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轻度创伤性脑损伤导致雄性小鼠精神症状发作易感性增加。

Augmentation of psychiatric symptom onset vulnerability in male mice due to mild traumatic brain injury.

作者信息

Koga Minori, Satoh Yasushi, Kashitani Masashi, Nakagawa Ryuichi, Sato Mayumi, Asai Fumiho, Ishizuka Toshiaki, Kinoshita Manabu, Saitoh Daizoh, Nagamine Masanori, Toda Hiroyuki, Yoshino Aihide

机构信息

Department of Psychiatry, The National Defense Medical College, Saitama, Japan.

Department of Biochemistry, The National Defense Medical College, Saitama, Japan.

出版信息

Prog Neuropsychopharmacol Biol Psychiatry. 2025 Jan 10;136:111153. doi: 10.1016/j.pnpbp.2024.111153. Epub 2024 Sep 25.

Abstract

Mild traumatic brain injury (mTBI) can induce psychiatric symptoms, including anxiety, depression, and diminished interest. These symptoms can manifest shortly after injury or exhibit delayed onset months or years later, often worsening in severity. Therefore, early intervention and effective treatment are crucial. However, mTBI lacks clear diagnostic markers, making the underlying pathophysiological mechanisms elusive. Additionally, there is a dearth of suitable animal models and a limited understanding of the biochemical changes in the brain that contribute to post-mTBI psychological symptoms. In this study, we hypothesized that mTBI can trigger brain vulnerability mechanisms, which eventually lead to symptom manifestation in response to subsequent stressors. Using a mouse model, we induced very mild blast-induced mTBI without overt trauma or behavioral changes and subsequently subjected the mice to psychological stress. We analyzed the behavioral alterations and gene expression changes in the brain, focusing on microglial and astrocytic markers involved in the immune system and immune responses. The mice exposed to both blast and defeat stress exhibited significantly lower preference scores in the social interaction test than the mice subjected to blast exposure alone, defeat stress alone, or the control condition. Gene expression analysis revealed a distinct set of genes associated with blast exposure during the development of psychiatric symptoms and genes associated with social defeat stress. The results revealed that neither blast exposure nor defeat stress alone significantly affected mouse social behavior; however, their combined influence resulted in noticeable aberrations in social interactions and/or interest. The findings of the present study provide critical insights into the complex interplay between mTBI and psychological stress. Additionally, they provide a novel mouse model for future research aimed at elucidating the pathophysiological mechanisms underlying the psychiatric symptoms associated with mTBI. Ultimately, this knowledge may enhance early intervention and therapeutic strategies for individuals with mTBI-related psychiatric disorders.

摘要

轻度创伤性脑损伤(mTBI)可诱发精神症状,包括焦虑、抑郁和兴趣减退。这些症状可在受伤后不久出现,或在数月或数年后延迟发作,且严重程度往往会加重。因此,早期干预和有效治疗至关重要。然而,mTBI缺乏明确的诊断标志物,使得其潜在的病理生理机制难以捉摸。此外,合适的动物模型匮乏,对导致mTBI后心理症状的大脑生化变化的了解也有限。在本研究中,我们假设mTBI可触发大脑脆弱性机制,最终导致对后续应激源产生症状表现。我们使用小鼠模型,诱导出非常轻微的爆炸所致mTBI,无明显创伤或行为变化,随后对小鼠施加心理应激。我们分析了大脑中的行为改变和基因表达变化,重点关注参与免疫系统和免疫反应的小胶质细胞和星形胶质细胞标志物。与仅接受爆炸暴露、仅接受失败应激或处于对照条件的小鼠相比,同时暴露于爆炸和失败应激的小鼠在社交互动测试中的偏好得分显著更低。基因表达分析揭示了一组在精神症状发展过程中与爆炸暴露相关的独特基因,以及与社交失败应激相关的基因。结果表明,单独的爆炸暴露或失败应激均未显著影响小鼠的社交行为;然而,它们的联合影响导致社交互动和/或兴趣出现明显异常。本研究的结果为mTBI与心理应激之间的复杂相互作用提供了关键见解。此外,它们为未来旨在阐明与mTBI相关的精神症状潜在病理生理机制的研究提供了一种新型小鼠模型。最终,这些知识可能会增强对患有mTBI相关精神障碍个体的早期干预和治疗策略。

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