Combination Treatment of Natural Compounds and Integrative Therapies for Mild Traumatic Brain Injury

A. Olivera, Heather L. Rusch, J. Gill
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引用次数: 2

Abstract

Each year millions of Americans seek acute care for mild traumatic brain injury (mTBI), which is often associated with a range of debilitating sequelae including cognitive, behavioral, emotional, and motor deficits [1]. New evidence indicates that neuroinflammatory responses, excitotoxicity, and oxidative stress may directly contribute to the emergence and maintenance of these chronic postconcussive symptoms (PCS) [2]. In instances of traumatic axonal injury, accumulations of tau and amyloid peptides can form, which may be an early sign of neurodegeneration linked to dementia and Alzheimer’s disease [3]. Given the multiple mechanisms underlying PCS, it is reasonable to suggest that successfully preventing or attenuating PCS cannot be accomplished via pharmacological agents with a single mode of action. Herein, we propose that a combination of natural compounds and intergrative therapies with systemic effect may provide a comprehensive treatment strategy for addressing the secondary injury following mTBI.
天然化合物与综合疗法联合治疗轻度创伤性脑损伤
每年有数百万美国人因轻度创伤性脑损伤(mTBI)寻求急性护理,这通常伴随着一系列衰弱的后遗症,包括认知、行为、情绪和运动缺陷[1]。新的证据表明,神经炎症反应、兴奋毒性和氧化应激可能直接导致这些慢性脑震荡后症状(PCS)的出现和维持[2]。在创伤性轴索损伤的情况下,可形成tau和淀粉样肽的积累,这可能是与痴呆和阿尔茨海默病相关的神经变性的早期征兆[3]。考虑到PCS的多种机制,我们有理由认为通过单一作用模式的药物无法成功预防或减轻PCS。在此,我们建议将天然化合物和具有全身效应的综合疗法相结合,可能为解决mTBI后的继发性损伤提供一种综合治疗策略。
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