaired liver functions, and impaired gut barrier permeability as well.
Better understanding of the pathological conditions that could result from the impaired multiorgan talks in the presence of brain injury will open the doors for precise targeted therapies in the future for myriad of pathological conditions.
大脑是身体其他器官的指挥中心。大脑与身体其他器官之间的正常多器官对话对于身体的正常内稳态至关重要。在存在脑损伤的情况下,大脑与身体其他器官之间的对话紊乱会导致多种病理状况。本综述的目的是介绍在脑损伤存在的情况下,多器官对话受损会导致的病理状况的最新发现。
急性缺血性卒中、蛛网膜下腔出血和创伤性脑损伤等脑损伤会导致大脑和身体其他器官之间的一系列病理对话。这些病理对话可能导致心肌病变、急性肺和肾损伤、肝功能受损和肠道屏障通透性受损等病理状况。
更好地理解脑损伤存在时多器官对话受损可能导致的病理状况,将为未来针对多种病理状况的精确靶向治疗开辟道路。