Research Service, Edward Hines Jr. VA Hospital, Hines, Illinois.
Department of Molecular Pharmacology and Therapeutics, Loyola University Chicago Health Sciences Division, Maywood, Illinois.
J Neurosci Res. 2019 May;97(5):554-567. doi: 10.1002/jnr.24382. Epub 2019 Jan 7.
Traumatic brain injury (TBI) is a major cause of disability worldwide. Additionally, many TBI patients are intoxicated with alcohol at the time of injury, but the impact of acute intoxication on recovery from brain injury is not well understood. We have previously found that binge alcohol prior to TBI impairs spontaneous functional sensorimotor recovery. However, whether alcohol administration in this setting affects reactive neurogenesis after TBI is not known. This study, therefore, sought to determine the short- and long-term effects of pre-TBI binge alcohol on neural precursor cell responses in the subventricular zone (SVZ) following brain injury in male rats. We found that TBI alone significantly increased proliferation in the SVZ as early as 24 hr after injury. Surprisingly, binge alcohol alone also significantly increased proliferation in the SVZ after 24 hr. However, a combined binge alcohol and TBI regimen resulted in decreased TBI-induced proliferation in the SVZ at 24 hr and 1 week post-TBI. Furthermore, at 6 weeks after TBI, binge alcohol administered at the time of TBI significantly decreased the TBI-induced neuroblast response in the SVZ and the rostral migratory stream (RMS). The results from this study suggest that pre-TBI binge alcohol negatively impacts reparative processes in the brain by decreasing short-term neural precursor cell proliferative responses as well as long-term neuroblasts in the SVZ and RMS.
创伤性脑损伤(TBI)是全球范围内导致残疾的主要原因。此外,许多 TBI 患者在受伤时都有酒精中毒,但急性中毒对脑损伤恢复的影响尚不清楚。我们之前发现,TBI 前 binge 饮酒会损害自发性感觉运动功能的恢复。然而,这种情况下的酒精给药是否会影响 TBI 后的反应性神经发生尚不清楚。因此,本研究旨在确定 TBI 前 binge 饮酒对雄性大鼠脑损伤后侧脑室下区(SVZ)神经前体细胞反应的短期和长期影响。我们发现,TBI 本身在损伤后 24 小时内就显著增加了 SVZ 中的增殖。令人惊讶的是,binge 饮酒本身也在 24 小时后显著增加了 SVZ 中的增殖。然而, binge 酒精和 TBI 的联合方案导致 24 小时和 1 周后 TBI 诱导的 SVZ 增殖减少。此外,在 TBI 后 6 周时,TBI 时给予 binge 酒精显著降低了 SVZ 和额迁移流(RMS)中 TBI 诱导的神经母细胞反应。这项研究的结果表明,TBI 前 binge 酒精通过减少短期神经前体细胞增殖反应以及 SVZ 和 RMS 中的长期神经母细胞,对大脑的修复过程产生负面影响。