Novel Strategies for the Chronic Traumatic Encephalopathy

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Clinical Neurology".

Deadline for manuscript submissions: closed (10 December 2018)

Special Issue Editor

Assistant Professor of Neurology, University of California, San Francisco, CA, USA
Interests: traumatic brain injury (TBI); CTE and neurodegenerative diseases; cognitive behavior; neuroinflammation; neurogenesis; apoptosis; neurotrophic factors

Special Issue Information

Dear Colleagues,

Chronic Traumatic Encephalopathy (CTE) was first described as the “punch drunk syndrome” that affected some boxers almost a century ago. Currently, CTE is defined as a neurodegenerative disease associated with repeated mild traumatic brain injury (TBI) or a single moderate or severe TBI. Over the past few decades, the understanding of the neuropathology of CTE has been growing. It is now time to focus on novel diagnostic and therapeutic strategies for CTE. It’s been suggested that CTE’s neuropathology includes p-tau, amyloid β (Aβ), and TDP-43; chronic neuroinflammation; axonal degeneration; degradation of white matter; and neuronal loss, in which the tau pathology is more specific, with less conflict between the studies. Even so, the complex pathology to the clinical presentations of CTE remains to be expanded and established. Moreover, CTE’s syndromes have been investigated widely, including headache, aggression, depression, cognitive impairment, dementia, etc. However, most of these syndromes are nonspecific to CTE, as they are also associated with other neurological and psychiatric disorders and conditions.

Recently, in order to diagnose CTE in vivo, a variety of diagnostic strategies have been investigated, including the identification of cerebrospinal fluid and blood biomarkers, development and application of various novel neuroimaging techniques, and improvement of clinical criteria. Furthermore, several preventive, therapeutic strategies for CTE have been studied such as the cis p-tau antibody, neurotrophic receptor ligands, as well as the hyperbaric oxygen therapy.

The Special Issue aims to solicit novel contributions to the current difficulties of improving diagnosis, prevention, and treatment of CTE, by also seeking manuscripts on its further pathologies and molecular and cellular regulations for CTE. 

Dr. Jian Shi
Guest Editor

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Keywords

  • Chronic Traumatic Encephalopathy (CTE)
  • Repetitive TBI
  • Moderate or severe TBI
  • Pathological CTE
  • Biomarkers
  • Neuroimage techniques
  • Syndromes and clinical criteria
  • Immunity therapy
  • Preventive treatment

Published Papers (1 paper)

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Research

19 pages, 857 KiB  
Article
Multimodal Assessment of Recurrent mTBI across the Lifespan
by Skadi Wilke, Kristin Prehn, Benedikt Taud, Jonathan List and Agnes Flöel
J. Clin. Med. 2018, 7(5), 95; https://doi.org/10.3390/jcm7050095 - 01 May 2018
Cited by 6 | Viewed by 4425
Abstract
Recurrent mild traumatic brain injuries (mTBI) and its neurological sequelae have been the focus of a large number of studies, indicating cognitive, structural, and functional brain alterations. However, studies often focused on single outcome measures in small cohorts of specific populations only. We [...] Read more.
Recurrent mild traumatic brain injuries (mTBI) and its neurological sequelae have been the focus of a large number of studies, indicating cognitive, structural, and functional brain alterations. However, studies often focused on single outcome measures in small cohorts of specific populations only. We conducted a multimodal evaluation of the impact of recurrent mTBI on a broad range of cognitive functions, regional brain volume, white matter integrity, and resting state functional connectivity (RSFC) in young and older adults in the chronic stage (>6 months after the last mTBI). Seventeen young participants with mTBI (age: 24.2 ± 2.8 (mean ± SD)) and 21 group-wise matched healthy controls (age: 25.8 ± 5.4 (mean ± SD)), as well as 17 older participants with mTBI (age: 62.7 ± 7.7 (mean ± SD)) and 16 group-wise matched healthy controls (age: 61.7 ± 5.9 (mean ± SD)) were evaluated. We found significant differences in the verbal fluency between young participants with mTBI and young healthy controls. Furthermore, differences in the regional volume of precuneus and medial orbitofrontal gyrus between participants with mTBI and controls for both age groups were seen. A significant age by group interaction for the right hippocampal volume was noted, indicating an accelerated hippocampal volume loss in older participants with mTBI. Other cognitive parameters, white matter integrity, and RSFC showed no significant differences. We confirmed some of the previously reported detrimental effects of recurrent mTBI, but also demonstrated inconspicuous findings for the majority of parameters. Full article
(This article belongs to the Special Issue Novel Strategies for the Chronic Traumatic Encephalopathy)
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