Neuroprotective and Anti-inflammatory Effects of Pioglitazone on Traumatic Brain Injury

Traumatic brain injury (TBI) is still a major cause of concern for public health, and out of all the trauma-related injuries, it makes the highest contribution to death and disability worldwide. Patients of TBI continue to suffer from brain injury through an intricate flow of primary and secondary i...

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Main Authors: Mohammad Yassin Zamanian, Niloofar Taheri, Maria Jade Catalan Opulencia, Dmitry Olegovich Bokov, Sharif Y. Abdullaev, Mohammadreza Gholamrezapour, Mahsa Heidari, Gholamreza Bazmandegan
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2022/9860855
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author Mohammad Yassin Zamanian
Niloofar Taheri
Maria Jade Catalan Opulencia
Dmitry Olegovich Bokov
Sharif Y. Abdullaev
Mohammadreza Gholamrezapour
Mahsa Heidari
Gholamreza Bazmandegan
author_facet Mohammad Yassin Zamanian
Niloofar Taheri
Maria Jade Catalan Opulencia
Dmitry Olegovich Bokov
Sharif Y. Abdullaev
Mohammadreza Gholamrezapour
Mahsa Heidari
Gholamreza Bazmandegan
author_sort Mohammad Yassin Zamanian
collection DOAJ
description Traumatic brain injury (TBI) is still a major cause of concern for public health, and out of all the trauma-related injuries, it makes the highest contribution to death and disability worldwide. Patients of TBI continue to suffer from brain injury through an intricate flow of primary and secondary injury events. However, when treatment is provided in a timely manner, there is a significant window of opportunity to avoid a few of the serious effects. Pioglitazone (PG), which has a neuroprotective impact and can decrease inflammation after TBI, activates peroxisome proliferator-activated receptor-gamma (PPARγ). The objective of the study is to examine the existing literature to assess the neuroprotective and anti-inflammatory impact of PG in TBI. It also discusses the part played by microglia and cytokines in TBI. According to the findings of this study, PG has the ability to enhance neurobehavior, decrease brain edema and neuronal injury following TBI. To achieve the protective impact of PG the following was required: (1) stimulating PPARγ; (2) decreasing oxidative stress; (3) decreasing nuclear factor kappa B (NF-κB), interleukin 6 (IL-6), interleukin-1β (IL-1β), cyclooxygenase-2 (COX-2), and C-C motif chemokine ligand 20 (CCL20) expression; (4) limiting the increase in the number of activated microglia; and (5) reducing mitochondrial dysfunction. The findings indicate that when PIG is used clinically, it may serve as a neuroprotective anti-inflammatory approach in TBI.
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spelling doaj-art-dc2e7502ec5843bb9774a846fe6ecdc92025-02-03T05:49:57ZengWileyMediators of Inflammation1466-18612022-01-01202210.1155/2022/9860855Neuroprotective and Anti-inflammatory Effects of Pioglitazone on Traumatic Brain InjuryMohammad Yassin Zamanian0Niloofar Taheri1Maria Jade Catalan Opulencia2Dmitry Olegovich Bokov3Sharif Y. Abdullaev4Mohammadreza Gholamrezapour5Mahsa Heidari6Gholamreza Bazmandegan7Neurophysiology Research CenterStudent Research CommitteeCollege of Business Administration Ajman UniversityInstitute of PharmacyDepartment of Maxillo-facial diseases and TraumatologyClinical Research Development UnitDepartment of BiochemistryDepartment of Family MedicineTraumatic brain injury (TBI) is still a major cause of concern for public health, and out of all the trauma-related injuries, it makes the highest contribution to death and disability worldwide. Patients of TBI continue to suffer from brain injury through an intricate flow of primary and secondary injury events. However, when treatment is provided in a timely manner, there is a significant window of opportunity to avoid a few of the serious effects. Pioglitazone (PG), which has a neuroprotective impact and can decrease inflammation after TBI, activates peroxisome proliferator-activated receptor-gamma (PPARγ). The objective of the study is to examine the existing literature to assess the neuroprotective and anti-inflammatory impact of PG in TBI. It also discusses the part played by microglia and cytokines in TBI. According to the findings of this study, PG has the ability to enhance neurobehavior, decrease brain edema and neuronal injury following TBI. To achieve the protective impact of PG the following was required: (1) stimulating PPARγ; (2) decreasing oxidative stress; (3) decreasing nuclear factor kappa B (NF-κB), interleukin 6 (IL-6), interleukin-1β (IL-1β), cyclooxygenase-2 (COX-2), and C-C motif chemokine ligand 20 (CCL20) expression; (4) limiting the increase in the number of activated microglia; and (5) reducing mitochondrial dysfunction. The findings indicate that when PIG is used clinically, it may serve as a neuroprotective anti-inflammatory approach in TBI.http://dx.doi.org/10.1155/2022/9860855
spellingShingle Mohammad Yassin Zamanian
Niloofar Taheri
Maria Jade Catalan Opulencia
Dmitry Olegovich Bokov
Sharif Y. Abdullaev
Mohammadreza Gholamrezapour
Mahsa Heidari
Gholamreza Bazmandegan
Neuroprotective and Anti-inflammatory Effects of Pioglitazone on Traumatic Brain Injury
Mediators of Inflammation
title Neuroprotective and Anti-inflammatory Effects of Pioglitazone on Traumatic Brain Injury
title_full Neuroprotective and Anti-inflammatory Effects of Pioglitazone on Traumatic Brain Injury
title_fullStr Neuroprotective and Anti-inflammatory Effects of Pioglitazone on Traumatic Brain Injury
title_full_unstemmed Neuroprotective and Anti-inflammatory Effects of Pioglitazone on Traumatic Brain Injury
title_short Neuroprotective and Anti-inflammatory Effects of Pioglitazone on Traumatic Brain Injury
title_sort neuroprotective and anti inflammatory effects of pioglitazone on traumatic brain injury
url http://dx.doi.org/10.1155/2022/9860855
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