The Acute Inflammatory Response in Trauma / Hemorrhage and Traumatic Brain Injury: Current State and Emerging Prospects

Autor: Ruben Zamora, L Hermus, Timothy R. Billiar, Yoram Vodovotz, Ali Ghuma, Rajaie Namas, David O. Okonkwo
Rok vydání: 2009
Předmět:
Zdroj: Libyan Journal of Medicine; Vol 4, No 3 (2009); 97-103
Libyan Journal of Medicine, Vol 4, Iss 3, Pp 136-148 (2009)
The Libyan Journal of Medicine
Libyan Journal of Medicine; Vol 4, No 3 (2009)
ISSN: 1819-6357
1993-2820
DOI: 10.4176/090325
Popis: Traumatic injury/hemorrhagic shock (T/HS) elicits an acute inflammatory response that may result in death. Inflammation describes a coordinated series of molecular, cellular, tissue, organ, and systemic responses that drive the pathology of various diseases including T/HS and traumatic brain injury (TBI). Inflammation is a finely tuned, dynamic, highly-regulated process that is not inherently detrimental, but rather required for immune surveillance, optimal post-injury tissue repair, and regeneration. The inflammatory response is driven by cytokines and chemokines and is partially propagated by damaged tissue-derived products (Damage-associated Molecular Patterns; DAMP’s). DAMPs perpetuate inflammation through the release of pro-inflammatory cytokines, but may also inhibit anti-inflammatory cytokines. Various animal models of T/HS in mice, rats, pigs, dogs, and non-human primates have been utilized in an attempt to move from bench to bedside. Novel approaches, including those from the field of systems biology, may yield therapeutic breakthroughs in T/HS and TBI in the near future. Key words: Trauma, Hemorrhagic Shock, Taumatic Brain Injury, Inflammation, Systems Biology
Databáze: OpenAIRE