PMID- 30011792 OWN - NLM STAT- MEDLINE DCOM- 20181106 LR - 20181114 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 19 IP - 7 DP - 2018 Jul 13 TI - Role of Damage Associated Molecular Pattern Molecules (DAMPs) in Aneurysmal Subarachnoid Hemorrhage (aSAH). LID - 10.3390/ijms19072035 [doi] LID - 2035 AB - Aneurysmal subarachnoid hemorrhage (aSAH) represents only a small portion of all strokes, but accounts for almost half of the deaths caused by stroke worldwide. Neurosurgical clipping and endovascular coiling can successfully obliterate the bleeding aneurysms, but ensuing complications such as cerebral vasospasm, acute and chronic hydrocephalus, seizures, cortical spreading depression, delayed ischemic neurological deficits, and delayed cerebral ischemia lead to poor clinical outcomes. The mechanisms leading to these complications are complex and poorly understood. Early brain injury resulting from transient global ischemia can release molecules that may be critical to initiate and sustain inflammatory response. Hence, the events during early brain injury can influence the occurrence of delayed brain injury. Since the damage associated molecular pattern molecules (DAMPs) might be the initiators of inflammation in the pathophysiology of aSAH, so the aim of this review is to highlight their role in the context of aSAH from diagnostic, prognostic, therapeutic, and drug therapy monitoring perspectives. DAMPs represent a diverse and a heterogenous group of molecules derived from different compartments of cells upon injury. Here, we have reviewed the most important DAMPs molecules including high mobility group box-1 (HMGB1), S100B, hemoglobin and its derivatives, extracellular matrix components, IL-1alpha, IL-33, and mitochondrial DNA in the context of aSAH and their role in post-aSAH complications and clinical outcome after aSAH. FAU - Chaudhry, Shafqat Rasul AU - Chaudhry SR AD - Department of Neurosurgery, University Hospital Bonn, University of Bonn, Sigmund-Freud Str. 25, D-53105 Bonn, Germany. shafqatrasul@yahoo.com. AD - Department of Pharmaceutics, Institute of Pharmacy, University of Bonn, Gerhard-Domagk-Strasse 3, D-53121 Bonn, Germany. shafqatrasul@yahoo.com. FAU - Hafez, Ahmad AU - Hafez A AD - Department of Neurosurgery, University of Helsinki and Helsinki University Hospital, 266, FI-00029 Helsinki, Finland. ext-ahmad.hafez@hus.fi. FAU - Rezai Jahromi, Behnam AU - Rezai Jahromi B AUID- ORCID: 0000-0003-3937-2816 AD - Department of Neurosurgery, University of Helsinki and Helsinki University Hospital, 266, FI-00029 Helsinki, Finland. behnam.rezai-jahromi@hus.fi. FAU - Kinfe, Thomas Mehari AU - Kinfe TM AD - Department of Neurosurgery, University Hospital Bonn, University of Bonn, Sigmund-Freud Str. 25, D-53105 Bonn, Germany. Thomas.Kinfe@ukb.uni-bonn.de. FAU - Lamprecht, Alf AU - Lamprecht A AD - Department of Pharmaceutics, Institute of Pharmacy, University of Bonn, Gerhard-Domagk-Strasse 3, D-53121 Bonn, Germany. alf.lamprecht@uni-bonn.de. FAU - Niemela, Mika AU - Niemela M AD - Department of Neurosurgery, University of Helsinki and Helsinki University Hospital, 266, FI-00029 Helsinki, Finland. mika.niemela@hus.fi. FAU - Muhammad, Sajjad AU - Muhammad S AUID- ORCID: 0000-0002-6734-7979 AD - Department of Neurosurgery, University Hospital Bonn, University of Bonn, Sigmund-Freud Str. 25, D-53105 Bonn, Germany. ext-sajjad.muhammad@hus.fi. AD - Department of Neurosurgery, University of Helsinki and Helsinki University Hospital, 266, FI-00029 Helsinki, Finland. ext-sajjad.muhammad@hus.fi. LA - eng PT - Journal Article PT - Review DEP - 20180713 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Alarmins) RN - 0 (Cytokines) SB - IM MH - Alarmins/*metabolism MH - Brain Diseases/complications/metabolism MH - Cytokines/metabolism MH - Humans MH - Inflammation/complications/*metabolism MH - Models, Biological MH - Prognosis MH - Stroke/complications/*metabolism MH - Subarachnoid Hemorrhage/complications/diagnosis/*metabolism PMC - PMC6073937 OTO - NOTNLM OT - IL-1alpha OT - S100B OT - alarmins OT - danger associated molecular pattern molecules (DAMPs) OT - heat shock proteins OT - hemoglobin OT - high mobility group box-1 (HMGB1) OT - interleukin (IL)-33 OT - mitochondrial DNA OT - subarachnoid hemorrhage COIS- The authors declare no conflicts of interest. EDAT- 2018/07/18 06:00 MHDA- 2018/11/07 06:00 PMCR- 2018/07/01 CRDT- 2018/07/18 06:00 PHST- 2018/06/21 00:00 [received] PHST- 2018/07/01 00:00 [revised] PHST- 2018/07/09 00:00 [accepted] PHST- 2018/07/18 06:00 [entrez] PHST- 2018/07/18 06:00 [pubmed] PHST- 2018/11/07 06:00 [medline] PHST- 2018/07/01 00:00 [pmc-release] AID - ijms19072035 [pii] AID - ijms-19-02035 [pii] AID - 10.3390/ijms19072035 [doi] PST - epublish SO - Int J Mol Sci. 2018 Jul 13;19(7):2035. doi: 10.3390/ijms19072035.