Rama Rao Kakulavarapu V, McLean Victor L, Wilder Donna M, Dahal Shataakshi, Kattuparambil Malavika, Long Joseph B, Sajja Venkatasivasai Sujith
Blast Induced Neurotrauma Branch, Center for Military Psychiatry and Neurosciences, Walter Reed Army Institute of Research, 503 Robert Grant Avenue, Silver Spring, MD 20910, United States of America.
Blast Induced Neurotrauma Branch, Center for Military Psychiatry and Neurosciences, Walter Reed Army Institute of Research, 503 Robert Grant Avenue, Silver Spring, MD 20910, United States of America.
Exp Neurol. 2025 Oct;392:115375. doi: 10.1016/j.expneurol.2025.115375. Epub 2025 Jul 7.
Blast wave (BW)-associated brain injury criteria to assess risk of Warfighters are currently inadequate due to lack a suitable animal model that does not represent human blast injury pathology. We hypothesize that animal models with brain structures more closely resemble the human brain (e.g. gyrencephalic models) could better translate to recreate and identify human blast pathology. As a one-of-a kind evaluation, this study compared the blood brain barrier (BBB) integrity, gliovascular changes and neuroinflammation in lissencephalic (rats) and gyrencephalic (ferrets) models exposed to blast waves at varying overpressures (10, 15 and 20 psig) with a validation study in non-human primates exposed to a single BW at 20 psig. BBB disruption was measured by Evans blue extravasation. The extent of gliosis in brain sections was measured by immunofluorescence analysis of glial fibrillary acidic protein (GFAP), ionized calcium binding adaptor molecule 1 (Iba-1), and neurodegeneration was determined by silver staining. Ferrets exposed to BW had a statistically significant increase in extravasation of Evans blue in different brain regions while a no such changes were observed in the rat model. Blast also induced a significant reactive astrogliosis and microglial activation in ferrets. NHPs exposed to a single BW at 20 psig showed a significant increase in EB extravasation in only thalamus. These results suggest that gyrencephalic brain structures may be more vulnerable to vascular disruption compared to lissencephalic models and these models may have better translatability to human blast injuries and potentially better suited to identify injury thresholds.
由于缺乏能准确模拟人类爆炸伤病理的合适动物模型,目前用于评估战斗人员爆炸波(BW)相关脑损伤风险的标准并不完善。我们推测,具有更接近人类脑结构的动物模型(如脑回脑模型)能更好地重现和识别人类爆炸伤病理。作为一项独特的评估,本研究比较了光滑脑(大鼠)和脑回脑(雪貂)模型在不同超压(10、15和20磅力/平方英寸)下暴露于爆炸波后的血脑屏障(BBB)完整性、神经胶质血管变化和神经炎症,并在非人类灵长类动物中进行了一项验证研究,使其暴露于20磅力/平方英寸的单一爆炸波下。通过伊文思蓝外渗来测量血脑屏障的破坏情况。通过对胶质纤维酸性蛋白(GFAP)、离子钙结合衔接分子1(Iba-1)进行免疫荧光分析来测量脑切片中的胶质增生程度,并通过银染法确定神经变性情况。暴露于爆炸波的雪貂在不同脑区的伊文思蓝外渗有统计学显著增加,而在大鼠模型中未观察到此类变化。爆炸还在雪貂中诱导了显著的反应性星形胶质细胞增生和小胶质细胞激活。暴露于20磅力/平方英寸单一爆炸波的非人类灵长类动物仅在丘脑中伊文思蓝外渗有显著增加。这些结果表明,与光滑脑模型相比,脑回脑结构可能更容易受到血管破坏,并且这些模型可能对人类爆炸伤有更好的可转化性,可能更适合确定损伤阈值。