Institute for Military Medicine, Department of Surgery, University of Cincinnati, Cincinnati, Ohio.
J Surg Res. 2013 Oct;184(2):981-8. doi: 10.1016/j.jss.2013.03.075. Epub 2013 Apr 18.
Mild traumatic brain injury (TBI) is a serious public health concern affecting more than 1.7 million people in the United States annually. Mild TBI is difficult to diagnose and is clinically associated with impaired motor coordination and cognition.
We subjected mice to a mild TBI (mTBI-1 or mTBI-2) induced by a weight drop model. We assessed brain injury histologically and biochemically, the latter by serum neuron-specific enolase and glial fibrillary acidic protein. Systemic and brain inflammation were measured by cytokine array. We determined blood-brain barrier integrity by cerebral vascular leakage of micromolecular and macromolecular fluorescent molecules. We evaluated mice using a rotarod device and novel object recognition to measure motor coordination and cognition, respectively.
Mice undergoing mTBI-1 or mTBI-2 had significant deficits in motor coordination and cognition for several days after injury compared with controls. Furthermore, both mTBI-1 and mTBI-2 caused micromolecular leakage in the blood-brain barrier, whereas only mTBI-2 caused macromolecular leakage. Serum neuron-specific enolase and glial fibrillary acidic protein were elevated acutely and corresponded to the degree of injury, but returned to baseline within 24 h. Serum cytokines interleukin-6 and keratinocyte-derived chemokine were significantly increased within 90 min of TBI. Interleukin-6 levels correlated with the degree of injury.
The current study provides a reproducible model of mild TBI in mice that exhibits pathologic features of mild TBI in humans. Furthermore, our data suggest that serum cytokines, such as IL-6, may be effective biomarkers for severity of head injury.
轻度创伤性脑损伤(TBI)是一个严重的公共卫生问题,每年影响美国超过 170 万人。轻度 TBI 难以诊断,临床上与运动协调和认知受损有关。
我们通过落体模型使小鼠受到轻度 TBI(mTBI-1 或 mTBI-2)。我们通过血清神经元特异性烯醇化酶和神经胶质纤维酸性蛋白进行组织学和生化评估,后者。通过细胞因子阵列测量全身和大脑炎症。我们通过微血管和大分子荧光分子的脑血管漏来确定血脑屏障的完整性。我们使用转棒装置和新物体识别分别评估小鼠的运动协调和认知能力。
与对照组相比,经历 mTBI-1 或 mTBI-2 的小鼠在受伤后数天内运动协调和认知能力明显下降。此外,mTBI-1 和 mTBI-2 均导致血脑屏障中小分子渗漏,而仅 mTBI-2 导致大分子渗漏。血清神经元特异性烯醇化酶和神经胶质纤维酸性蛋白在急性升高并与损伤程度相对应,但在 24 小时内恢复到基线。血清细胞因子白细胞介素-6 和角质形成细胞衍生的趋化因子在 TBI 后 90 分钟内显著增加。白细胞介素-6 水平与损伤程度相关。
本研究提供了一种在小鼠中重现轻度 TBI 的模型,该模型表现出人类轻度 TBI 的病理特征。此外,我们的数据表明,血清细胞因子,如白细胞介素-6,可能是头部损伤严重程度的有效生物标志物。