Inflammatory leukocytic recruitment and diffuse neuronal degeneration are separate pathological processes resulting from traumatic brain injury
Open accessAbstract
The present study characterized whether inflammatory leukocytic infiltration is temporally and regionally correlated with neuronal degeneration and/or blood brain barrier (BBB) breakdown resulting from traumatic brain injury. Adult rats were sacrificed at 5 min, 2, 4, 12, 24, and 72 hr after lateral fluid percussion brain injury. BBB breakdown, neuronal degeneration and leukocyte infiltration were assessed using immunocytochemistry, silver impregnation and toluidine blue and eosin staining. BBB breakdown and neuronal degeneration occurred concomitantly in injured cortex, hippocampus, and along the dorsolateral quadrant of the diencephalon. However, neuronal degeneration within deep diencephalic structures transpired in the absence of IgG extravasation. Neutrophils were observed only in regions exhibiting BBB damage and were first apparent in injured cortex and hippocampus between 2–12 hr posttrauma lining the vasculature and filling subarachnoid/subdural spaces. Neutrophils then migrated from damaged vasculature into traumatized cortical and hippocampal parenchyma by 24 hr after lateral fluid percussion injury. Macrophages were also observed within cortical parenchyma at 24 hr and completely filled the cortical lesion site by 72 hr after injury. Macrophages were not as abundant throughout hippocampal parenchyma and were found only in hippocampal regions exhibiting focal hemorrhage at 72 hr. Finally, neutrophils did not migrate to deep diencephalic structures that showed no BBB damage despite extensive neuronal degeneration. Indeed, lateral fluid percussion elicits inflammatory leukocytic recruitment only in regions experiencing concomitant BBB damage and neuronal degeneration. In summary, inflammatory leukocytic recruitment and diffuse neuronal degeneration are separate pathological processes resulting from traumatic brain injury.
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Excessive or chronic neuroinflammation is linked to progressive changes, including atrophy, neuronal loss, and axonal degeneration.
“Excessive or chronic neuroinflammation is linked to progressive changes, including atrophy, neuronal loss, and axonal degeneration (84, 103–105).”
From The Inflammatory Continuum of Traumatic Brain Injury and Alzheimer’s Disease (2018) · cites this paper as [104]
The discussion (page unavailable) reports both inflammatory recruitment and neuronal degeneration after traumatic brain injury, but says diffuse diencephalic degeneration can occur without leukocyte infiltration and describes the processes as distinct. The study follows rats for up to 72 hours; it does not establish a link between excessive or chronic neuroinflammation and progressive atrophy or axonal degeneration. (LLM, conf=0.86)
Experimental — accuracy not yet measuredTBI is a biphasic injury: after the mechanical primary injury, a secondary dystrophic state produces long-term dysfunction including elevated neuroinflammation due to blood-brain barrier disruption, increased oxidative stress, and persistent changes in the microglial population.
“TBI is a biphasic injury: after the mechanical primary injury, a secondary dystrophic state produces long-term dysfunction in the brain that includes elevated neuroinflammation as a result of blood-brain barrier disruption, increased oxidative stress, and persistent changes in the microglial population [100–106].”
From Untangling senescent and damage‐associated microglia in the aging and diseased brain (2023) · cites this paper as [103]
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- Authors
- Soares, H., Hicks, R., Smith, D., & McIntosh, T.
- Affiliations
- St. Jude Children's Research Hospital (US)
- ORCID
- Smith, D
- Venue
- The Journal of Neuroscience
- Publisher
- Society for Neuroscience
- Published
- 1995-12-01
- Volume
- 15
- Issue
- 12
- Pages
- 8223-8233
- ISSN
- 0270-6474 (ISSN-L)
- 1529-2401
- PMC
- PMC6577921
- OpenAlex
- W1666499734
- Cited by
- 379
- References
- 70
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 13 · 2023: 2 · 2022: 11 · 2021: 18 · 2020: 15 · 2019: 18 · 2018: 9 · 2017: 13 · 2016: 14 · 2015: 11 · 2014: 12 · 2013: 20 · 2012: 19
- FWCI
- 10.37
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Neuroscience (publishedVersion, cc-by-nc-sa)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (NS08803, NS26818)
- National Institute of Neurological Disorders and Stroke (NS-08803, NS26818)
- Topics
- Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Life Sciences › Neuroscience › Neurology › Barrier Structure and Function Studies
- Keywords
- traumatic brain injury, leukocyte recruitment, neutrophils, macrophages, blood-brain barrier disruption, neurodegeneration, lateral fluid percussion injury, hippocampus, cerebral cortex, diencephalon, IgG extravasation, neuroinflammation
- MeSH terms
- Animals, Blood-Brain Barrier, Brain, Brain Concussion, Brain Injuries, Encephalitis, Immunoglobulin G, Leukocytes, Male, Neurons, Time Factors, Rats
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