2014
DOI: 10.1007/s10863-014-9589-1
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Evidence to support mitochondrial neuroprotection, in severe traumatic brain injury

Abstract: Traumatic brain injury (TBI) is still the leading cause of disability in young adults worldwide. The major mechanisms - diffuse axonal injury, cerebral contusion, ischemic neurological damage, and intracranial hematomas have all been shown to be associated with mitochondrial dysfunction in some form. Mitochondrial dysfunction in TBI patients is an active area of research, and attempts to manipulate neuronal/astrocytic metabolism to improve outcomes have been met with limited translational success. Previously, … Show more

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Cited by 47 publications
(26 citation statements)
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“…The initiation of the apoptotic pathway in injured cells is dependent on intracellular ATP concentration (Raghupathi et al, 2000). Previous studies have reported that mitochondrial damage occurs following a TBI event, corresponding with impaired ATP production, increased generation of ROS, and apoptosis (Fischer et al, 2016;Gajavelli et al, 2015;Gilmer, Roberts, Joy, Sullivan, & Scheff, 2009). Rapid mitochondrial ROS formation has been demonstrated in rat brain cells (Jou, Jou, Chen, Lin, & Peng, 2002;Sullivan, Rabchevsky, Waldmeier, & Springer, 2005) and may lead to apoptosis within several minutes to hours (Jou et al, 2004;Nowak et al, 2006).…”
Section: Discussionmentioning
confidence: 99%
“…The initiation of the apoptotic pathway in injured cells is dependent on intracellular ATP concentration (Raghupathi et al, 2000). Previous studies have reported that mitochondrial damage occurs following a TBI event, corresponding with impaired ATP production, increased generation of ROS, and apoptosis (Fischer et al, 2016;Gajavelli et al, 2015;Gilmer, Roberts, Joy, Sullivan, & Scheff, 2009). Rapid mitochondrial ROS formation has been demonstrated in rat brain cells (Jou, Jou, Chen, Lin, & Peng, 2002;Sullivan, Rabchevsky, Waldmeier, & Springer, 2005) and may lead to apoptosis within several minutes to hours (Jou et al, 2004;Nowak et al, 2006).…”
Section: Discussionmentioning
confidence: 99%
“…On a broader scale, therapeutic treatment with C-R(7) may have the potential to minimize mitochondrially induced damage resulting from stroke or traumatic brain injury (55,68) and possibly serve to ameliorate slow progressive neurodegenerative disorders such as multiple sclerosis and Parkinson disease (69). Fig.…”
Section: Discussionmentioning
confidence: 99%
“…Neuroprotection of CsA is independent of immunosuppression [70]. CsA inhibits the opening of the mitochondrial permeability transition pore and apoptosis [71]. The neuroprotection afforded by CsA dose-dependent in several animal models of TBI, and a therapeutic window exists up to 24 hr post-injury [72].…”
Section: Investigational Drugs Under Early Clinical Trialsmentioning
confidence: 99%