PMID- 33019512 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201103 IS - 2076-3921 (Print) IS - 2076-3921 (Electronic) IS - 2076-3921 (Linking) VI - 9 IP - 10 DP - 2020 Oct 1 TI - Traumatic Brain Injury: Oxidative Stress and Novel Anti-Oxidants Such as Mitoquinone and Edaravone. LID - 10.3390/antiox9100943 [doi] LID - 943 AB - Traumatic brain injury (TBI) is a major health concern worldwide and is classified based on severity into mild, moderate, and severe. The mechanical injury in TBI leads to a metabolic and ionic imbalance, which eventually leads to excessive production of reactive oxygen species (ROS) and a state of oxidative stress. To date, no drug has been approved by the food and drug administration (FDA) for the treatment of TBI. Nevertheless, it is thought that targeting the pathology mechanisms would alleviate the consequences of TBI. For that purpose, antioxidants have been considered as treatment options in TBI and were shown to have a neuroprotective effect. In this review, we will discuss oxidative stress in TBI, the history of antioxidant utilization in the treatment of TBI, and we will focus on two novel antioxidants, mitoquinone (MitoQ) and edaravone. MitoQ can cross the blood brain barrier and cellular membranes to accumulate in the mitochondria and is thought to activate the Nrf2/ARE pathway leading to an increase in the expression of antioxidant enzymes. Edaravone is a free radical scavenger that leads to the mitigation of damage resulting from oxidative stress with a possible association to the activation of the Nrf2/ARE pathway as well. FAU - Ismail, Helene AU - Ismail H AUID- ORCID: 0000-0002-0211-1834 AD - Department of Neurology, American University of Beirut Medical Center, Beirut 1107 2020, Lebanon. FAU - Shakkour, Zaynab AU - Shakkour Z AUID- ORCID: 0000-0002-5436-1798 AD - Department of Biochemistry and Molecular Genetics, American University of Beirut, Beirut 1107 2020, Lebanon. FAU - Tabet, Maha AU - Tabet M AUID- ORCID: 0000-0003-4325-7343 AD - Department of Biochemistry and Molecular Genetics, American University of Beirut, Beirut 1107 2020, Lebanon. FAU - Abdelhady, Samar AU - Abdelhady S AUID- ORCID: 0000-0002-8206-6657 AD - Faculty of Medicine, Alexandria University, Alexandria 21544, Egypt. FAU - Kobaisi, Abir AU - Kobaisi A AD - Department of Biochemistry and Molecular Genetics, American University of Beirut, Beirut 1107 2020, Lebanon. FAU - Abedi, Reem AU - Abedi R AD - Department of Biochemistry and Molecular Genetics, American University of Beirut, Beirut 1107 2020, Lebanon. FAU - Nasrallah, Leila AU - Nasrallah L AUID- ORCID: 0000-0002-7358-4751 AD - Department of Biochemistry and Molecular Genetics, American University of Beirut, Beirut 1107 2020, Lebanon. FAU - Pintus, Gianfranco AU - Pintus G AUID- ORCID: 0000-0002-3031-7733 AD - Department of Medical Laboratory Sciences, University of Sharjah, Sharjah 27272, UAE. AD - Department of Biomedical Sciences, University of Sassari, 07100 Sassari, Italy. FAU - Al-Dhaheri, Yusra AU - Al-Dhaheri Y AD - Department of Biology, College of Science, United Arab Emirates University, Al-Ain 15551, UAE. FAU - Mondello, Stefania AU - Mondello S AUID- ORCID: 0000-0002-8587-3614 AD - Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, 98165 Messina, Italy. FAU - El-Khoury, Riyad AU - El-Khoury R AD - Department of Pathology and Laboratory Medicine, Neuromuscular Diagnostic Laboratory, American University of Beirut Medical Center, Beirut 1107 2020, Lebanon. FAU - Eid, Ali H AU - Eid AH AD - Department of Pharmacology and Toxicology, American University of Beirut, Beirut 1107 2020, Lebanon. AD - Department of Biomedical Sciences, Qatar University, Doha 2713, Qatar. FAU - Kobeissy, Firas AU - Kobeissy F AUID- ORCID: 0000-0002-5008-6944 AD - Department of Biochemistry and Molecular Genetics, American University of Beirut, Beirut 1107 2020, Lebanon. FAU - Salameh, Johnny AU - Salameh J AUID- ORCID: 0000-0002-1495-2702 AD - Department of Neurology, American University of Beirut Medical Center, Beirut 1107 2020, Lebanon. LA - eng GR - 31S398-UPAR/UAEU Program for Advanced Research/International PT - Journal Article PT - Review DEP - 20201001 PL - Switzerland TA - Antioxidants (Basel) JT - Antioxidants (Basel, Switzerland) JID - 101668981 PMC - PMC7601591 OTO - NOTNLM OT - anti-oxidants OT - edaravone OT - mitoquinone OT - oxidative stress OT - traumatic brain injury COIS- The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results. EDAT- 2020/10/07 06:00 MHDA- 2020/10/07 06:01 PMCR- 2020/10/01 CRDT- 2020/10/06 01:07 PHST- 2020/07/15 00:00 [received] PHST- 2020/09/04 00:00 [revised] PHST- 2020/09/22 00:00 [accepted] PHST- 2020/10/06 01:07 [entrez] PHST- 2020/10/07 06:00 [pubmed] PHST- 2020/10/07 06:01 [medline] PHST- 2020/10/01 00:00 [pmc-release] AID - antiox9100943 [pii] AID - antioxidants-09-00943 [pii] AID - 10.3390/antiox9100943 [doi] PST - epublish SO - Antioxidants (Basel). 2020 Oct 1;9(10):943. doi: 10.3390/antiox9100943.