2021
DOI: 10.3390/cells10051009
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Traumatic Brain Injury: Ultrastructural Features in Neuronal Ferroptosis, Glial Cell Activation and Polarization, and Blood–Brain Barrier Breakdown

Abstract: The secondary injury process after traumatic brain injury (TBI) results in motor dysfunction, cognitive and emotional impairment, and poor outcomes. These injury cascades include excitotoxic injury, mitochondrial dysfunction, oxidative stress, ion imbalance, inflammation, and increased vascular permeability. Electron microscopy is an irreplaceable tool to understand the complex pathogenesis of TBI as the secondary injury is usually accompanied by a series of pathologic changes at the ultra-micro level of the b… Show more

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Cited by 38 publications
(33 citation statements)
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References 183 publications
(301 reference statements)
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“… 97 Various iron chelators exhibit cerebral protection against acute traumatic and non-traumatic brain injuries. 12 , 89 , 98 For example, the brain-permeable iron chelator VK28 (5-[4-(2-hydroxyethyl) piperazine-1-ylmethyl]-quinoline-8-ol), the lipid-permeable iron chelator 2.2’-dipyridyl, and the iron chelator deferoxamine currently in clinical use decrease iron accumulation, ROS production, microglial activation, and neuronal death. Treatment with these iron chelators can protect the brain against iron toxicity and improve neurologic recovery after ICH.…”
Section: Ferroptosis and Its Underlying Mechanismmentioning
confidence: 99%
“… 97 Various iron chelators exhibit cerebral protection against acute traumatic and non-traumatic brain injuries. 12 , 89 , 98 For example, the brain-permeable iron chelator VK28 (5-[4-(2-hydroxyethyl) piperazine-1-ylmethyl]-quinoline-8-ol), the lipid-permeable iron chelator 2.2’-dipyridyl, and the iron chelator deferoxamine currently in clinical use decrease iron accumulation, ROS production, microglial activation, and neuronal death. Treatment with these iron chelators can protect the brain against iron toxicity and improve neurologic recovery after ICH.…”
Section: Ferroptosis and Its Underlying Mechanismmentioning
confidence: 99%
“…The up-regulation of 4-HNE was observed within some regions of the brain in patients with slightly impaired cognition indicates lipid peroxidation [ 50 ]. On the other hand, iron accumulation is associated with impaired cognition among mTBI patients [ 51 ]. Furthermore, GPx4 depletion aggravated impaired cognition [ 52 ].…”
Section: Discussionmentioning
confidence: 99%
“…Published data show that overexpression of HDDC3 (also known as MESH1) sensitize cells to ferroptosis [ 24 ]. Another study links ferroptosis to neuronal cell death [ 46 ]. Taken together, deficiency of TGFβ signaling in retinal neurons and Müller cells might sensitize the retina towards ferroptosis associated neuronal cell death.…”
Section: Discussionmentioning
confidence: 99%