Sex differences in pediatric traumatic brain injury

被引:42
作者
Arambula, Sheryl E. [1 ]
Reinl, Erin L. [1 ]
El Demerdash, Nagat [2 ]
McCarthy, Margaret M. [1 ]
Robertson, Courtney L. [2 ,3 ]
机构
[1] Univ Maryland, Sch Med, Dept Pharmacol, Baltimore, MD 21201 USA
[2] Johns Hopkins Univ, Sch Med, Dept Anesthesiol & Crit Care Med, Charlotte R Bloomberg Childrens Room 6321, Baltimore, MD 21287 USA
[3] Johns Hopkins Univ, Sch Med, Pediat, Baltimore, MD 21287 USA
关键词
Sex; Gender; Neuroinflammation; Excitotoxicity; Cerebral metabolism; Mitochondria; PROTECTS CEREBRAL AUTOREGULATION; CONTROLLED CORTICAL IMPACT; MEDIAL PREFRONTAL CORTEX; CEREBROSPINAL-FLUID; QUINOLINIC ACID; HIPPOCAMPAL NECROSIS; GABA(A) RECEPTOR; UNITED-STATES; CELL-DEATH; MICROGLIAL ACTIVATION;
D O I
10.1016/j.expneurol.2019.02.016
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
The response of the developing brain to traumatic injury is different from the response of the mature, adult brain. There are critical developmental trajectories in the young brain, whereby injury can lead to long term functional abnormalities. Emerging preclinical and clinical literature supports the presence of significant sex differences in both the response to and the recovery from pediatric traumatic brain injury (TBI). These sex differences are seen at all pediatric ages, including neonates/infants, pre-pubertal children, and adolescents. As importantly, the response to neuroprotective therapies or treatments can differ between male and females subjects. These sex differences can result from several biologic origins, and may manifest differently during the various phases of brain and body development. Recognizing and understanding these potential sex differences is crucial, and should be considered in both preclinical and clinical studies of pediatric TBI.
引用
收藏
页码:168 / 179
页数:12
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