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A deeper understanding of the underlying biological mechanisms of secondary brain injury induced by traumatic brain injury (TBI) will greatly advance the development of effective treatments for patients with TBI. Hypoxia-inducible factor-1 alpha (HIF-1α) is a central regulator of cellular response to hypoxia. In addition, growing evidence shows that HIF-1α plays the important role in TBI-induced changes in biological processes; however, detailed functional mechanisms are not completely known. The aim of the present work was to further explore HIF-1α-mediated events after TBI. To this end, next-generation sequencing, coupled with cellular and molecular analysis, was adopted to interrogate vulnerable events in a rat controlled cortical impact model of TBI. The results demonstrated that TBI induced accumulation of HIF-1α at the peri-injury site at 24 h post-injury, which was associated with neuronal loss. Moreover, gene set enrichment analysis unveiled that neuroinflammation, especially an innate inflammatory response, was significantly evoked by TBI, which could be attenuated by the inhibition of HIF-1α. Furthermore, the inhibition of HIF-1α could mitigate the activation of microglia and astrocytes. Taken together, all these data implied that HIF-1α might contribute to secondary brain injury through regulating neuroinflammation.

BackgroundTwo randomised trials assessing the effectiveness of decompressive craniectomy (DC) following traumatic brain injury (TBI) were published in recent years: DECRA in 2011 and RESCUEicp in 2016. As the results have generated debate amongst clinicians and researchers working in the field of TBI worldwide, it was felt necessary to provide general guidance on the use of DC following TBI and identify areas of ongoing uncertainty via a consensus-based approach.MethodsThe International Consensus Meeting on the Role of Decompressive Craniectomy in the Management of Traumatic Brain Injury took place in Cambridge, UK, on the 28th and 29th September 2017. The meeting was jointly organised by the World Federation of Neurosurgical Societies (WFNS), AO/Global Neuro and the NIHR Global Health Research Group on Neurotrauma. Discussions and voting were organised around six pre-specified themes: (1) primary DC for mass lesions, (2) secondary DC for intracranial hypertension, (3) peri-operative care, (4) surgical technique, (5) cranial reconstruction and (6) DC in low- and middle-income countries.ResultsThe invited participants discussed existing published evidence and proposed consensus statements. Statements required an agreement threshold of more than 70% by blinded voting for approval.ConclusionsIn this manuscript, we present the final consensus-based recommendations. We have also identified areas of uncertainty, where further research is required, including the role of primary DC, the role of hinge craniotomy and the optimal timing and material for skull reconstruction.

The interseismic behavior of faults (whether they are locked or creeping) and their quantitative kinematic constraints are critical for assessing the seismic hazards of faults and their surrounding areas. Currently, the creep of the eastern segment of the Laohushan Fault in the Haiyuan Fault Zone at the northeastern margin of the Tibetan Plateau, as revealed by InSAR observations, lacks confirmation from other observational methods, particularly high-precision GNSS studies. In this study, we utilized nearly seven years of observation data from a dense GNSS continuous monitoring profile (with a minimum station spacing of 2 km) that crosses the eastern segment of the Laohushan Fault. This dataset was integrated with GNSS data from regional continuous stations, such as those from the Crustal Movement Observation Network of China, and multiple campaign measurements to calculate GNSS baseline change time series across the Laohushan Fault and to obtain a high spatial resolution horizontal crustal velocity field for the region. A comprehensive analysis of this primary dataset indicates that the Laohushan Fault is currently experiencing left-lateral creep, characterized by a partially locked shallow segment and a deeper locked segment. The fault creep is predominantly concentrated in the shallow crustal region, within a depth range of 0–5.7 ± 3.4 km, exhibiting a creep rate of 1.5 ± 0.7 mm/yr. Conversely, at depths of 5.7 ± 3.4 km to 16.8 ± 4.2 km, the fault remains locked, with a loading rate of 3.9 ± 1.1 mm/yr. The shallow creep is primarily confined within 3 km on either side of the fault. Over the nearly seven-year observation period, the creep movement within approximately 5 km of the fault's near field has shown no significant time-dependent variation, instead demonstrating a steady-state behavior. This steady-state creep appears unaffected by postseismic effects from historical large earthquakes in the adjacent region, although the deeper (far-field) tectonic deformation of the Laohushan Fault may have been influenced by the postseismic effects of the 1920 Haiyuan M8.5 earthquake. [ABSTRACT FROM AUTHOR]

Trimethylamine-N-oxide (TMAO) is a common intestinal metabolite. The Choline in the nutrient forms TMA under the action of the gut microbiota, which passes through the liver and eventually forms TMAO. Initial studies of TMAO focused on cardiovascular disease, but as research progressed, TAMO's effects were found to be multisystem and closely related to the development of neurological diseases. Intestinal tract is the organ with the largest concentration of bacteria in human body, and the composition and metabolism of gut microbiota affect human health. As a two-way communication axis connecting the central nervous system and the gastrointestinal tract, the brain-gut axis provides the structural basis for TMAO to play its role. This article will review the correlation between TMA/TMAO and neurological diseases in order to find new directions and new targets for the treatment of neurological diseases. [ABSTRACT FROM AUTHOR]