Cited by 86Traumatic Brain Injury ResearchTraumatic Brain Injury and Neurovascular DisturbancesAutomotive and Human Injury Biomechanics

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Regional Neurodegeneration and Gliosis Are Amplified by Mild Traumatic Brain Injury Repeated at 24-Hour Intervals

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Bolton, Amanda N., Saatman, Kathryn E.·2014·Journal of Neuropathology & Experimental Neurology

Abstract

Most traumatic brain injuries (TBIs) that occur every year are classified as "mild." Individuals involved in high-risk activities may sustain multiple mild TBIs. We evaluated the acute physiologic and histopathologic consequences of mild TBI in a mouse model, comparing sham injury, single impact, or 5 impacts at a 24- or 48-hour interinjury interval. A single closed skull impact resulted in bilateral gliosis in the hippocampus and entorhinal cortex that was proportional to impact depth. Midline impact, at a depth just above the threshold to induce transient unconsciousness, produced occasional axonal injury and degenerating neurons accompanied by astrogliosis in the entorhinal cortex and cerebellum. Mild TBI repeated every 24 hours resulted in bilateral hemorrhagic lesions in the entorhinal cortex along with significantly increased neurodegeneration and microglial activation despite diminished durations of apnea and unconsciousness with subsequent impacts. Astrogliosis and diffusely distributed axonal injury were also observed bilaterally in the cerebellum and the brainstem. When the interval between mild TBIs was increased to 48 hours, the pathologic consequences were comparable to those of a single TBI. Together, these data suggest that, in mice, the brain remains at an increased risk for damage for 24 hours after mild TBI despite reduced acute physiologic responses to subsequent mild impacts.

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Research works printed but not linked: 2

  1. Marmarou, 1994, A new model of diffuse brain injury in rats, Part I: Pathophysiology and biomechanics. J Neurosurg, 80, 291
  2. CDC . Report to Congress on Mild Traumatic Brain Injury in the United States: Steps to Prevent a Serious Public Health Problem. Prevention CfDCa (ed) Centers for Disease Control and Prevention, Atlanta, GA; 2003: 1–47

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Metadata

Authors
Bolton, A. N., & Saatman, K. E.
Affiliations
University of Kentucky (US)
Corresponding author
Saatman, Kathryn E.
Venue
Journal of Neuropathology & Experimental Neurology
Published
2014-10
Volume
73
Issue
10
Pages
933-947
ISSN
  • 0022-3069 (ISSN-L)
  • 1554-6578
OpenAlex
W2330807792
Cited by
86
References
50
Citations by year
2025: 3 · 2024: 3 · 2023: 5 · 2022: 4 · 2021: 8 · 2020: 9 · 2019: 15 · 2018: 10 · 2017: 10 · 2016: 12 · 2015: 7
FWCI
7.30
Type
journal article
Language
en
Open access
Locations
  • Journal of Neuropathology & Experimental Neurology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Neurological Disorders and Stroke (P01NS058484, P30NS051220, T32NS077889)
Topics
  • Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
  • Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury and Neurovascular Disturbances
  • Physical Sciences › Engineering › Biomedical Engineering › Automotive and Human Injury Biomechanics
Keywords
mild traumatic brain injury, astrocyte activation, microglial activation, axonal injury, entorhinal cortex, hippocampus, cerebellum, hemorrhagic lesions, impact depth, mouse model
MeSH terms
Animals, Brain Injuries, Gliosis, Male, Mice, Inbred C57BL, Nerve Degeneration, Time Factors, Mice

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