Molecular mechanisms of cognitive dysfunction following traumatic brain injury
Open accessAbstract
Traumatic brain injury (TBI) results in significant disability due to cognitive deficits particularly in attention, learning and memory, and higher-order executive functions. The role of TBI in chronic neurodegeneration and the development of neurodegenerative diseases including Alzheimer's disease (AD), Parkinson's disease (PD), Amyotrophic Lateral Sclerosis (ALS) and most recently chronic traumatic encephalopathy (CTE) is of particular importance. However, despite significant effort very few therapeutic options exist to prevent or reverse cognitive impairment following TBI. In this review, we present experimental evidence of the known secondary injury mechanisms which contribute to neuronal cell loss, axonal injury, and synaptic dysfunction and hence cognitive impairment both acutely and chronically following TBI. In particular we focus on the mechanisms linking TBI to the development of two forms of dementia: AD and CTE. We provide evidence of potential molecular mechanisms involved in modulating Aβ and Tau following TBI and provide evidence of the role of these mechanisms in AD pathology. Additionally we propose a mechanism by which Aβ generated as a direct result of TBI is capable of exacerbating secondary injury mechanisms thereby establishing a neurotoxic cascade that leads to chronic neurodegeneration.
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Adults experience chronic fatigue, loss of libido or amenorrhea, or overt gonadotropin deficiency in addition to a variety of neurocognitive complaints after TBI.
“Likewise, adults experience chronic fatigue, loss of libido or amenorrhea, or overt gonadotropin deficiency in addition to a variety of neurocognitive complaints [12,50].”
From Update of Endocrine Dysfunction following Pediatric Traumatic Brain Injury (2015) · cites this paper as [12]
The “TBI a global health concern” section reports persistent post-TBI deficits in attention, learning, memory, and executive function. It does not report chronic fatigue, loss of libido, amenorrhea, or gonadotropin deficiency; searches for those terms and related endocrine terms found no supporting passage. Page numbers are unavailable in our copy. (LLM, conf=0.86)
Experimental — accuracy not yet measuredSecondary injury typically develops within hours or days to weeks following the primary injury.
“Secondary injury typically develops within hours or days to weeks following the primary injury [12].”
From Update of Endocrine Dysfunction following Pediatric Traumatic Brain Injury (2015) · cites this paper as [12]
Neuropsychological testing in post-concussive syndrome may reveal persistent, yet subtle, cognitive deficits, most often in the executive domain.
“Neuropsychological testing in PCS may reveal persistent, yet subtle, cognitive deficits, most often in the executive domain [192].”
From The neuropathology of sport (2014) · cites this paper as [192]
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Knoblach, S. M., Nikolaeva, M. A., Huang, X., Fan, L., Krajewski, S., Reed, J. C., & Faden, A. I. (2002) · Journal of Neurotrauma · doi:10.1089/08977150260337967 · Cited by 117 · see citing works
Caspase Gene Expression in the Brain as a Function of the Clinical Progression of Alzheimer Disease
Pompl, P. N., Yemul, S., Xiang, Z., Ho, L., Haroutunian, V., Purohit, D. P., Mohs, R. C., & Pasinetti, G. M. (2003) · Archives of Neurology · doi:10.1001/archneur.60.3.369 · Cited by 117 · see citing works
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The role of caspases in Alzheimer’s disease; potential novel therapeutic opportunities
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Ubiquitin Regulates GGA3-mediated Degradation of BACE1
Kang, E. L., Cameron, A. N., Piazza, F., Walker, K. R., & Tesco, G. (2010) · Journal of Biological Chemistry · doi:10.1074/jbc.m109.092742 · Cited by 111 · see citing works
Self-citationOxidative stress in head trauma in aging
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Anti-Inflammatory Impact of Minocycline in a Mouse Model of Tauopathy
Garwood, C. J., Cooper, J. D., Hanger, D. P., & Noble, W. (2010) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2010.00136 · Cited by 106 · see citing works
Early Mitochondrial Dysfunction after Cortical Contusion Injury
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Sorted by citations
Military-related traumatic brain injury and neurodegeneration
McKee, A. C., & Robinson, M. E. (2014) · Alzheimer's & Dementia · doi:10.1016/j.jalz.2014.04.003 · Cited by 423 · see citing works
McKee, A. C., Daneshvar, D. H., Alvarez, V. E., & Stein, T. D. (2014) · Acta Neuropathologica · doi:10.1007/s00401-013-1230-6 · Cited by 422 · see citing works
Begemann, M. J., Brand, B. A., Ćurčić-Blake, B., Aleman, A., & Sommer, I. E. (2020) · Psychological Medicine · doi:10.1017/s0033291720003670 · Cited by 368 · see citing works
Pathogenesis of Brain Edema and Investigation into Anti-Edema Drugs
Michinaga, S., & Koyama, Y. (2015) · International Journal of Molecular Sciences · doi:10.3390/ijms16059949 · Cited by 339 · see citing works
Traumatic Brain Injury Induces Tau Aggregation and Spreading
Edwards, G., Zhao, J., Dash, P. K., Soto, C., & Moreno-Gonzalez, I. (2020) · Journal of Neurotrauma · doi:10.1089/neu.2018.6348 · Cited by 195 · see citing works
Neurological consequences of traumatic brain injuries in sports
Ling, H., Hardy, J., & Zetterberg, H. (2015) · Molecular and Cellular Neuroscience · doi:10.1016/j.mcn.2015.03.012 · Cited by 197 · see citing works
Tominaga, T., Shimada, R., Okada, Y., Kawamata, T., & Kibayashi, K. (2019) · PLOS ONE · doi:10.1371/journal.pone.0213673 · Cited by 66 · see citing works
Update of Endocrine Dysfunction following Pediatric Traumatic Brain Injury
Reifschneider, K., Auble, B., & Rose, S. (2015) · Journal of Clinical Medicine · doi:10.3390/jcm4081536 · Cited by 66 · see citing works
“Secondary injury typically develops within hours or days to weeks following the primary injury [12].”
BackgroundNIH toolbox cognition tests following traumatic brain injury: Frequency of low scores.
Holdnack, J. A., Iverson, G. L., Silverberg, N. D., Tulsky, D. S., & Heinemann, A. W. (2017) · Rehabilitation Psychology · doi:10.1037/rep0000145 · Cited by 23 · see citing works
- Authors
- Walker, K. R., & Tesco, G.
- Affiliations
- Tufts University (US)
- Corresponding author
- Tesco, Giuseppina
- ORCID
- Tesco, Giuseppina
- Venue
- Frontiers in Aging Neuroscience
- Publisher
- Frontiers Media SA
- Published
- 2013
- Volume
- 5
- Pages
- 29-29
- ISSN
- 1663-4365 (ISSN-L)
- PMC
- PMC3705200
- OpenAlex
- W2008657247
- Cited by
- 265
- References
- 275
- Citations by year
- 2026: 13 · 2025: 18 · 2024: 11 · 2023: 21 · 2022: 23 · 2021: 15 · 2020: 39 · 2019: 28 · 2018: 14 · 2017: 27 · 2016: 21 · 2015: 19 · 2014: 11 · 2013: 5
- FWCI
- 11.85
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Frontiers in Aging Neuroscience (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Cure Alzheimer's Fund
- National Institute on Aging (R01AG033016, R01AG025952)
- Topics
- Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Keywords
- traumatic brain injury, cognitive impairment, secondary injury mechanisms, chronic traumatic encephalopathy, Alzheimer's disease, amyloid-beta, tau protein, neurodegeneration, axonal injury, synaptic dysfunction, neuronal loss, dementia
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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