The role of extracellular vesicles in traumatic brain injury-induced acute lung injury
The role of extracellular vesicles in traumatic brain injury-induced acute lung injury
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DOI：
10.1152/ajplung.00023.2021
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发表时间：
2021
期刊：
影响因子：
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通讯作者：
Jian-Ning Zhang
中科院分区：
文献类型：
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作者：
Chao-Nan Zhang;Fan-Jian Li;Zi-Long Zhao;Jian-Ning Zhang
Acute lung injury (ALI), a common complication after traumatic brain injury (TBI), can evolve into acute respiratory distress syndrome (ARDS) and has a mortality rate of 30%–40%. Secondary ALI after TBI exhibits the following typical pathological features: infiltration of neutrophils into the alveolar and interstitial space, alveolar septal thickening, alveolar edema, and hemorrhage. Extracellular vesicles (EVs) were recently identified as key mediators in TBI-induced ALI. Due to their small size and lipid bilayer, they can pass through the disrupted blood-brain barrier (BBB) into the peripheral circulation and deliver their contents, such as genetic material and proteins, to target cells through processes such as fusion, receptor-mediated interactions, and uptake. Acting as messengers, EVs contribute to mediating brain-lung cross talk after TBI. In this review, we aim to summarize the mechanism of EVs in TBI-induced ALI, which may provide new ideas for clinical treatment.
