Evaluation of an Acute RNAi-Mediated Therapeutic for Visual Dysfunction Associated with Traumatic Brain Injury

Abstract

Traumatic brain injury is the leading cause of death in children and young adults globally. Malignant cerebral oedema has a major role in the pathophysiology that evolves after severe traumatic brain injury. Added to this is the significant morbidity and mortality from cerebral oedema associated with acute stroke, hypoxic ischemic coma, neurological cancers and brain infection. Therapeutic strategies to prevent cerebral oedema are limited and, if brain swelling persists, the risks of permanent brain damage or mortality are greatly exacerbated. Here we show that a temporary and size-selective modulation of the blood-brain barrier allows enhanced movement of water from the brain to the blood and significantly impacts on brain swelling. We also show cognitive improvement in mice with focal cerebral oedema following administration in these animals of short interfering RNA directed against claudin-5. These observations may have profound consequences for early intervention in cases of traumatic brain injury, or indeed any neurological condition where cerebral oedema is the hallmark pathology.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2013
Accession Number
ADA602403

Entities

People

  • Colin Doherty
  • Eugene Wallace
  • Matthew F. Campbell
  • Peter Humphries

Tags

DTIC Thesaurus Topics

  • Blood
  • Blood-Brain Barrier
  • Brain Injuries
  • Cardiovascular System
  • Cerebral Edema
  • Dysfunction
  • Health Services
  • Infection
  • Infection Control
  • Pathology
  • Pathophysiology
  • Respiratory Tract Diseases
  • Test And Evaluation
  • Wound Infections

Fields of Study

  • Medicine

Readers

  • Cardiovascular Physiology
  • Molecular Biology and Genetics