Traumatic brain injury and recovery mechanisms: peptide modulation of periventricular neurogenic regions by the choroid plexus–CSF nexus
Autor: | Edward G. Stopa, Conrad E. Johanson, Andrew Baird, Hari Shanker Sharma |
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Rok vydání: | 2010 |
Předmět: |
Hippocampus
Ischemia Medicine & Public Health Pharmacology/Toxicology Intracranial pressure Psychiatry Traumatic brain injury models biology Neurogenesis Blood-CSF barrier permeability Psychiatry and Mental health medicine.anatomical_structure Neurology Leukocyte traffic Basic Neurosciences Genetics and Immunology - Review Article Cerebrospinal formation and drainage Choroid plexus Ependyma Hydrocephalus Neurotrophin Subventricular zone Traumatic brain injury Midline Thalamic Nuclei CSF dynamics Clinical Neurology Neuroprotection Blood–CSF barrier permeability CSF homeostasis medicine Animals Humans Dentate gyrus Biological Psychiatry Periventricular lesions business.industry Neuropeptides Neurosciences Recovery of Function medicine.disease Disease Models Animal nervous system Brain Injuries Choroid Plexus biology.protein Neurology (clinical) business Neuroscience |
Zdroj: | Journal of Neural Transmission Johanson, Conrad; Stopa, Edward; Baird, Andrew; & Sharma, Hari. (2011). Traumatic brain injury and recovery mechanisms: peptide modulation of periventricular neurogenic regions by the choroid plexus–CSF nexus. Journal of Neural Transmission: Basic Neurosciences, Genetics and Immunology, Movement disorders, Dementias, Biological Psychiatry, Biological Child and Adolescent Psychiatry, 118(1), pp 115-133. doi: 10.1007/s00702-010-0498-0. Retrieved from: http://www.escholarship.org/uc/item/1ts4426f Johanson, C; Stopa, E; Baird, A; & Sharma, H. (2011). Traumatic brain injury and recovery mechanisms: peptide modulation of periventricular neurogenic regions by the choroid plexus-CSF nexus. JOURNAL OF NEURAL TRANSMISSION, 118(1), 115-133. doi: 10.1007/s00702-010-0498-0. UC San Diego: Retrieved from: http://www.escholarship.org/uc/item/934253pb |
ISSN: | 1435-1463 0300-9564 |
DOI: | 10.1007/s00702-010-0498-0 |
Popis: | In traumatic brain injury (TBI), severe disruptions occur in the choroid plexus (CP)-cerebrospinal fluid (CSF) nexus that destabilize the nearby hippocampal and subventricular neurogenic regions. Following invasive and non-invasive injuries to cortex, several adverse sequelae harm the brain interior: (i) structural damage to CP epithelium that opens the blood-CSF barrier (BCSFB) to protein, (ii) altered CSF dynamics and intracranial pressure (ICP), (iii) augmentation of leukocyte traffic across CP into the CSF-brain, (iv) reduction in CSF sink action and clearance of debris from ventricles, and (v) less efficient provision of micronutritional and hormonal support for the CNS. However, gradual post-TBI restitution of the injured CP epithelium and ependyma, and CSF homeostatic mechanisms, help to restore subventricular/subgranular neurogenesis and the cognitive abilities diminished by CNS damage. Recovery from TBI is facilitated by upregulated choroidal/ependymal growth factors and neurotrophins, and their secretion into ventricular CSF. There, by an endocrine-like mechanism, CSF bulk flow convects the neuropeptides to target cells in injured cortex for aiding repair processes; and to neurogenic niches for enhancing conversion of stem cells to new neurons. In the recovery from TBI and associated ischemia, the modulating neuropeptides include FGF2, EGF, VEGF, NGF, IGF, GDNF, BDNF, and PACAP. Homeostatic correction of TBI-induced neuropathology can be accelerated or amplified by exogenously boosting the CSF concentration of these growth factors and neurotrophins. Such intraventricular supplementation via the CSF route promotes neural restoration through enhanced neurogenesis, angiogenesis, and neuroprotective effects. CSF translational research presents opportunities that involve CP and ependymal manipulations to expedite recovery from TBI. |
Databáze: | OpenAIRE |
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