학술논문

Roadmap for Advancing Pre-Clinical Science in Traumatic Brain Injury
Document Type
article
Source
Journal of Neurotrauma. 38(23)
Subject
Traumatic Brain Injury (TBI)
Traumatic Head and Spine Injury
Neurosciences
Brain Disorders
Physical Injury - Accidents and Adverse Effects
Injuries and accidents
Neurological
Animals
Brain Injuries
Traumatic
Diffuse Axonal Injury
Disease Models
Animal
Neurodegenerative Diseases
Neuroinflammatory Diseases
Translational Research
Biomedical
diffuse axonal injury
neurodegeneration
neuroinflammation
neurological dysfunction
pre-clinical animal models
traumatic brain injury
neurodegeneration
neuroinflammation
Clinical Sciences
Neurology & Neurosurgery
Language
Abstract
Pre-clinical models of disease have long played important roles in the advancement of new treatments. However, in traumatic brain injury (TBI), despite the availability of numerous model systems, translation from bench to bedside remains elusive. Integrating clinical relevance into pre-clinical model development is a critical step toward advancing therapies for TBI patients across the spectrum of injury severity. Pre-clinical models include in vivo and ex vivo animal work-both small and large-and in vitro modeling. The wide range of pre-clinical models reflect substantial attempts to replicate multiple aspects of TBI sequelae in humans. Although these models reveal multiple putative mechanisms underlying TBI pathophysiology, failures to translate these findings into successful clinical trials call into question the clinical relevance and applicability of the models. Here, we address the promises and pitfalls of pre-clinical models with the goal of evolving frameworks that will advance translational TBI research across models, injury types, and the heterogenous etiology of pathology.