TBI Rehabilomics Research: Conceptualizing a humoral triad for designing effective rehabilitation interventions

Neuropharmacology
Amy K Wagner, R G Kumar

Abstract

Most areas of medicine use biomarkers in some capacity to aid in understanding how personal biology informs clinical care. This article draws upon the Rehabilomics research model as a translational framework for programs of precision rehabilitation and intervention research focused on linking personal biology to treatment response using biopsychosocial constructs that broadly represent function and that can be applied to many clinical populations with disability. The summary applies the Rehabilomics research framework to the population with traumatic brain injury (TBI) and emphasizes a broad vision for biomarker inclusion, beyond typical brain-derived biomarkers, to capture and/or reflect important neurological and non-neurological pathology associated with TBI as a chronic condition. Humoral signaling molecules are explored as important signaling and regulatory drivers of these chronic conditions and their impact on function. Importantly, secondary injury cascades involved in the humoral triad are influenced by the systemic response to TBI and the development of non-neurological organ dysfunction (NNOD). Biomarkers have been successfully leveraged in other medical fields to inform pre-randomization patient selection for clinic...Continue Reading

Citations

Dec 18, 2020·Neurorehabilitation and Neural Repair·Parantap D PatelAndrew K Ottens
May 1, 2021·Journal of Personalized Medicine·Roberta PastorinoStefania Boccia
May 1, 2021·Journal of Personalized Medicine·Alfredo CesarioGiovanni Scambia
Jul 9, 2021·Neurocritical Care·Flora M HammondUNKNOWN Curing Coma Campaign and its Contributing Members
Aug 18, 2021·Neuroscience and Biobehavioral Reviews·Douglas Buchmann GodinhoLuiz Fernando Freire Royes

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