Harris James P, Mietus Constance J, Browne Kevin D, Wofford Kathryn L, Keating Carolyn E, Brown Daniel P, Johnson Brian N, Wolf John A, Smith Douglas H, Cohen Akiva S, Duda John E, Cullen D Kacy
Center for Brain Injury and Repair, Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.
Center for Neurotrauma, Neurodegeneration and Restoration, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, PA, United States.
Front Cell Neurosci. 2023 Jul 13;17:1055455. doi: 10.3389/fncel.2023.1055455. eCollection 2023.
Closed-head traumatic brain injury (TBI) is induced by rapid motion of the head, resulting in diffuse strain fields throughout the brain. The injury mechanism(s), loading thresholds, and neuroanatomical distribution of affected cells remain poorly understood, especially in the gyrencephalic brain. We utilized a porcine model to explore the relationships between rapid head rotational acceleration-deceleration loading and immediate alterations in plasmalemmal permeability within cerebral cortex, sub-cortical white matter, and hippocampus. To assess plasmalemmal compromise, Lucifer yellow (LY), a small cell-impermeant dye, was delivered intraventricularly and diffused throughout the parenchyma prior to injury in animals euthanized at 15-min post-injury; other animals (not receiving LY) were survived to 8-h or 7-days. Plasmalemmal permeability preferentially occurred in neuronal somata and dendrites, but rarely in white matter axons. The burden of LY neurons increased based on head rotational kinematics, specifically maximum angular velocity, and was exacerbated by repeated TBI. In the cortex, LY cells were prominent in both the medial and lateral gyri. Neuronal membrane permeability was observed within the hippocampus and entorhinal cortex, including morphological changes such as beading in dendrites. These changes correlated with reduced fiber volleys and synaptic current alterations at later timepoints in the hippocampus. Further histological observations found decreased NeuN immunoreactivity, increased mitochondrial fission, and caspase pathway activation in both LY and LY cells, suggesting the presence of multiple injury phenotypes. This exploratory study suggests relationships between plasmalemmal disruptions in neuronal somata and dendrites within cortical and hippocampal gray matter as a primary response in closed-head rotational TBI and sets the stage for future, traditional hypothesis-testing experiments.
闭合性颅脑创伤(TBI)由头部快速运动引起,导致全脑出现弥漫性应变场。损伤机制、负荷阈值以及受影响细胞的神经解剖分布仍知之甚少,尤其是在脑回脑。我们利用猪模型来探究头部快速旋转加减速负荷与大脑皮质、皮质下白质和海马体中质膜通透性的即时改变之间的关系。为了评估质膜损伤,在伤后15分钟安乐死的动物损伤前,将一种小的细胞不可渗透染料荧光黄(LY)经脑室注射并扩散至整个实质;其他动物(未接受LY)存活至8小时或7天。质膜通透性优先发生在神经元胞体和树突中,但很少发生在白质轴突中。LY神经元的负荷根据头部旋转运动学增加,特别是最大角速度,并且在重复性TBI时加剧。在皮质中,LY细胞在脑回内侧和外侧均很突出。在海马体和内嗅皮质中观察到神经元膜通透性,包括树突中串珠状等形态学变化。这些变化与海马体后期纤维群放电减少和突触电流改变相关。进一步的组织学观察发现,LY和非LY细胞中NeuN免疫反应性降低、线粒体裂变增加以及半胱天冬酶途径激活,提示存在多种损伤表型。这项探索性研究表明,皮质和海马体灰质中神经元胞体和树突的质膜破坏之间的关系是闭合性头部旋转性TBI的主要反应,并为未来传统的假设检验实验奠定了基础。