Cited by 22Traumatic Brain Injury and Neurovascular DisturbancesTraumatic Brain Injury ResearchNeuroinflammation and Neurodegeneration Mechanisms

Traumatic Brain Injury and Inflammation: Emerging Role of Innate and Adaptive Immunity

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Dardiotis, Efthimios, Karanikas, Vaios, Paterakis, Konstantinos, Fountas, Kostas, M., Georgios·2012·Brain Injury - Pathogenesis, Monitoring, Recovery and Management

Abstract

Traumatic brain injury (TBI) has long been recognized as a leading cause of mortality and permanent neurological disability worldwide and has been described as a silent epidemic of modern societies.It is most common amongst young individuals, in their productive years of life, thereby causing a significant social and financial burden for them, their families and the public health system (Maas et al., 2008).The pathophysiology of TBI is complex and multifactorial with several pathways involved in the damage of the brain.TBI has been classified into primary and secondary injury.The primary injury is the result of the external mechanical force at the moment of trauma leading to skull fractures, brain contusions, lacerations, diffuse axonal injuries, vascular tearing and intracranial hemorrhages (Maas et al., 2008).The initial impact damages directly the neuronal tissue via excitatory amino acids release and massive ionic influx referred to as traumatic depolarization (Katayama et al., 1995).Secondary neuronal damage is induced immediately after primary injury and is mediated through several pathophysiologic mechanisms including raised intracranial pressure, disruption of blood brain barrier, brain edema, decreased cerebral blood flow, altered tissue perfusion, cerebral hypoxia, ischemia and reperfusion injury (Graham et al., 2000).Furthermore, a cascade of molecular, neurochemical, cellular and immune processes contribute to secondary damage such as disruption of calcium homeostasis, oxidative stress, excitatory mediators release, cytoskeletal and mitochondrial dysfunction, Ab-peptide deposition, inflammatory cell infiltration and neuronal cell apoptosis and death (Greve & Zink, 2009).Gene expression studies have demonstrated that several genes are implicated in the pathophysiology of secondary brain damage (Lei et al., 2009).Secondary cascade of events were found to dramatically aggregate primary neuronal damage and given that primary injury is unavoidable and irreversible, secondary processes are the targets of current therapeutic strategies and trials on neuroprotective agents (Jain, 2008).

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  • Excessive or chronic neuroinflammation is linked to progressive changes, including atrophy, neuronal loss, and axonal degeneration.

    “Excessive or chronic neuroinflammation is linked to progressive changes, including atrophy, neuronal loss, and axonal degeneration (84, 103–105).”

    From The Inflammatory Continuum of Traumatic Brain Injury and Alzheimer’s Disease (2018) · cites this paper as [103]

    The Innate immunity section (page not provided) links excessive or prolonged microglial activation to impaired neuronal survival and progressive degeneration after traumatic brain injury. The Introduction also describes neuronal apoptosis and death, but the cited passages do not specifically link chronic neuroinflammation to atrophy or axonal degeneration. (LLM, conf=0.86)

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Authors
Dardiotis, E., Karanikas, V., Paterakis, K., Fountas, K., & M., G.
Affiliations
University of Thessaly (GR)
Venue
Brain Injury - Pathogenesis, Monitoring, Recovery and Management
Publisher
InTech
Published
2012-03-23
OpenAlex
W1566553376
Cited by
22
References
6
Citations by year
2026: 1 · 2024: 2 · 2022: 1 · 2021: 1 · 2019: 1 · 2018: 1 · 2017: 3 · 2016: 6 · 2015: 2 · 2014: 2 · 2013: 1 · 2012: 1
FWCI
5.03
Type
book chapter
Language
en
Open access
Licence
cc-by
Locations
  • InTech eBooks (publishedVersion, cc-by)
  • BiblioBoard Library Catalog (Open Research Library) (submittedVersion, cc-by)
  • Contact-less Assessment of In-vivo Body Signals Using Microwave Doppler Radar (InTech) (submittedVersion, cc-by)
Topics
  • Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
  • Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
  • Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
Keywords
traumatic brain injury, neuroinflammation, innate immunity, adaptive immunity, secondary brain injury, primary brain injury, excitotoxicity, oxidative stress, ischemia-reperfusion injury, blood-brain barrier disruption, neuroprotection, inflammatory cell infiltration

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