Cerebral Edema in Traumatic Brain Injury Pathophysiology and Prospective Therapeutic Targets

被引:107
作者
Winkler, Ethan A. [1 ,2 ]
Minter, Daniel [2 ]
Yue, John K. [1 ,2 ]
Manley, Geoffrey T. [1 ,2 ]
机构
[1] San Francisco Gen Hosp, Brain & Spinal Injury Ctr, 1001 Potrero Ave,Bldg 1,Room 101, San Francisco, CA 94110 USA
[2] Univ Calif San Francisco, Dept Neurol Surg, 505 Parnassus Ave,M779, San Francisco, CA 94143 USA
关键词
Cerebral edema; Traumatic brain injury; Pathophysiology; Therapeutic targets; Blood-brain barrier; LIGHT-CHAIN KINASE; ENDOTHELIAL GROWTH-FACTOR; CENTRAL-NERVOUS-SYSTEM; NONSELECTIVE CATION CHANNEL; OSMOTIC WATER PERMEABILITY; BARRIER DISRUPTION; SUBSTANCE-P; FUNCTIONAL DEFICITS; CEREBROSPINAL-FLUID; MATRIX METALLOPROTEINASES;
D O I
10.1016/j.nec.2016.05.008
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Traumatic brain injury is a heterogeneous disorder resulting from an external force applied to the head. The development of cerebral edema plays a central role in the evolution of injury following brain trauma and is closely associated with neurologic outcomes. Recent advances in the understanding of the molecular and cellular pathways contributing to the posttraumatic development of cerebral edema have led to the identification of multiple prospective therapeutic targets. The authors summarize the pathogenic mechanisms underlying cerebral edema and highlight the molecular pathways that may be therapeutically targeted to mitigate cerebral edema and associated sequelae following traumatic brain injury.
引用
收藏
页码:473 / +
页数:17
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