Neuroprotective strategies for traumatic brain injury: improving clinical translation

Traumatic brain injury (TBI) induces secondary biochemical changes that contribute to delayed neuroinflammation, neuronal cell death, and neurological dysfunction. Attenuating such secondary injury has provided the conceptual basis for neuroprotective treatments. Despite strong experimental data, mo...

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Veröffentlicht in:International journal of molecular sciences 2014-01, Vol.15 (1), p.1216-1236
Hauptverfasser: Kabadi, Shruti V, Faden, Alan I
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Faden, Alan I
description Traumatic brain injury (TBI) induces secondary biochemical changes that contribute to delayed neuroinflammation, neuronal cell death, and neurological dysfunction. Attenuating such secondary injury has provided the conceptual basis for neuroprotective treatments. Despite strong experimental data, more than 30 clinical trials of neuroprotection in TBI patients have failed. In part, these failures likely reflect methodological differences between the clinical and animal studies, as well as inadequate pre-clinical evaluation and/or trial design problems. However, recent changes in experimental approach and advances in clinical trial methodology have raised the potential for successful clinical translation. Here we critically analyze the current limitations and translational opportunities for developing successful neuroprotective therapies for TBI.
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source MEDLINE; MDPI - Multidisciplinary Digital Publishing Institute; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Animals
Brain Injuries - drug therapy
Clinical Trials as Topic
Humans
Neuroprotective Agents - therapeutic use
Review
Translational Medical Research - methods
Translational Medical Research - standards
title Neuroprotective strategies for traumatic brain injury: improving clinical translation
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