Spinal Cord Injury: Pathophysiology, Multimolecular Interactions, and Underlying Recovery Mechanisms.

Spinal Cord Injury: Pathophysiology, Multimolecular Interactions, and Underlying Recovery Mechanisms.
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脊髓损伤:病理生理学、多分子相互作用及潜在恢复机制

DOI:
10.3390/ijms21207533
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发表时间:
2020-10-13
影响因子:
5.6
通讯作者:
Lokanathan Y
Lokanathan Y
中科院分区:
生物学2区
文献类型:
--
作者:
Anjum A;Yazid MD;Fauzi Daud M;Idris J;Ng AMH;Selvi Naicker A;Ismail OHR;Athi Kumar RK;Lokanathan Y

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脊髓损伤(SCI)是一种破坏性的神经和病理状态,导致主要的运动,感觉和自主神经功能障碍。其病理生理学包括急性和慢性阶段,并包括一系列破坏性事件,如缺血、氧化应激、炎症事件、凋亡途径和运动功能障碍。已经提出了许多治疗策略来克服神经退行性事件和减少继发性神经元损伤。人们还致力于开发促进神经元恢复和结果的神经保护和神经再生疗法。虽然已经取得了不同程度的成功,但治疗成就仍然难以捉摸,可能是由于涉及复杂的愈合和保护机制。因此,必须评估目前在这方面的理解,以制定适当的治疗模式,以改善SCI的恢复。本文旨在促进对SCI病理生理学、相互关联或相互联系的多分子相互作用以及神经元恢复的各种方法的理解,神经保护、免疫调节和神经再生途径以及相关方法。
Spinal cord injury (SCI) is a destructive neurological and pathological state that causes major motor, sensory and autonomic dysfunctions. Its pathophysiology comprises acute and chronic phases and incorporates a cascade of destructive events such as ischemia, oxidative stress, inflammatory events, apoptotic pathways and locomotor dysfunctions. Many therapeutic strategies have been proposed to overcome neurodegenerative events and reduce secondary neuronal damage. Efforts have also been devoted in developing neuroprotective and neuro-regenerative therapies that promote neuronal recovery and outcome. Although varying degrees of success have been achieved, curative accomplishment is still elusive probably due to the complex healing and protective mechanisms involved. Thus, current understanding in this area must be assessed to formulate appropriate treatment modalities to improve SCI recovery. This review aims to promote the understanding of SCI pathophysiology, interrelated or interlinked multimolecular interactions and various methods of neuronal recovery i.e., neuroprotective, immunomodulatory and neuro-regenerative pathways and relevant approaches.
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