Preconditioning for Traumatic Brain Injury

Shoji Yokobori, Anna T. Mazzeo, Khadil Hosein, Shyam Gajavelli, W. Dalton Dietrich, M. Ross Bullock

Research output: Contribution to journalReview articlepeer-review

14 Scopus citations

Abstract

Traumatic brain injury (TBI) treatment is now focused on the prevention of primary injury and reduction of secondary injury. However, no single effective treatment is available as yet for the mitigation of traumatic brain damage in humans. Both chemical and environmental stresses applied before injury have been shown to induce consequent protection against post-TBI neuronal death. This concept termed "preconditioning" is achieved by exposure to different pre-injury stressors to achieve the induction of "tolerance" to the effect of the TBI. However, the precise mechanisms underlying this "tolerance" phenomenon are not fully understood in TBI, and therefore even less information is available about possible indications in clinical TBI patients. In this review, we will summarize TBI pathophysiology, and discuss existing animal studies demonstrating the efficacy of preconditioning in diffuse and focal type of TBI. We will also review other non-TBI preconditioning studies, including ischemic, environmental, and chemical preconditioning, which maybe relevant to TBI. To date, no clinical studies exist in this field, and we speculate on possible future clinical situations, in which pre-TBI preconditioning could be considered.

Original languageEnglish (US)
Pages (from-to)25-39
Number of pages15
JournalTranslational stroke research
Volume4
Issue number1
DOIs
StatePublished - 2013

Keywords

  • Neuroprotection
  • Pathophysiology
  • Preconditioning
  • Traumatic brain injury

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)
  • Cardiology and Cardiovascular Medicine

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