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of all the cellular and molecular components involved in these complex networks.
The variability in outcomes of animal data reflects our dependence on specific exper-
imental parameters for proper evaluation of results. Cellular and molecular responses
to TBI, including inflammation, may vary according to genetic patterns, use of ani-
mal strains, and the methods used to produce brain injuries. It is clear that cryole-
sion can hardly be compared to fluid percussion injury or diffuse axonal damage.
Also, individual laboratories use distinctly different behavioral tests to assess out-
comes, making the comparison of studies almost impossible. Despite this experimen-
tal variability, the common consensus today remains: Inflammation possesses both
beneficial and detrimental properties, as complete ablation of cytokines and cytokine
receptors generates exacerbated tissue and neurological damage after TBI. New ther-
apies aimed at reducing the burden of TBI should focus on minimizing injury by
modifying but not eliminating the inflammatory response and creating the conditions
that are optimal for regeneration.
Acknowledgments
We would like to thank Ms. Sarah Hellewell and Ms. Doreen Agyapomaa for their
work on the diffuse TBI animal work, as well as Mr. David O'Reilly and Dr. Tony
Frugier for managing the Neurotrauma Cerebrospinal Fluid and Tissue Bank and
for the analysis of human CSF and brain tissue. The research projects performed in
our laboratory at the National Trauma Research Institute are kindly supported by
the Victorian Neurotrauma Initiative and the National Health and Medical Research
Council, Australia.
References
1. Maas AIR, Marmarou A, Murray GD, Teasdale SGM, Steyerberg EW. Prognosis and
clinical trial design in traumatic brain injury: the IMPACT study. J Neurotrauma 2007;
24(2):232-38.
2. Harrison J, Helps Y, Henley G. (2008). Hospital separations due to traumatic brain injury,
Australia 2004-05. In: Injury Research and Statistics Series No. 45. Australian Institute of
Health and Welfare, Canberra.
3. Narayan RK, Michel ME, Ansell B, Baethmann A, Biegon A, Bracken MB, et al. Clinical
trials in head injury. J Neurotrauma 2002;19(5):503-57.
4. Myburgh J, Cooper DJ, Finfer S, Bellomo R, Norton R, Bishop N, et al. Saline or albu-
min for fluid resuscitation in patients with traumatic brain injury. N Engl J Med
2007;357(9):874-84.
5. Myburgh JA, Cooper DJ, Finfer SR, Venkatesh B, Jones D, Higgins A, et al. Epidemiology
and 12-month outcomes from traumatic brain injury in Australia and New Zealand. J
Trauma 2008;64(4):854-62.
6. Marshall LF, Marshall SB, Klauber MR, Van Berkum CM, Eisenberg HM, Jane JA, et al.
A new classification of head injury based on computerised tomography. J Neurosurg
1991;75(Suppl.):S14-20.
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