Department of Neurosciences, University of New Mexico, School of Medicine, Albuquerque, New Mexico, USA.
Center for Brain Recovery and Repair, University of New Mexico Health Sciences Center, Albuquerque, New Mexico, USA.
J Neurotrauma. 2024 Jan;41(1-2):271-291. doi: 10.1089/neu.2023.0152. Epub 2023 Nov 14.
Concussions or mild traumatic brain injuries (mTBIs) are often described and diagnosed by the acute signs and symptoms of neurological dysfunction including weakness, dizziness, disorientation, headaches, and altered mental state. The cellular and physiological mechanisms of neurological dysfunction and acute symptoms are unclear. Spreading depolarizations (SDs) occur after severe TBIs and have recently been identified in closed-skull mouse models of mTBIs. SDs are massive waves of complete depolarization that result in suppression of cortical activity for multiple minutes. Despite the clear disruption of brain physiology after SDs, the role of SDs in the acute neurological dysfunction and acute behavioral deficits following mTBIs remains unclear. We used a closed-skull mouse model of mTBI and a series of behavioral tasks collectively scored as the neurological severity score (NSS) to assess acute behavior. Our results indicate that mTBIs are associated with significant behavioral deficits in the open field and NSS tasks relative to sham-condition animals. The behavioral deficits associated with the mTBI recovered within 3 h. We show here that the presence of mTBI-induced bilateral SDs were significantly associated with the acute behavioral deficits. To identify the role of SDs in the acute behavioral deficits, we used exogenous potassium and optogenetic approaches to induce SDs in the absence of the mTBI. Bilateral SDs alone were associated with similar behavioral deficits in the open field and NSS tasks. Collectively, these studies demonstrate that bilateral SDs are linked to the acute behavioral deficits associated with mTBIs.
脑震荡或轻度创伤性脑损伤(mTBI)通常通过神经功能障碍的急性体征和症状来描述和诊断,包括无力、头晕、定向障碍、头痛和精神状态改变。神经功能障碍和急性症状的细胞和生理机制尚不清楚。扩散性去极化(SDs)发生在严重的 TBI 之后,最近在闭合颅骨的 mTBI 小鼠模型中被发现。SDs 是完全去极化的巨大波,导致皮质活动抑制数分钟。尽管 SD 后明显破坏了大脑生理学,但 SD 在 mTBI 后急性神经功能障碍和急性行为缺陷中的作用仍不清楚。我们使用闭合颅骨的 mTBI 小鼠模型和一系列行为任务(统称为神经严重程度评分(NSS))来评估急性行为。我们的结果表明,与假手术条件动物相比,mTBI 与旷场和 NSS 任务中的显著行为缺陷相关。与 mTBI 相关的行为缺陷在 3 小时内恢复。我们在这里表明,mTBI 诱导的双侧 SD 的存在与急性行为缺陷显著相关。为了确定 SD 在急性行为缺陷中的作用,我们使用外源性钾和光遗传学方法在没有 mTBI 的情况下诱导 SD。双侧 SD 本身与旷场和 NSS 任务中的类似行为缺陷相关。总之,这些研究表明双侧 SD 与 mTBI 相关的急性行为缺陷有关。
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