Neural-respiratory inflammasome axis in traumatic brain injury

Traumatic brain injury (TBI) is a leading cause of morbidity and mortality. Approximately 20–25% of TBI subjects develop Acute Lung Injury (ALI), but the pathomechanisms of TBI-induced ALI remain poorly defined. Currently, mechanical ventilation is the only therapeutic intervention for TBI-induced l...

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Published inExperimental neurology Vol. 323; p. 113080
Main Authors Kerr, Nadine, de Rivero Vaccari, Juan Pablo, Dietrich, W. Dalton, Keane, Robert W.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.01.2020
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ISSN0014-4886
1090-2430
1090-2430
DOI10.1016/j.expneurol.2019.113080

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Abstract Traumatic brain injury (TBI) is a leading cause of morbidity and mortality. Approximately 20–25% of TBI subjects develop Acute Lung Injury (ALI), but the pathomechanisms of TBI-induced ALI remain poorly defined. Currently, mechanical ventilation is the only therapeutic intervention for TBI-induced lung injury. Our recent studies have shown that the inflammasome plays an important role in the systemic inflammatory response leading to lung injury-post TBI. Here, we outline the role of the extracellular vesicle (EV)-mediated inflammasome signaling in the etiology of TBI-induced ALI. Furthermore, we evaluate the efficacy of a low molecular weight heparin (Enoxaparin, a blocker of EV uptake) and a monoclonal antibody against apoptosis speck-like staining protein containing a caspase recruitment domain (anti-ASC) as therapeutics for TBI-induced lung injury. We demonstate that activation of an EV-mediated Neural-Respiratory Inflammasome Axis plays an essential role in TBI-induced lung injury and disruption of this axis has therapeutic potential as a treatment strategy.
AbstractList Traumatic brain injury (TBI) is a leading cause of morbidity and mortality. Approximately 20-25% of TBI subjects develop Acute Lung Injury (ALI), but the pathomechanisms of TBI-induced ALI remain poorly defined. Currently, mechanical ventilation is the only therapeutic intervention for TBI-induced lung injury. Our recent studies have shown that the inflammasome plays an important role in the systemic inflammatory response leading to lung injury-post TBI. Here, we outline the role of the extracellular vesicle (EV)-mediated inflammasome signaling in the etiology of TBI-induced ALI. Furthermore, we evaluate the efficacy of a low molecular weight heparin (Enoxaparin, a blocker of EV uptake) and a monoclonal antibody against apoptosis speck-like staining protein containing a caspase recruitment domain (anti-ASC) as therapeutics for TBI-induced lung injury. We demonstate that activation of an EV-mediated Neural-Respiratory Inflammasome Axis plays an essential role in TBI-induced lung injury and disruption of this axis has therapeutic potential as a treatment strategy.
Traumatic brain injury (TBI) is a leading cause of morbidity and mortality. Approximately 20-25% of TBI subjects develop Acute Lung Injury (ALI), but the pathomechanisms of TBI-induced ALI remain poorly defined. Currently, mechanical ventilation is the only therapeutic intervention for TBI-induced lung injury. Our recent studies have shown that the inflammasome plays an important role in the systemic inflammatory response leading to lung injury-post TBI. Here, we outline the role of the extracellular vesicle (EV)-mediated inflammasome signaling in the etiology of TBI-induced ALI. Furthermore, we evaluate the efficacy of a low molecular weight heparin (Enoxaparin, a blocker of EV uptake) and a monoclonal antibody against apoptosis speck-like staining protein containing a caspase recruitment domain (anti-ASC) as therapeutics for TBI-induced lung injury. We demonstate that activation of an EV-mediated Neural-Respiratory Inflammasome Axis plays an essential role in TBI-induced lung injury and disruption of this axis has therapeutic potential as a treatment strategy.Traumatic brain injury (TBI) is a leading cause of morbidity and mortality. Approximately 20-25% of TBI subjects develop Acute Lung Injury (ALI), but the pathomechanisms of TBI-induced ALI remain poorly defined. Currently, mechanical ventilation is the only therapeutic intervention for TBI-induced lung injury. Our recent studies have shown that the inflammasome plays an important role in the systemic inflammatory response leading to lung injury-post TBI. Here, we outline the role of the extracellular vesicle (EV)-mediated inflammasome signaling in the etiology of TBI-induced ALI. Furthermore, we evaluate the efficacy of a low molecular weight heparin (Enoxaparin, a blocker of EV uptake) and a monoclonal antibody against apoptosis speck-like staining protein containing a caspase recruitment domain (anti-ASC) as therapeutics for TBI-induced lung injury. We demonstate that activation of an EV-mediated Neural-Respiratory Inflammasome Axis plays an essential role in TBI-induced lung injury and disruption of this axis has therapeutic potential as a treatment strategy.
Traumatic brain injury (TBI) is a leading cause of morbidity and mortality. Approximately 20-25 percent of TBI subjects develop Acute Lung Injury (ALI), but the pathomechanisms of TBI-induced ALI remain poorly defined. Currently, mechanical ventilation is the only therapeutic intervention for TBI-induced lung injury. Our recent studies have shown that the inflammasome plays an important role in the systemic inflammatory response leading to lung injury-post TBI. Here, we outline the role of the extracellular vesicle (EV)-mediated inflammasome signaling in the etiology of TBI-induced ALI. Furthermore, we evaluate the efficacy of a low molecular weight heparin (Enoxaparin, a blocker of EV uptake) and a monoclonal antibody against apoptosis speck-like staining protein containing a caspase recruitment domain (anti-ASC) as therapeutics for TBI-induced lung injury. We demonstate that activation of an EV-mediated Neural-Respiratory Inflammasome Axis plays an essential role in TBI-induced lung injury and disruption of this axis has therapeutic potential as a treatment strategy.
ArticleNumber 113080
Author Kerr, Nadine
Dietrich, W. Dalton
de Rivero Vaccari, Juan Pablo
Keane, Robert W.
AuthorAffiliation 1 Department of Neurological Surgery, University of Miami Miller School of Medicine
3 Department of Physiology and Biophysics, University of Miami Miller School fo Medicine, 1600 NW10th Avenue, Miami, FL 33136
2 Miami Project to Cure Paralysis
AuthorAffiliation_xml – name: 2 Miami Project to Cure Paralysis
– name: 1 Department of Neurological Surgery, University of Miami Miller School of Medicine
– name: 3 Department of Physiology and Biophysics, University of Miami Miller School fo Medicine, 1600 NW10th Avenue, Miami, FL 33136
Author_xml – sequence: 1
  givenname: Nadine
  surname: Kerr
  fullname: Kerr, Nadine
  organization: Department of Neurological Surgery, University of Miami Miller School of Medicine, United States of America
– sequence: 2
  givenname: Juan Pablo
  surname: de Rivero Vaccari
  fullname: de Rivero Vaccari, Juan Pablo
  organization: Department of Neurological Surgery, University of Miami Miller School of Medicine, United States of America
– sequence: 3
  givenname: W. Dalton
  surname: Dietrich
  fullname: Dietrich, W. Dalton
  organization: Department of Neurological Surgery, University of Miami Miller School of Medicine, United States of America
– sequence: 4
  givenname: Robert W.
  orcidid: 0000-0003-4068-9511
  surname: Keane
  fullname: Keane, Robert W.
  email: rkeane@miami.edu
  organization: Department of Neurological Surgery, University of Miami Miller School of Medicine, United States of America
BackLink https://www.ncbi.nlm.nih.gov/pubmed/31626746$$D View this record in MEDLINE/PubMed
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Snippet Traumatic brain injury (TBI) is a leading cause of morbidity and mortality. Approximately 20–25% of TBI subjects develop Acute Lung Injury (ALI), but the...
Traumatic brain injury (TBI) is a leading cause of morbidity and mortality. Approximately 20-25% of TBI subjects develop Acute Lung Injury (ALI), but the...
Traumatic brain injury (TBI) is a leading cause of morbidity and mortality. Approximately 20-25 percent of TBI subjects develop Acute Lung Injury (ALI), but...
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SubjectTerms Acute Lung Injury - etiology
Acute Lung Injury - immunology
Acute Lung Injury - physiopathology
Animals
Brain Injuries, Traumatic - complications
Brain Injuries, Traumatic - immunology
Brain Injuries, Traumatic - physiopathology
Extracellular Vesicles - immunology
Humans
Inflammasomes - immunology
Inflammation - etiology
Inflammation - immunology
Inflammation - physiopathology
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Title Neural-respiratory inflammasome axis in traumatic brain injury
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