神经营养素在创伤性脑损伤中的潜在神经保护作用

Rei Shian Yap, Jaya Kumar, Seong Lin Teoh
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摘要

创伤性脑损伤(TBI)是一个重大的全球性健康问题,每年影响数百万人。它由任何形式的外力造成,导致大脑暂时或永久性损伤。创伤性脑损伤后的病理生理过程通常包括兴奋毒性、线粒体功能障碍、氧化应激、炎症、缺血和细胞凋亡。由于创伤性脑损伤具有异质性,因此寻找治疗方法具有挑战性,迄今为止还没有任何治疗干预措施获得批准。神经营养素可能是治疗创伤性脑损伤的另一种方法,因为它们会影响大脑的各种功能活动。本综述重点介绍了有关神经营养素在创伤性脑损伤中具有神经保护作用的最新研究。神经营养素,特别是脑源性神经营养因子(BDNF)和神经生长因子(NGF)通过其免疫调节、抗炎和抗氧化特性,减少了创伤性脑损伤后神经元的死亡、减轻了神经炎症反应并改善了神经功能。要确保神经营养素在临床上作为创伤性脑损伤治疗的有效性和安全性,还需要进一步的研究。
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Potential Neuroprotective Role of Neurotrophin in Traumatic Brain Injury.

Traumatic brain injury (TBI) is a major global health issue that affects millions of people every year. It is caused by any form of external force, resulting in temporary or permanent impairments in the brain. The pathophysiological process following TBI usually involves excitotoxicity, mitochondrial dysfunction, oxidative stress, inflammation, ischemia, and apoptotic cell death. It is challenging to find treatment for TBI due to its heterogeneous nature, and no therapeutic interventions have been approved thus far. Neurotrophins may represent an alternative approach for TBI treatment because they influence various functional activities in the brain. The present review highlights recent studies on neurotrophins shown to possess neuroprotective roles in TBI. Neurotrophins, specifically brain-derived neurotrophic factor (BDNF) and nerve growth factor (NGF) have demonstrated reduced neuronal death, alleviated neuroinflammatory responses and improved neurological functions following TBI via their immunomodulatory, anti-inflammatory and antioxidant properties. Further studies are required to ensure the efficacy and safety of neurotrophins to be used as TBI treatment in clinical settings.

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