Department of Neurosurgery, Medical College of Georgia, Augusta, Georgia 30912, USA.
J Neurosurg. 2010 Dec;113(6):1195-201. doi: 10.3171/2010.3.JNS091212. Epub 2010 Apr 16.
Traumatic brain injury (TBI) induces significant neurological damage, including deficits in learning and memory, which contribute to a poor clinical prognosis. Treatment options to limit cognitive decline and promote neurological recovery are lacking, in part due to a poor understanding of the secondary or delayed processes that contribute to brain injury. In the present study, the authors characterized the temporal and spatial changes in the expression of postsynaptic density protein-95 (PSD-95), a key scaffolding protein implicated in excitatory synaptic signaling, after controlled cortical impacts in mice. Neurological injury, as assessed by the open-field activity test and the novel object recognition test, was compared with changes in PSD-95 expression.
Adult male CD-1 mice were subjected to controlled cortical impacts to simulate moderate TBI in humans. The spatial and temporal expression of PSD-95 was analyzed in the cerebral cortex and hippocampus at various time points following injury and sham operations. Neurological assessments were performed to compare changes in PSD-95 with cognitive deficits.
A significant decrease in PSD-95 expression was observed in the ipsilateral hippocampus beginning on Day 7 postinjury. The loss of PSD-95 corresponded with a concomitant reduction in immunoreactivity for NeuN (neuronal nuclei), a neuron-specific marker. Aside from the contused cortex, a significant loss of PSD-95 immunoreactivity was not observed in the cerebral cortex. The delayed loss of hippocampal PSD-95 directly correlated with the onset of behavioral deficits, suggesting a possible causative role for PSD-95 in behavioral abnormalities following head trauma.
A delayed loss of hippocampal synapses was observed following head trauma in mice. These data may suggest a cellular mechanism to explain the delayed learning and memory deficits in humans after TBI and provide a potential framework for further testing to implicate PSD-95 as a clinically relevant therapeutic target.
创伤性脑损伤(TBI)可导致显著的神经损伤,包括学习和记忆功能缺陷,从而导致较差的临床预后。目前缺乏限制认知能力下降和促进神经恢复的治疗选择,部分原因是对导致脑损伤的继发或延迟过程缺乏了解。在本研究中,作者研究了在小鼠皮质撞击伤后,突触后密度蛋白-95(PSD-95)的表达在时间和空间上的变化,PSD-95 是一种与兴奋性突触信号传导有关的关键支架蛋白。作者将神经损伤(通过旷场活动试验和新物体识别试验评估)与 PSD-95 表达的变化进行了比较。
成年雄性 CD-1 小鼠接受皮质撞击以模拟人类中度 TBI。在损伤和假手术之后的不同时间点,分析 PSD-95 在大脑皮质和海马体中的时空表达。进行神经学评估以比较 PSD-95 的变化与认知缺陷。
在损伤后的第 7 天,观察到对侧海马区 PSD-95 表达明显减少。PSD-95 的丢失与神经元特异性标志物 NeuN(神经元核)的免疫反应性降低相一致。除了挫伤皮质外,在大脑皮质中未观察到 PSD-95 免疫反应性的明显丧失。海马 PSD-95 的延迟丢失与行为缺陷的发生直接相关,提示 PSD-95 在头部创伤后行为异常中可能起因果作用。
在小鼠头部创伤后观察到海马突触的延迟丢失。这些数据可能提供了一种细胞机制来解释人类 TBI 后学习和记忆缺陷的延迟,并为进一步研究将 PSD-95 作为临床相关治疗靶点提供了潜在框架。