Center for Engineering Mechanobiology, University of Pennsylvania, Philadelphia, PA 19104.
Department of Materials Science and Engineering, University of Pennsylvania, Philadelphia, PA 19104.
Proc Natl Acad Sci U S A. 2021 Jul 13;118(28). doi: 10.1073/pnas.2024961118.
Damage to the microtubule lattice, which serves as a rigid cytoskeletal backbone for the axon, is a hallmark mechanical initiator of pathophysiology after concussion. Understanding the mechanical stress transfer from the brain tissue to the axonal cytoskeleton is essential to determine the microtubule lattice's vulnerability to mechanical injury. Here, we develop an ultrastructural model of the axon's cytoskeletal architecture to identify the components involved in the dynamic load transfer during injury. Corroborative in vivo studies were performed using a gyrencephalic swine model of concussion via single and repetitive head rotational acceleration. Computational analysis of the load transfer mechanism demonstrates that the myelin sheath and the actin/spectrin cortex play a significant role in effectively shielding the microtubules from tissue stress. We derive failure maps in the space spanned by tissue stress and stress rate to identify physiological conditions in which the microtubule lattice can rupture. We establish that a softer axonal cortex leads to a higher susceptibility of the microtubules to failure. Immunohistochemical examination of tissue from the swine model of single and repetitive concussion confirms the presence of postinjury spectrin degradation, with more extensive pathology observed following repetitive injury. Because the degradation of myelin and spectrin occurs over weeks following the first injury, we show that softening of the myelin layer and axonal cortex exposes the microtubules to higher stress during repeated incidences of traumatic brain injuries. Our predictions explain how mechanical injury predisposes axons to exacerbated responses to repeated injuries, as observed in vitro and in vivo.
微管晶格的损伤是轴突刚性细胞骨架的标志,它是脑震荡后病理生理学的机械起始因素。了解大脑组织向轴突细胞骨架的机械应力传递对于确定微管晶格对机械损伤的脆弱性至关重要。在这里,我们开发了轴突细胞骨架结构的超微结构模型,以确定损伤过程中动态载荷传递涉及的组件。通过单次和重复头部旋转加速,使用回旋脑猪脑震荡模型进行了补充性体内研究。载荷传递机制的计算分析表明,髓鞘和肌动蛋白/血影蛋白皮层在有效保护微管免受组织应力方面起着重要作用。我们在组织应力和应力率构成的空间中得出失效图,以确定微管晶格可能破裂的生理条件。我们确定,较软的轴突皮层会导致微管更容易失效。对单次和重复脑震荡猪模型组织的免疫组织化学检查证实了损伤后血影蛋白降解的存在,重复损伤后观察到更广泛的病理学。由于髓鞘和血影蛋白的降解在第一次损伤后数周内发生,我们表明,髓鞘层和轴突皮层的软化会使微管在反复创伤性脑损伤时承受更高的应力。我们的预测解释了机械损伤如何使轴突更容易对重复损伤产生加剧的反应,这在体外和体内都得到了观察。