1 Department of Neuroscience, Laboratory for Brain Injury and Dementia, Georgetown University Medical Center , Washington, DC.
J Neurotrauma. 2013 Dec 1;30(23):1966-72. doi: 10.1089/neu.2013.2960. Epub 2013 Oct 12.
The clinical manifestations that occur after traumatic brain injury (TBI) include a wide range of cognitive, emotional, and behavioral deficits. The loss of excitatory synapses could potentially explain why such diverse symptoms occur after TBI, and a recent preclinical study has demonstrated a loss of dendritic spines, the postsynaptic site of the excitatory synapse, after fluid percussion injury. The objective of this study was to determine if controlled cortical impact (CCI) also resulted in dendritic spine retraction and to probe the underlying mechanisms of this spine loss. We used a unilateral CCI and visualized neurons and dendtritic spines at 24 h post-injury using Golgi stain. We found that TBI caused a 32% reduction of dendritic spines in layer II/III of the ipsilateral cortex and a 20% reduction in the dendritic spines of the ipsilateral dentate gyrus. Spine loss was not restricted to the ipsilateral hemisphere, however, with similar reductions in spine numbers recorded in the contralateral cortex (25% reduction) and hippocampus (23% reduction). Amyloid-β (Aβ), a neurotoxic peptide commonly associated with Alzheimer disease, accumulates rapidly after TBI and is also known to cause synaptic loss. To determine if Aβ contributes to spine loss after brain injury, we administered a γ-secretase inhibitor LY450139 after TBI. We found that while LY450139 administration could attenuate the TBI-induced increase in Aβ, it had no effect on dendritic spine loss after TBI. We conclude that the acute, global loss of dendritic spines after TBI is independent of γ-secretase activity or TBI-induced Aβ accumulation.
创伤性脑损伤(TBI)后的临床表现包括广泛的认知、情绪和行为缺陷。兴奋性突触的丧失可能解释了为什么 TBI 后会出现如此多样化的症状,最近的一项临床前研究表明,在流体冲击损伤后,树突棘,即兴奋性突触的突触后部位,会丢失。本研究的目的是确定受控皮质撞击(CCI)是否也导致树突棘回缩,并探讨这种棘突丢失的潜在机制。我们使用单侧 CCI,并在损伤后 24 小时使用高尔基染色来可视化神经元和树突棘。我们发现 TBI 导致同侧皮质 II/III 层的树突棘减少 32%,同侧齿状回的树突棘减少 20%。然而,棘突丢失不仅限于同侧半球,对侧皮质(减少 25%)和海马(减少 23%)的棘突数量也有类似的减少。淀粉样β(Aβ),一种通常与阿尔茨海默病相关的神经毒性肽,在 TBI 后迅速积累,也已知会导致突触丢失。为了确定 Aβ是否导致脑损伤后棘突丢失,我们在 TBI 后给予γ-分泌酶抑制剂 LY450139。我们发现,虽然 LY450139 给药可以减轻 TBI 诱导的 Aβ增加,但对 TBI 后树突棘丢失没有影响。我们得出结论,TBI 后树突棘的急性、全局性丧失与 γ-分泌酶活性或 TBI 诱导的 Aβ积累无关。