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脑回状爆炸相关轻度创伤性脑损伤模型中的纵向生化和行为改变

Longitudinal Biochemical and Behavioral Alterations in a Gyrencephalic Model of Blast-Related Mild Traumatic Brain Injury.

作者信息

Tang Shiyu, Xu Su, Wilder Donna, Medina Alexandre E, Li Xin, Fiskum Gary M, Jiang Li, Kakulavarapu Venkata R, Long Joseph B, Gullapalli Rao P, Sajja Venkatasivasai Sujith

机构信息

Department of Diagnostic Radiology and Nuclear Medicine, Trauma, and Anesthesiology Research Center, University of Maryland School of Medicine, Baltimore, Maryland, USA.

Center for Advanced Imaging Research (CAIR), Trauma, and Anesthesiology Research Center, University of Maryland School of Medicine, Baltimore, Maryland, USA.

出版信息

Neurotrauma Rep. 2024 Mar 14;5(1):254-266. doi: 10.1089/neur.2024.0002. eCollection 2024.

Abstract

Blast-related traumatic brain injury (bTBI) is a major cause of neurological disorders in the U.S. military that can adversely impact some civilian populations as well and can lead to lifelong deficits and diminished quality of life. Among these types of injuries, the long-term sequelae are poorly understood because of variability in intensity and number of the blast exposure, as well as the range of subsequent symptoms that can overlap with those resulting from other traumatic events (e.g., post-traumatic stress disorder). Despite the valuable insights that rodent models have provided, there is a growing interest in using injury models using species with neuroanatomical features that more closely resemble the human brain. With this purpose, we established a gyrencephalic model of blast injury in ferrets, which underwent blast exposure applying conditions that closely mimic those associated with primary blast injuries to warfighters. In this study, we evaluated brain biochemical, microstructural, and behavioral profiles after blast exposure using longitudinal magnetic resonance imaging, histology, and behavioral assessments. In ferrets subjected to blast, the following alterations were found: 1) heightened impulsivity in decision making associated with pre-frontal cortex/amygdalar axis dysfunction; 2) transiently increased glutamate levels that are consistent with earlier findings during subacute stages post-TBI and may be involved in concomitant behavioral deficits; 3) abnormally high brain -acetylaspartate levels that potentially reveal disrupted lipid synthesis and/or energy metabolism; and 4) dysfunction of pre-frontal cortex/auditory cortex signaling cascades that may reflect similar perturbations underlying secondary psychiatric disorders observed in warfighters after blast exposure.

摘要

爆炸相关创伤性脑损伤(bTBI)是美国军队中神经障碍的主要原因,对一些平民群体也可能产生不利影响,并可能导致终身缺陷和生活质量下降。在这些类型的损伤中,由于爆炸暴露的强度和次数存在差异,以及随后出现的症状范围可能与其他创伤事件(如创伤后应激障碍)导致的症状重叠,因此对其长期后遗症了解甚少。尽管啮齿动物模型提供了有价值的见解,但人们越来越有兴趣使用具有更接近人类大脑神经解剖特征的物种建立损伤模型。为此,我们建立了雪貂爆炸损伤的脑回脑模型,该模型在与战士原发性爆炸损伤相关的条件下接受爆炸暴露。在本研究中,我们使用纵向磁共振成像、组织学和行为评估来评估爆炸暴露后脑的生化、微观结构和行为特征。在遭受爆炸的雪貂中,发现了以下变化:1)与前额叶皮质/杏仁核轴功能障碍相关的决策冲动性增强;2)谷氨酸水平短暂升高,这与创伤性脑损伤后亚急性期的早期发现一致,可能与伴随的行为缺陷有关;3)脑内N-乙酰天门冬氨酸水平异常升高,这可能揭示脂质合成和/或能量代谢受到破坏;4)前额叶皮质/听觉皮质信号级联功能障碍,这可能反映了爆炸暴露后战士中观察到的继发性精神障碍背后的类似扰动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1331/10956534/2edeeee97e0b/neur.2024.0002_figure1.jpg

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