Military Blast Exposure and Chronic Neurodegeneration

Summary of Working Groups and Expert Panel Findings and Recommendations

Kelley A. Brix, David L. Brody, Jamie B. Grimes, Avraham Yitzhak, Denes Agoston, Matt Aldag, Regina Armstrong, Peethambaran Arun, Michel Audette, Debra Babcock, Carey Balaban, Rohan Banton, Patrick Bellgowan, David Borkholder, Steven Broglio, Elizabeth Brokaw, Robert Cantu, Walter Carr, Sandi Chapman, Joan Cmarik & 96 others Brian Colder, Jeff Colombe, David Cook, Tara Cozzarelli, Uade Olaghere Da Silva, Nitin Daphalapurkar, Bernard Dardzinski, Tom DeGraba, James DeMar, Douglas Dewitt, Dara Dickstein, Josh Duckworth, Gregory Elder, Reza Fazel-Rezai, Michael Fine, Gary Fiskum, Adam Fournier, Shaleish Ganpule, Jessica Gill, John F. Glenn, Colin Greene, Nigel Greig, Chad Haering, Jason Harrington, Amy Hein, Kathy Helmick, Ramona Hicks, Sidney Hinds, Stuart Hoffman, Iren Horkayne-Szakaly, Diego Iacono, Erick Ishii, Robert V. Jones, Ghodrat Karami, Daniel Krawczyk, Robert Labutta, Robert Latta, Theresa Lattimore, Michael Leggieri, Fabio Leonessa, Alexander Lin, Geoffrey Ling, Matt Long, Kun Ping Lu, Stephanie Maxfield Panker, Joseph McCabe, Andrew Merkle, Philip Montenigro, Gary P. Mueller, Laurel Ng, Savita Nigam, John O'Donnell, David Okonkwo, Ingrid Pauli, Daniel Perl, Elaine Peskind, Bryan Pfister, Mat Philippens, Thuvan Piehler, Julie Proctor, Andrzej Przekwas, Felicia Qashu, Murray Raskind, Alexander Razumovsky, Jaques Reifman, Patricio Reyes, Paul Rigby, Marten Risling, Meghan Robinson, Tyler Rooks, Charles Rosen, Gail Rosseau, Wendy Sammons-Jackson, Anthony Santago, Richard Shoge, Chandler Sours, James Stone, Mike Templin, Victoria Tepe, Peter Thielen, Mike Thomas, Thomas Timmes, Frank Tortella, Laura Tucker, David Tweedie, Dale Vander Hamm, B. Christie Vu, Ying Wang, Therese West, Elisabeth Wilde, Adam Willis, John Wu, Laila Zai, Nikki Zander, James Zheng, Mariusz Ziejewski

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

The potential relationship between chronic traumatic encephalopathy (CTE) and head injuries such as blast-related traumatic brain injury (TBI) is an important area of study, particularly for military and contact sports populations, yet little is known about this relationship. To address this topic, the Department of Defense (DoD) Blast Injury Research Program Coordinating Office organized the 2015 International State-of-The-Science Meeting, which brought together subject matter experts from the DoD, other federal agencies, academia, industry, foreign allies, and the sports community. Over the course of the meeting, this community of experts reached a consensus regarding the current body of knowledge and the future of the field. The overarching finding was that there is insufficient existing scientific evidence to link blast-related TBI with CTE. The meeting's Expert Panel also agreed on 13 additional findings describing research and knowledge gaps, clinical gaps, and research opportunities that, if addressed with focused effort, would further the understanding of the relationship between blast-related TBI and CTE. To this end, the Expert Panel also developed six recommendations for advancing research, each with short-and long-Term goals. Among the six recommendations, the Expert Panel identified the first four as highest priority for addressing pressing research needs. These four high-priority recommendations include, in order of priority: (1) more collection and study of clinical neuropathology samples, (2) standardization of clinical diagnostic criteria, (3) development of clinically appropriate and standardized animal models, and (4) development of noninvasive serial assessment strategies (i.e., imaging or biospecimen biomarkers).

Original languageEnglish (US)
Pages (from-to)S18-S25
JournalJournal of Neurotrauma
Volume34
Issue numberS1
DOIs
StatePublished - Sep 1 2017
Externally publishedYes

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Research
Sports
Blast Injuries
Craniocerebral Trauma
Industry
Animal Models
Biomarkers
Population
Chronic Traumatic Encephalopathy
Traumatic Brain Injury
metsulfuron methyl
Neuropathology
Clinical Studies

Keywords

  • blast-related injury
  • chronic traumatic encephalopathy (CTE)
  • traumatic brain injury (TBI)

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Brix, K. A., Brody, D. L., Grimes, J. B., Yitzhak, A., Agoston, D., Aldag, M., ... Ziejewski, M. (2017). Military Blast Exposure and Chronic Neurodegeneration: Summary of Working Groups and Expert Panel Findings and Recommendations. Journal of Neurotrauma, 34(S1), S18-S25. https://doi.org/10.1089/neu.2017.5222

Military Blast Exposure and Chronic Neurodegeneration : Summary of Working Groups and Expert Panel Findings and Recommendations. / Brix, Kelley A.; Brody, David L.; Grimes, Jamie B.; Yitzhak, Avraham; Agoston, Denes; Aldag, Matt; Armstrong, Regina; Arun, Peethambaran; Audette, Michel; Babcock, Debra; Balaban, Carey; Banton, Rohan; Bellgowan, Patrick; Borkholder, David; Broglio, Steven; Brokaw, Elizabeth; Cantu, Robert; Carr, Walter; Chapman, Sandi; Cmarik, Joan; Colder, Brian; Colombe, Jeff; Cook, David; Cozzarelli, Tara; Da Silva, Uade Olaghere; Daphalapurkar, Nitin; Dardzinski, Bernard; DeGraba, Tom; DeMar, James; Dewitt, Douglas; Dickstein, Dara; Duckworth, Josh; Elder, Gregory; Fazel-Rezai, Reza; Fine, Michael; Fiskum, Gary; Fournier, Adam; Ganpule, Shaleish; Gill, Jessica; Glenn, John F.; Greene, Colin; Greig, Nigel; Haering, Chad; Harrington, Jason; Hein, Amy; Helmick, Kathy; Hicks, Ramona; Hinds, Sidney; Hoffman, Stuart; Horkayne-Szakaly, Iren; Iacono, Diego; Ishii, Erick; Jones, Robert V.; Karami, Ghodrat; Krawczyk, Daniel; Labutta, Robert; Latta, Robert; Lattimore, Theresa; Leggieri, Michael; Leonessa, Fabio; Lin, Alexander; Ling, Geoffrey; Long, Matt; Lu, Kun Ping; Panker, Stephanie Maxfield; McCabe, Joseph; Merkle, Andrew; Montenigro, Philip; Mueller, Gary P.; Ng, Laurel; Nigam, Savita; O'Donnell, John; Okonkwo, David; Pauli, Ingrid; Perl, Daniel; Peskind, Elaine; Pfister, Bryan; Philippens, Mat; Piehler, Thuvan; Proctor, Julie; Przekwas, Andrzej; Qashu, Felicia; Raskind, Murray; Razumovsky, Alexander; Reifman, Jaques; Reyes, Patricio; Rigby, Paul; Risling, Marten; Robinson, Meghan; Rooks, Tyler; Rosen, Charles; Rosseau, Gail; Sammons-Jackson, Wendy; Santago, Anthony; Shoge, Richard; Sours, Chandler; Stone, James; Templin, Mike; Tepe, Victoria; Thielen, Peter; Thomas, Mike; Timmes, Thomas; Tortella, Frank; Tucker, Laura; Tweedie, David; Hamm, Dale Vander; Christie Vu, B.; Wang, Ying; West, Therese; Wilde, Elisabeth; Willis, Adam; Wu, John; Zai, Laila; Zander, Nikki; Zheng, James; Ziejewski, Mariusz.

In: Journal of Neurotrauma, Vol. 34, No. S1, 01.09.2017, p. S18-S25.

Research output: Contribution to journalArticle

Brix, KA, Brody, DL, Grimes, JB, Yitzhak, A, Agoston, D, Aldag, M, Armstrong, R, Arun, P, Audette, M, Babcock, D, Balaban, C, Banton, R, Bellgowan, P, Borkholder, D, Broglio, S, Brokaw, E, Cantu, R, Carr, W, Chapman, S, Cmarik, J, Colder, B, Colombe, J, Cook, D, Cozzarelli, T, Da Silva, UO, Daphalapurkar, N, Dardzinski, B, DeGraba, T, DeMar, J, Dewitt, D, Dickstein, D, Duckworth, J, Elder, G, Fazel-Rezai, R, Fine, M, Fiskum, G, Fournier, A, Ganpule, S, Gill, J, Glenn, JF, Greene, C, Greig, N, Haering, C, Harrington, J, Hein, A, Helmick, K, Hicks, R, Hinds, S, Hoffman, S, Horkayne-Szakaly, I, Iacono, D, Ishii, E, Jones, RV, Karami, G, Krawczyk, D, Labutta, R, Latta, R, Lattimore, T, Leggieri, M, Leonessa, F, Lin, A, Ling, G, Long, M, Lu, KP, Panker, SM, McCabe, J, Merkle, A, Montenigro, P, Mueller, GP, Ng, L, Nigam, S, O'Donnell, J, Okonkwo, D, Pauli, I, Perl, D, Peskind, E, Pfister, B, Philippens, M, Piehler, T, Proctor, J, Przekwas, A, Qashu, F, Raskind, M, Razumovsky, A, Reifman, J, Reyes, P, Rigby, P, Risling, M, Robinson, M, Rooks, T, Rosen, C, Rosseau, G, Sammons-Jackson, W, Santago, A, Shoge, R, Sours, C, Stone, J, Templin, M, Tepe, V, Thielen, P, Thomas, M, Timmes, T, Tortella, F, Tucker, L, Tweedie, D, Hamm, DV, Christie Vu, B, Wang, Y, West, T, Wilde, E, Willis, A, Wu, J, Zai, L, Zander, N, Zheng, J & Ziejewski, M 2017, 'Military Blast Exposure and Chronic Neurodegeneration: Summary of Working Groups and Expert Panel Findings and Recommendations', Journal of Neurotrauma, vol. 34, no. S1, pp. S18-S25. https://doi.org/10.1089/neu.2017.5222
Brix, Kelley A. ; Brody, David L. ; Grimes, Jamie B. ; Yitzhak, Avraham ; Agoston, Denes ; Aldag, Matt ; Armstrong, Regina ; Arun, Peethambaran ; Audette, Michel ; Babcock, Debra ; Balaban, Carey ; Banton, Rohan ; Bellgowan, Patrick ; Borkholder, David ; Broglio, Steven ; Brokaw, Elizabeth ; Cantu, Robert ; Carr, Walter ; Chapman, Sandi ; Cmarik, Joan ; Colder, Brian ; Colombe, Jeff ; Cook, David ; Cozzarelli, Tara ; Da Silva, Uade Olaghere ; Daphalapurkar, Nitin ; Dardzinski, Bernard ; DeGraba, Tom ; DeMar, James ; Dewitt, Douglas ; Dickstein, Dara ; Duckworth, Josh ; Elder, Gregory ; Fazel-Rezai, Reza ; Fine, Michael ; Fiskum, Gary ; Fournier, Adam ; Ganpule, Shaleish ; Gill, Jessica ; Glenn, John F. ; Greene, Colin ; Greig, Nigel ; Haering, Chad ; Harrington, Jason ; Hein, Amy ; Helmick, Kathy ; Hicks, Ramona ; Hinds, Sidney ; Hoffman, Stuart ; Horkayne-Szakaly, Iren ; Iacono, Diego ; Ishii, Erick ; Jones, Robert V. ; Karami, Ghodrat ; Krawczyk, Daniel ; Labutta, Robert ; Latta, Robert ; Lattimore, Theresa ; Leggieri, Michael ; Leonessa, Fabio ; Lin, Alexander ; Ling, Geoffrey ; Long, Matt ; Lu, Kun Ping ; Panker, Stephanie Maxfield ; McCabe, Joseph ; Merkle, Andrew ; Montenigro, Philip ; Mueller, Gary P. ; Ng, Laurel ; Nigam, Savita ; O'Donnell, John ; Okonkwo, David ; Pauli, Ingrid ; Perl, Daniel ; Peskind, Elaine ; Pfister, Bryan ; Philippens, Mat ; Piehler, Thuvan ; Proctor, Julie ; Przekwas, Andrzej ; Qashu, Felicia ; Raskind, Murray ; Razumovsky, Alexander ; Reifman, Jaques ; Reyes, Patricio ; Rigby, Paul ; Risling, Marten ; Robinson, Meghan ; Rooks, Tyler ; Rosen, Charles ; Rosseau, Gail ; Sammons-Jackson, Wendy ; Santago, Anthony ; Shoge, Richard ; Sours, Chandler ; Stone, James ; Templin, Mike ; Tepe, Victoria ; Thielen, Peter ; Thomas, Mike ; Timmes, Thomas ; Tortella, Frank ; Tucker, Laura ; Tweedie, David ; Hamm, Dale Vander ; Christie Vu, B. ; Wang, Ying ; West, Therese ; Wilde, Elisabeth ; Willis, Adam ; Wu, John ; Zai, Laila ; Zander, Nikki ; Zheng, James ; Ziejewski, Mariusz. / Military Blast Exposure and Chronic Neurodegeneration : Summary of Working Groups and Expert Panel Findings and Recommendations. In: Journal of Neurotrauma. 2017 ; Vol. 34, No. S1. pp. S18-S25.
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abstract = "The potential relationship between chronic traumatic encephalopathy (CTE) and head injuries such as blast-related traumatic brain injury (TBI) is an important area of study, particularly for military and contact sports populations, yet little is known about this relationship. To address this topic, the Department of Defense (DoD) Blast Injury Research Program Coordinating Office organized the 2015 International State-of-The-Science Meeting, which brought together subject matter experts from the DoD, other federal agencies, academia, industry, foreign allies, and the sports community. Over the course of the meeting, this community of experts reached a consensus regarding the current body of knowledge and the future of the field. The overarching finding was that there is insufficient existing scientific evidence to link blast-related TBI with CTE. The meeting's Expert Panel also agreed on 13 additional findings describing research and knowledge gaps, clinical gaps, and research opportunities that, if addressed with focused effort, would further the understanding of the relationship between blast-related TBI and CTE. To this end, the Expert Panel also developed six recommendations for advancing research, each with short-and long-Term goals. Among the six recommendations, the Expert Panel identified the first four as highest priority for addressing pressing research needs. These four high-priority recommendations include, in order of priority: (1) more collection and study of clinical neuropathology samples, (2) standardization of clinical diagnostic criteria, (3) development of clinically appropriate and standardized animal models, and (4) development of noninvasive serial assessment strategies (i.e., imaging or biospecimen biomarkers).",
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AU - Brody, David L.

AU - Grimes, Jamie B.

AU - Yitzhak, Avraham

AU - Agoston, Denes

AU - Aldag, Matt

AU - Armstrong, Regina

AU - Arun, Peethambaran

AU - Audette, Michel

AU - Babcock, Debra

AU - Balaban, Carey

AU - Banton, Rohan

AU - Bellgowan, Patrick

AU - Borkholder, David

AU - Broglio, Steven

AU - Brokaw, Elizabeth

AU - Cantu, Robert

AU - Carr, Walter

AU - Chapman, Sandi

AU - Cmarik, Joan

AU - Colder, Brian

AU - Colombe, Jeff

AU - Cook, David

AU - Cozzarelli, Tara

AU - Da Silva, Uade Olaghere

AU - Daphalapurkar, Nitin

AU - Dardzinski, Bernard

AU - DeGraba, Tom

AU - DeMar, James

AU - Dewitt, Douglas

AU - Dickstein, Dara

AU - Duckworth, Josh

AU - Elder, Gregory

AU - Fazel-Rezai, Reza

AU - Fine, Michael

AU - Fiskum, Gary

AU - Fournier, Adam

AU - Ganpule, Shaleish

AU - Gill, Jessica

AU - Glenn, John F.

AU - Greene, Colin

AU - Greig, Nigel

AU - Haering, Chad

AU - Harrington, Jason

AU - Hein, Amy

AU - Helmick, Kathy

AU - Hicks, Ramona

AU - Hinds, Sidney

AU - Hoffman, Stuart

AU - Horkayne-Szakaly, Iren

AU - Iacono, Diego

AU - Ishii, Erick

AU - Jones, Robert V.

AU - Karami, Ghodrat

AU - Krawczyk, Daniel

AU - Labutta, Robert

AU - Latta, Robert

AU - Lattimore, Theresa

AU - Leggieri, Michael

AU - Leonessa, Fabio

AU - Lin, Alexander

AU - Ling, Geoffrey

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AU - Montenigro, Philip

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AU - Nigam, Savita

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AU - Pauli, Ingrid

AU - Perl, Daniel

AU - Peskind, Elaine

AU - Pfister, Bryan

AU - Philippens, Mat

AU - Piehler, Thuvan

AU - Proctor, Julie

AU - Przekwas, Andrzej

AU - Qashu, Felicia

AU - Raskind, Murray

AU - Razumovsky, Alexander

AU - Reifman, Jaques

AU - Reyes, Patricio

AU - Rigby, Paul

AU - Risling, Marten

AU - Robinson, Meghan

AU - Rooks, Tyler

AU - Rosen, Charles

AU - Rosseau, Gail

AU - Sammons-Jackson, Wendy

AU - Santago, Anthony

AU - Shoge, Richard

AU - Sours, Chandler

AU - Stone, James

AU - Templin, Mike

AU - Tepe, Victoria

AU - Thielen, Peter

AU - Thomas, Mike

AU - Timmes, Thomas

AU - Tortella, Frank

AU - Tucker, Laura

AU - Tweedie, David

AU - Hamm, Dale Vander

AU - Christie Vu, B.

AU - Wang, Ying

AU - West, Therese

AU - Wilde, Elisabeth

AU - Willis, Adam

AU - Wu, John

AU - Zai, Laila

AU - Zander, Nikki

AU - Zheng, James

AU - Ziejewski, Mariusz

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KW - chronic traumatic encephalopathy (CTE)

KW - traumatic brain injury (TBI)

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