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一种新型的由压缩气体引起的爆炸致创伤性脑损伤模型可使大鼠持续出现认知缺陷:涉及丝氨酸 205 表位的 tau 磷酸化。

A novel model of blast induced traumatic brain injury caused by compressed gas produced sustained cognitive deficits in rats: involvement of phosphorylation of tau at the Thr205 epitope.

机构信息

Department of Graduate School, The Third Military Medical University (Army Military Medical University), Chongqing, 400038, China; Department of Neurosurgery, The 306th Hospital, The Chinese People's Liberation Army, Beijing, 100101, China.

Savaid Medical College, University of Chinese Academy of Sciences, Beijing, 100101, China.

出版信息

Brain Res Bull. 2020 Apr;157:149-161. doi: 10.1016/j.brainresbull.2020.02.002. Epub 2020 Feb 7.

Abstract

Improvised explosive devices (IEDs) represent the leading causes for casualties among civilians and soldiers in the present war (including counter-terrorism). Traumatic brain injury (TBI) caused by IEDs results in different degrees of impairment of cognition and behavior, but the exact brain pathophysiological mechanism following exposure to blast has not been clearly investigated. Here, we sought to establish a rat model of closed-head blast injury using compressed gas to deliver a single blast only to the brain without systemic injuries. The cognitive functions of these bTBI models were assessed by Morris Water Maze test (MWM test). The HE staining, flow cytometry, ELISA and Western Blotting were used to measure the effects of shock wave on general histology, regulatory T (Treg) cells percentage, inflammatory reactions, the expression and phosphorylation level of tau, respectively. In addition, the brain water content and 24 -h mortality were also assessed. As the distance from the blast source increased, the input pressure did not change, the overpressure decreased, and the mortality decreased. Receiver operating characteristic (ROC) curves for predicting 24 -h mortality using peak overpressure fits with the following areas under ROC curves: 0.833. In 2 weeks after blast injury, cognitive tests revealed significantly decreased performance at 20 cm distance from the blast (about 136.44 kPa) as demonstrated by increased escape latency in the acquisition phase, and decreased crossing numbers in the probe phase of MWM test. Interestingly, a single blast exposure (at 20 cm) lead to significantly increased tau phosphorylation at the Thr205 epitope but not at the Ser404 and Ser262 epitopes at 12 h, 24 h, 3d, and 7d after blast injury. Blast decreased the percentage of CD4+T cells, CD8+T cells, Treg cells and lymphocytes at different time points after blast injury, and blast increased the percentage of neutrophils at 12 h after blast injury and significantly increased IL-6 production at 12 h, 24 h and 3d after blast injury. In addition, blast lead to an increase of brain edema at 24 h and 3d after blast injury. However, no obvious alterations in brain gross pathology were found acutely in the blast-exposed rats. In conclusion, we established a rat model of simple craniocerebral blast injury characterized by impairment of cognitive function, Thr205 phosphorylation of tau, decreased Treg cells and increased inflammatory reactions and brain edema. We expect this model may help clarify the underlying mechanism after blast injury and possibly serve as a useful animal model in the development of novel therapeutic and diagnostic approaches.

摘要

简易爆炸装置(IED)是目前战争(包括反恐战争)中平民和士兵伤亡的主要原因。爆炸物引起的创伤性脑损伤(TBI)导致认知和行为不同程度的损害,但爆炸暴露后确切的脑病理生理机制尚未得到明确研究。在这里,我们试图使用压缩气体建立一种仅对大脑施加单次爆炸而不造成全身损伤的闭合性颅脑爆炸伤大鼠模型。使用 Morris 水迷宫测试(MWM 测试)评估这些 bTBI 模型的认知功能。通过 HE 染色、流式细胞术、ELISA 和 Western Blotting 分别测量冲击波对一般组织学、调节性 T(Treg)细胞百分比、炎症反应、tau 的表达和磷酸化水平的影响。此外,还评估了脑含水量和 24 小时死亡率。随着与爆炸源的距离增加,输入压力不变,超压降低,死亡率降低。使用峰超压预测 24 小时死亡率的受试者工作特征(ROC)曲线拟合 ROC 曲线下面积为 0.833。在爆炸伤后 2 周,在距离爆炸 20cm 处的认知测试显示出明显的表现下降(约 136.44kPa),表现在获得阶段逃避潜伏期延长,MWM 测试探测阶段穿越次数减少。有趣的是,单次爆炸暴露(在 20cm 处)导致 tau 在 Thr205 表位的磷酸化显著增加,但在 Ser404 和 Ser262 表位没有增加,在爆炸伤后 12 小时、24 小时、3 天和 7 天。爆炸伤后不同时间点 CD4+T 细胞、CD8+T 细胞、Treg 细胞和淋巴细胞百分比降低,爆炸伤后 12 小时中性粒细胞百分比显著升高,IL-6 产生显著升高在爆炸伤后 12 小时、24 小时和 3 天。此外,爆炸导致爆炸后 24 小时和 3 天脑水肿增加。然而,在暴露于爆炸的大鼠中,急性时未发现脑大体病理学的明显改变。总之,我们建立了一种简单的颅脑爆炸伤大鼠模型,其特征是认知功能障碍、tau 的 Thr205 磷酸化、Treg 细胞减少以及炎症反应和脑水肿增加。我们希望该模型有助于阐明爆炸伤后的潜在机制,并可能成为开发新型治疗和诊断方法的有用动物模型。

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