Table of Contents Author Guidelines Submit a Manuscript
Stem Cells International
Volume 2017, Article ID 6392592, 13 pages
https://doi.org/10.1155/2017/6392592
Review Article

Traumatic Brain Injury and Stem Cell: Pathophysiology and Update on Recent Treatment Modalities

1Department of Physiology and Pharmacology, Loma Linda University School of Medicine, 11041 Campus Street, Risley Hall, Room 219, Loma Linda, CA 92354, USA
2Loma Linda University School of Medicine, Loma Linda, CA 92354, USA
3Department of Epidemiology & Biostatistics, Loma Linda School of Public Health, Loma Linda, CA 92350, USA
4Department of Neurosurgery, Second Affiliated Hospital School of Medicine, Zhejiang University, Hangzhou, China
5Department of Neurosurgery, Loma Linda University School of Medicine, Loma Linda, CA 92354, USA

Correspondence should be addressed to John H. Zhang; moc.oohay@0193gnahznhoj

Received 19 May 2017; Accepted 26 July 2017; Published 9 August 2017

Academic Editor: Gerald A. Colvin

Copyright © 2017 Cesar Reis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Traumatic brain injury (TBI) is a complex condition that presents with a wide spectrum of clinical symptoms caused by an initial insult to the brain through an external mechanical force to the skull. In the United States alone, TBI accounts for more than 50,000 deaths per year and is one of the leading causes of mortality among young adults in the developed world. Pathophysiology of TBI is complex and consists of acute and delayed injury. In the acute phase, brain tissue destroyed upon impact includes neurons, glia, and endothelial cells, the latter of which makes up the blood-brain barrier. In the delayed phase, “toxins” released from damaged cells set off cascades in neighboring cells eventually leading to exacerbation of primary injury. As researches further explore pathophysiology and molecular mechanisms underlying this debilitating condition, numerous potential therapeutic strategies, especially those involving stem cells, are emerging to improve recovery and possibly reverse damage. In addition to elucidating the most recent advances in the understanding of TBI pathophysiology, this review explores two primary pathways currently under investigation and are thought to yield the most viable therapeutic approach for treatment of TBI: manipulation of endogenous neural cell response and administration of exogenous stem cell therapy.