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Review

Endothelin, Cerebral Blood Flow, and Traumatic Brain Injury: Implications for a Future Therapeutic Target

In: Brain Neurotrauma: Molecular, Neuropsychological, and Rehabilitation Aspects. Boca Raton (FL): CRC Press/Taylor & Francis; 2015. Chapter 37.
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Review

Endothelin, Cerebral Blood Flow, and Traumatic Brain Injury: Implications for a Future Therapeutic Target

Justin C Graves et al.
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Excerpt

An early event in the pathotrajectory of traumatic brain injury (TBI) is reduction in cerebral blood flow (CBF). This decrease in CBF likely inhibits the brain’s ability to recover following injury. Until recently, mechanisms underlying dysfunctional CBF have been unknown. However, recent research implicates the endothelin system. Endothelin, working through its receptor A (ETrA), exerts a prolonged period of vaso-constriction throughout brain tissue and contributes to vasospasm. This chapter will not only elucidate the mechanisms by which endothelin affects CBF and ultimate outcome following TBI, but will also offer insight into developments in treatments centered around antagonizing ETrA. It is the hope that this work will inspire future research into pharmacological therapeutics aimed at mitigating the devastating effects of TBI.

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References

    1. Armstead W.M. Endothelins and the role of endothelin antagonists in the management of posttraumatic vasospasm. Current Pharmaceutical Design. 2004;10:2185–2192. - PubMed
    1. Armstead W.M, Vavilala M.S. Age and sex differences in cerebral blood flow and autoregulation after pediatric traumatic brain injury. In: Kreipke C.W, Rafols J.A, editors. Cerebral Blood Flow, Metabolism, and Head Trauma. Springer; New York: 2013. pp. 135–153. In.
    1. Armstead W.M, Kreipke C.W. Endothelin-1 is upregulated after traumatic brain injury: A cross-species, cross-model analysis. Neurological Research. 2011;33:133–136. - PubMed
    1. Barone F.C, Ohlstein E.H, Hunter A.J, Campbell C.A, Hadingham S.H, Parsons A.A et al. Selective antagonism of endothelin-A-receptors improves outcome in both head trauma and focal stroke in rat. Journal of Cardiovascular Pharmacology. 2000;36:S357–361. - PubMed
    1. Betrus C, Kreipke C.W. Historical perspectives in understanding traumatic brain injury and in situating disruption in CBF in the pathotrajectory of head trauma. In: Kreipke C.W, Rafols J.A, editors. Cerebral Blood Flow, Metabolism, and Head Trauma. Springer; New York: 2013. pp. 135–153. In.

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