Abstract:
:Cerebral malaria (CM) is the severe neurological complication associated with Plasmodium falciparum infection. In clinical settings CM is predominantly characterized by fever, epileptic seizures, and asexual forms of parasite on blood smears, coma and even death. Cognitive impairment in the children and adults even after survival is one of the striking consequences of CM. Poor diagnosis often leads to inappropriate malaria therapy which in turn progress into a severe form of disease. Activation of multiple cell death pathways such as Inflammation, oxidative stress, apoptosis and disruption of blood brain barrier (BBB) plays critical role in the pathogenesis of CM and secondary brain damage. Thus, understanding such mechanisms of neuronal cell death might help to identify potential molecular targets for CM. Mitigation strategies for mortality rate and long-term cognitive deficits caused by existing anti-malarial drugs still remains a valid research question to ask. In this review, we discuss in detail about critical neuronal cell death mechanisms and the overall significance of adjunctive therapy with recent trends, which provides better insight towards establishing newer therapeutic strategies for CM.
journal_name
Brain Res Bulljournal_title
Brain research bulletinauthors
Vanka R,Nakka VP,Kumar SP,Baruah UK,Babu PPdoi
10.1016/j.brainresbull.2020.01.020subject
Has Abstractpub_date
2020-04-01 00:00:00pages
100-107eissn
0361-9230issn
1873-2747pii
S0361-9230(20)30079-4journal_volume
157pub_type
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