Obenaus Andre, Noarbe Brenda P, Lee Jeong Bin, Panchenko Polina E, Noarbe Sean D, Lee Yu Chiao, Badaut Jerome
Department of Pediatrics, School of Medicine, University of California Irvine, Irvine, CA, USA.
Basic Science Department, Loma Linda University School of Medicine, Loma Linda, CA, US.
bioRxiv. 2023 Dec 23:2023.12.21.572925. doi: 10.1101/2023.12.21.572925.
The sensitivity of white matter (WM) in acute and chronic moderate-severe traumatic brain injury (TBI) has been established. In concussion syndromes, particularly in preclinical rodent models, there is lacking a comprehensive longitudinal study spanning the lifespan of the mouse. We previously reported early modifications to WM using clinically relevant neuroimaging and histological measures in a model of juvenile concussion at one month post injury (mpi) who then exhibited cognitive deficits at 12mpi. For the first time, we assess corpus callosum (CC) integrity across the lifespan after a single juvenile concussion utilizing diffusion MRI (dMRI).
C57Bl/6 mice were exposed to sham or two severities of closed-head concussion (Grade 1, G1, speed 2 m/sec, depth 1mm; Grade 2, G2, 3m/sec, 3mm) using an electromagnetic impactor at postnatal day 17. diffusion tensor imaging was conducted at 1, 3, 6, 12 and 18 mpi (21 directions, b=2000 mm/sec) and processed for dMRI parametric maps: fractional anisotropy (FA), axial (AxD), radial (RD) and mean diffusivity (MD). Whole CC and regional CC data were extracted. To identify the biological basis of altered dMRI metrics, astrocyte and microglia in the CC were characterized at 1 and 12 mpi by immunohistochemistry.
Whole CC analysis revealed altered FA and RD trajectories following juvenile concussion. Shams exhibited a temporally linear increase in FA with age while G1/G2 mice had plateaued FA values. G2 concussed mice exhibited high variance of dMRI metrics at 12mpi, which was attributed to the heterogeneity of TBI on the anterior CC. Regional analysis of dMRI metrics at the impact site unveiled significant differences between G2 and sham mice. The dMRI findings appear to be driven, in part, by loss of astrocyte process lengths and increased circularity and decreased cell span ratios in microglia.
For the first time, we demonstrate progressive perturbations to WM of male mice after a single juvenile concussion across the mouse lifespan. The CC alterations were dependent on concussion severity with elevated sensitivity in the anterior CC that was related to astrocyte and microglial morphology. Our findings suggest that long-term monitoring of children with juvenile concussive episodes using dMRI is warranted, focusing on vulnerable WM tracts.
白质(WM)在急性和慢性中重度创伤性脑损伤(TBI)中的敏感性已得到证实。在脑震荡综合征中,尤其是在临床前啮齿动物模型中,缺乏一项涵盖小鼠整个生命周期的全面纵向研究。我们之前报道过,在幼年脑震荡模型中,受伤后1个月(mpi)使用临床相关的神经影像学和组织学测量方法对白质进行早期改变,这些小鼠在12 mpi时出现认知缺陷。我们首次利用扩散磁共振成像(dMRI)评估单次幼年脑震荡后小鼠整个生命周期内胼胝体(CC)的完整性。
在出生后第17天,使用电磁撞击器对C57Bl/6小鼠进行假手术或两种严重程度的闭合性颅脑震荡(1级,G1,速度2米/秒,深度1毫米;2级,G2,3米/秒,3毫米)。在1、3、6、12和18 mpi进行扩散张量成像(21个方向,b = 2000毫米/秒),并处理生成dMRI参数图:分数各向异性(FA)、轴向扩散率(AxD)、径向扩散率(RD)和平均扩散率(MD)。提取整个CC和区域CC数据。为了确定dMRI指标改变的生物学基础,在1和12 mpi通过免疫组织化学对CC中的星形胶质细胞和小胶质细胞进行表征。
整个CC分析显示,幼年脑震荡后FA和RD轨迹发生改变。假手术组FA随年龄呈时间线性增加,而G1/G2组小鼠FA值趋于平稳。G2组脑震荡小鼠在12 mpi时dMRI指标的方差较高,这归因于前CC上TBI的异质性。撞击部位dMRI指标的区域分析揭示了G2组和假手术组小鼠之间的显著差异。dMRI结果似乎部分是由星形胶质细胞突起长度的丧失以及小胶质细胞的圆形度增加和细胞跨度比率降低所驱动的。
我们首次证明,单次幼年脑震荡后,雄性小鼠在整个生命周期内白质会出现渐进性扰动。CC的改变取决于脑震荡的严重程度,前CC的敏感性升高,这与星形胶质细胞和小胶质细胞的形态有关。我们的研究结果表明,有必要使用dMRI对幼年脑震荡儿童进行长期监测,重点关注易受损的白质束。