Exploring Neuroprotection against Radiation-Induced Brain Injury: A Review of Key Compounds.

IF 1.6 Q3 CLINICAL NEUROLOGY NeuroSci Pub Date : 2024-10-12 eCollection Date: 2024-12-01 DOI:10.3390/neurosci5040034
Lucas González-Johnson, Ariel Fariña, Gonzalo Farías, Gustavo Zomosa, Víctor Pinilla-González, Catalina Rojas-Solé
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Abstract

Brain radiation is a crucial tool in neuro-oncology for enhancing local tumor control, but it can lead to mild-to-profound and progressive impairments in cognitive function. Radiation-induced brain injury is a significant adverse effect of radiotherapy for cranioencephalic tumors, primarily caused by indirect cellular damage through the formation of free radicals. This results in late neurotoxicity manifesting as cognitive impairment due to free radical production. The aim of this review is to highlight the role of different substances, such as drugs used in the clinical setting and antioxidants such as ascorbate, in reducing the neurotoxicity associated with radiation-induced brain injury. Currently, there is mainly preclinical and clinical evidence supporting the benefit of these interventions, representing a cost-effective and straightforward neuroprotective strategy.

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探索针对辐射诱导的脑损伤的神经保护:关键化合物综述。
脑部放射治疗是神经肿瘤学中加强局部肿瘤控制的重要手段,但它可能会导致认知功能轻度至严重的渐进性损伤。放射诱导的脑损伤是颅脑肿瘤放疗的一个重要不良反应,主要是通过自由基的形成造成间接的细胞损伤。由于自由基的产生,这导致了晚期神经毒性,表现为认知障碍。本综述旨在强调不同物质(如临床使用的药物和抗氧化剂,如抗坏血酸盐)在减少辐射诱导的脑损伤相关神经毒性方面的作用。目前,主要有临床前和临床证据支持这些干预措施的益处,它们代表了一种具有成本效益且简单易行的神经保护策略。
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Exploring Neuroprotection against Radiation-Induced Brain Injury: A Review of Key Compounds. Resting-State Functional Connectivity Predicts Attention Problems in Children: Evidence from the ABCD Study. Trehalose: Neuroprotective Effects and Mechanisms-An Updated Review. Discontinuation of Cerebro-Spinal Fluid (CSF) Drainage in Acute Hydrocephalus: A Prospective Cohort Study and Exploratory Data Analysis. Wearable EEG-Based Brain-Computer Interface for Stress Monitoring.
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