Abstract:
:Spinal cord injury can have a range of debilitating effects, permanently impacting a patient's quality of life. Initially thought to be an immune privileged site, the spinal cord is able to mount a timely and well organized inflammatory response to injury. Intricate immune cell interactions are triggered, typically consisting of a staggered multiphasic immune cell response, which can become deregulated if left unchecked. Although several immunomodulatory compounds have yielded success in experimental rodent spinal cord injury models, their translation to human clinical studies needs further consideration. Because temporal differences between rodent and human inflammatory responses to spinal cord injury do exist, drug delivery timing will be a crucial component in recovery from spinal cord injury. Given too early, immunomodulatory therapies may impede beneficial inflammatory reactions to the injured spinal cord or even miss the opportunity to dampen delayed harmful autoimmune processes. Therefore, this review aims to summarize the temporal inflammatory response to spinal cord injury, as well as detailing specific immune cell functions. By clearly defining the chronological order of inflammatory events after trauma, immunomodulatory drug delivery timing can be better optimized. Further, we compare spinal cord injury-induced inflammatory responses in rodent and human studies, enabling clinicians to consider these differences when initiating clinical trials. Improved understanding of the cellular immune response after spinal cord injury would enhance the efficacy of immunomodulatory agents, enabling combined therapies to be considered.
journal_name
J Neurotraumajournal_title
Journal of neurotraumaauthors
Bowes AL,Yip PKdoi
10.1089/neu.2014.3429subject
Has Abstractpub_date
2014-11-01 00:00:00pages
1753-66issue
21eissn
0897-7151issn
1557-9042journal_volume
31pub_type
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journal_title:Journal of neurotrauma
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pub_type: 杂志文章,meta分析
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pub_type: 杂志文章
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pub_type: 杂志文章,多中心研究
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更新日期:2015-04-01 00:00:00
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pub_type: 杂志文章
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journal_title:Journal of neurotrauma
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pub_type: 杂志文章,随机对照试验
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