Pilipović Kristina, Janković Tamara, Rajič Bumber Jelena, Belančić Andrej, Mršić-Pelčić Jasenka
Department of Basic and Clinical Pharmacology and Toxicology, Faculty of Medicine, University of Rijeka, 51000 Rijeka, Croatia.
Life (Basel). 2025 May 30;15(6):884. doi: 10.3390/life15060884.
Traumatic brain injury (TBI) remains a critical global health issue with limited effective treatments. Traditional care of TBI patients focuses on stabilization and symptom management without regenerating damaged brain tissue. In this review, we analyze the current state of treatment of TBI, with focus on novel therapeutic approaches aimed at reducing secondary brain injury and promoting recovery. There are few innovative strategies that break away from the traditional, biological target-focused treatment approaches. Precision medicine includes personalized treatments based on biomarkers, genetics, advanced imaging, and artificial intelligence tools for prognosis and monitoring. Stem cell therapies are used to repair tissue, regulate immune responses, and support neural regeneration, with ongoing development in gene-enhanced approaches. Nanomedicine uses nanomaterials for targeted drug delivery, neuroprotection, and diagnostics by crossing the blood-brain barrier. Brain-machine interfaces enable brain-device communication to restore lost motor or neurological functions, while virtual rehabilitation and neuromodulation use virtual and augmented reality as well as brain stimulation techniques to improve rehabilitation outcomes. While these approaches show great potential, most are still in development and require more clinical testing to confirm safety and effectiveness. The future of TBI therapy looks promising, with innovative strategies likely to transform care.
创伤性脑损伤(TBI)仍然是一个严峻的全球健康问题,有效治疗手段有限。TBI患者的传统护理侧重于稳定病情和症状管理,而不会使受损的脑组织再生。在本综述中,我们分析了TBI的当前治疗状况,重点关注旨在减少继发性脑损伤和促进恢复的新型治疗方法。很少有创新策略能摆脱传统的、以生物靶点为重点的治疗方法。精准医学包括基于生物标志物、遗传学、先进成像技术以及用于预后和监测的人工智能工具的个性化治疗。干细胞疗法用于修复组织、调节免疫反应并支持神经再生,基因增强方法也在不断发展。纳米医学通过穿越血脑屏障,利用纳米材料进行靶向药物递送、神经保护和诊断。脑机接口实现脑与设备的通信,以恢复丧失的运动或神经功能,而虚拟康复和神经调节则使用虚拟现实和增强现实以及脑刺激技术来改善康复效果。虽然这些方法显示出巨大潜力,但大多数仍在研发中,需要更多的临床试验来证实其安全性和有效性。TBI治疗的未来前景广阔,创新策略可能会改变护理方式。