PMID- 28972396 OWN - NLM STAT- MEDLINE DCOM- 20180615 LR - 20220330 IS - 1362-301X (Electronic) IS - 0269-9052 (Linking) VI - 31 IP - 11 DP - 2017 TI - Intranasal Nerve Growth Factor administration improves cerebral functions in a child with severe traumatic brain injury: A case report. PG - 1538-1547 LID - 10.1080/02699052.2017.1376760 [doi] AB - BACKGROUND: Nerve growth factor (NGF) promotes neural recovery after experimental traumatic brain injury (TBI) supporting neuronal growth, differentiation and survival of brain cells and up-regulating the neurogenesis-associated protein Doublecortin (DCX). Only a few studies reported NGF administration in paediatric patients with severe TBI. METHODS: A four-year-old boy in a persistent unresponsive wakefulness syndrome (UWS) was treated with intranasal murine NGF administration 6 months after severe TBI. The patient received four cycles of intranasal NGF (0.1 mg/kg, twice a day for 10 consecutive days). RESULTS: NGF administration improved functional [Positron Emission Tomography/Computed Tomography (PET/CT); Single photon emission/Computed Tomography (SPECT/CT) and Magnetic Resonance Imaging (MRI)] assessment, electrophysiological [Electroencephalogram (EEG) and Visual Evoked Potential (VEP)] studies and clinical conditions. He showed improvements in voluntary movements, facial mimicry, phonation, attention and verbal comprehension, ability to cry, cough reflex, oral motility, feeding capacity, and bowel and urinary functions. After NGF administration, raised levels of both NGF and DCX were found in the cerebrospinal fluid of the patient. No side effects were reported. CONCLUSIONS: Although further studies are needed for better understanding the neuroprotective role of this neurotrophin, intranasal NGF administration appears to be a promising and safe rescuing strategy treatment in children with neurological impairment after TBI. FAU - Chiaretti, Antonio AU - Chiaretti A AD - a Institute of Pediatrics , Universita Cattolica del Sacro Cuore , Rome , Italy. FAU - Conti, Giorgio AU - Conti G AD - b Pediatric Intensive Care Unit , Universita Cattolica del Sacro Cuore , Rome , Italy. FAU - Falsini, Benedetto AU - Falsini B AD - c Institute of Ophthalmology , Universita Cattolica del Sacro Cuore , Rome , Italy. FAU - Buonsenso, Danilo AU - Buonsenso D AD - a Institute of Pediatrics , Universita Cattolica del Sacro Cuore , Rome , Italy. FAU - Crasti, Matteo AU - Crasti M AD - a Institute of Pediatrics , Universita Cattolica del Sacro Cuore , Rome , Italy. FAU - Manni, Luigi AU - Manni L AD - d Institute of Translational Pharmacology , CNR , Rome , Italy. FAU - Soligo, Marzia AU - Soligo M AD - d Institute of Translational Pharmacology , CNR , Rome , Italy. FAU - Fantacci, Claudia AU - Fantacci C AD - a Institute of Pediatrics , Universita Cattolica del Sacro Cuore , Rome , Italy. FAU - Genovese, Orazio AU - Genovese O AD - b Pediatric Intensive Care Unit , Universita Cattolica del Sacro Cuore , Rome , Italy. FAU - Calcagni, Maria Lucia AU - Calcagni ML AD - e Institute of Nuclear Medicine , Universita Cattolica del Sacro Cuore , Rome , Italy. FAU - Di Giuda, Daniela AU - Di Giuda D AD - e Institute of Nuclear Medicine , Universita Cattolica del Sacro Cuore , Rome , Italy. FAU - Mattoli, Maria Vittoria AU - Mattoli MV AD - e Institute of Nuclear Medicine , Universita Cattolica del Sacro Cuore , Rome , Italy. FAU - Cocciolillo, Fabrizio AU - Cocciolillo F AD - e Institute of Nuclear Medicine , Universita Cattolica del Sacro Cuore , Rome , Italy. FAU - Ferrara, Pietro AU - Ferrara P AD - a Institute of Pediatrics , Universita Cattolica del Sacro Cuore , Rome , Italy. FAU - Ruggiero, Antonio AU - Ruggiero A AD - f Pediatric Oncology , Universita Cattolica del Sacro Cuore , Rome , Italy. FAU - Staccioli, Susanna AU - Staccioli S AD - g Department of Neuroscience and Neurorehabilitation , Bambino Gesu Children's Hospital , Rome , Italy. FAU - Colafati, Giovanna Stefania AU - Colafati GS AD - h Department of Imaging, Neuroradiology Unit , Bambino Gesu Children's Hospital , Rome , Italy. FAU - Riccardi, Riccardo AU - Riccardi R AD - f Pediatric Oncology , Universita Cattolica del Sacro Cuore , Rome , Italy. LA - eng PT - Case Reports PT - Journal Article DEP - 20171003 PL - England TA - Brain Inj JT - Brain injury JID - 8710358 RN - 0 (DCX protein, human) RN - 0 (Doublecortin Domain Proteins) RN - 0 (Doublecortin Protein) RN - 0 (Microtubule-Associated Proteins) RN - 0 (Neuropeptides) RN - 0Z5B2CJX4D (Fluorodeoxyglucose F18) RN - 9061-61-4 (Nerve Growth Factor) SB - IM MH - Administration, Intranasal MH - Brain Injuries, Traumatic/diagnostic imaging/*drug therapy MH - Cerebral Cortex/diagnostic imaging/*drug effects/physiology MH - Child, Preschool MH - Doublecortin Domain Proteins MH - Doublecortin Protein MH - Electroencephalography MH - Evoked Potentials, Visual/drug effects MH - Fluorodeoxyglucose F18/pharmacokinetics MH - Glasgow Coma Scale MH - Humans MH - Male MH - Microtubule-Associated Proteins/metabolism MH - Nerve Growth Factor/*administration & dosage MH - Neuroimaging MH - Neurologic Examination MH - Neuropeptides/metabolism OTO - NOTNLM OT - Doublecortin OT - Nerve Growth Factor OT - intranasal administration OT - traumatic brain injury EDAT- 2017/10/04 06:00 MHDA- 2018/06/16 06:00 CRDT- 2017/10/04 06:00 PHST- 2017/10/04 06:00 [pubmed] PHST- 2018/06/16 06:00 [medline] PHST- 2017/10/04 06:00 [entrez] AID - 10.1080/02699052.2017.1376760 [doi] PST - ppublish SO - Brain Inj. 2017;31(11):1538-1547. doi: 10.1080/02699052.2017.1376760. Epub 2017 Oct 3.