3 ms·
Though they link to the journals, they don't actually link to the articles directly. At any rate, what they describe is very interesting: that blast injury lead
by carbocation 15y ago
Though they link to the journals, they don't actually link to the articles directly. At any rate, what they describe is very interesting: that blast injury leads to disruption of cell-cell adhesion.[1] If so, perhaps the disruption of integrins is the key lesion. The second paper shows that there could also be a biological basis for the post-blast vasospasm, too.[2]
We know that cell-cell adhesion molecules are part of larger complexes that are hugely important in cellular processes from promoting inflammation to cancer suppression (or, in its disregulation, metastasis http://en.wikipedia.org/wiki/Epithelial-mesenchymal_transition http://en.wikipedia.org/wiki/Epithelial-mesenchymal_transiti... ).
If the hypothesis--that blast injury has an important biological component--is true, then we're dealing with a biological basis for neurological disease after blast, instead of just a purely mechanical basis for disease. Unlike purely mechanical disruption, the biological part of the injury is potentially amenable to therapeutic intervention; and that's just what they've trialed with their ROCK inhibitor. I believe that's from paper #1.
This same inhibitor appears to ameliorate the blast-related sequelae on the cerebral vascular system as well, which I believe is from paper #2.
This is my interpretation based on the Gazette article, but I haven't yet read the papers themselves.
1. Paper #1 http://www.plosone.org/article/info%3Adoi/10.1371/journal.pone.0022899 http://www.plosone.org/article/info%3Adoi/10.1371/journal.po...
2. Paper #2 http://www.pnas.org/content/early/2011/07/12/1105860108.abstract http://www.pnas.org/content/early/2011/07/12/1105860108.abst...