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中风和创伤患者运动功能演变中的神经炎症:治疗与潜在生物标志物

Neuroinflammation in the Evolution of Motor Function in Stroke and Trauma Patients: Treatment and Potential Biomarkers.

作者信息

Larrea Ane, Elexpe Ane, Díez-Martín Eguzkiñe, Torrecilla María, Astigarraga Egoitz, Barreda-Gómez Gabriel

机构信息

Research and Development Division, IMG Pharma Biotech, 48170 Zamudio, Spain.

Department of Pharmacology, Faculty of Medicine and Nursing, University of the Basque Country UPV/EHU, 48940 Leioa, Spain.

出版信息

Curr Issues Mol Biol. 2023 Oct 25;45(11):8552-8585. doi: 10.3390/cimb45110539.

Abstract

Neuroinflammation has a significant impact on different pathologies, such as stroke or spinal cord injury, intervening in their pathophysiology: expansion, progression, and resolution. Neuroinflammation involves oxidative stress, damage, and cell death, playing an important role in neuroplasticity and motor dysfunction by affecting the neuronal connection responsible for motor control. The diagnosis of this pathology is performed using neuroimaging techniques and molecular diagnostics based on identifying and measuring signaling molecules or specific markers. In parallel, new therapeutic targets are being investigated via the use of bionanomaterials and electrostimulation to modulate the neuroinflammatory response. These novel diagnostic and therapeutic strategies have the potential to facilitate the development of anticipatory patterns and deliver the most beneficial treatment to improve patients' quality of life and directly impact their motor skills. However, important challenges remain to be solved. Hence, the goal of this study was to review the implication of neuroinflammation in the evolution of motor function in stroke and trauma patients, with a particular focus on novel methods and potential biomarkers to aid clinicians in diagnosis, treatment, and therapy. A specific analysis of the strengths, weaknesses, threats, and opportunities was conducted, highlighting the key challenges to be faced in the coming years.

摘要

神经炎症对不同的病理状况有重大影响,如中风或脊髓损伤,参与其病理生理过程:包括扩展、进展和消退。神经炎症涉及氧化应激、损伤和细胞死亡,通过影响负责运动控制的神经元连接,在神经可塑性和运动功能障碍中发挥重要作用。这种病理状况的诊断是使用神经成像技术和基于识别和测量信号分子或特定标志物的分子诊断方法来进行的。与此同时,正在通过使用生物纳米材料和电刺激来调节神经炎症反应,研究新的治疗靶点。这些新颖的诊断和治疗策略有可能促进预测模式的发展,并提供最有益的治疗方法,以改善患者的生活质量并直接影响其运动技能。然而,仍有一些重要挑战有待解决。因此,本研究的目的是回顾神经炎症在中风和创伤患者运动功能演变中的影响,特别关注有助于临床医生进行诊断、治疗和疗法的新方法和潜在生物标志物。对优势、劣势、威胁和机遇进行了具体分析,突出了未来几年要面对的关键挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcc5/10670324/49bdbbbeee1e/cimb-45-00539-g001.jpg

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