机构:[1]Univ Rochester, Med Ctr, Ctr Translat Neuromed, Rochester, NY 14642 USA;[2]Univ Rochester, Med Ctr, Dept Neurol Surg, Rochester, NY 14642 USA;[3]Hebei Med Univ, Dept Human Anat, Shijiazhuang, Hebei, Peoples R China;[4]Hebei Med Univ, Hosp 2, Shijiazhuang, Hebei, Peoples R China;[5]Capital Univ Med Sci, Beijing Tiantan Hosp, Beijing, Peoples R China;首都医科大学附属天坛医院[6]Ctr Translat Neuromed, Box 645,575 Elmwood Ave, Rochester, NY 14642 USA
Cerebral edema is a major contributor to morbidity associated with traumatic brain injury (TBI). The methods involved in most rodent models of TBI, including head fixation, opening of the skull, and prolonged anesthesia, likely alter TBI development and reduce secondary injury. We report the development of a closed-skull model of murine TBI, which minimizes time of anesthesia, allows the monitoring of intracranial pressure (ICP), and can be modulated to produce mild and moderate grade TBI. In this model, we characterized changes in aquaporin-4 (AQP4) expression and localization after mild and moderate TBI. We found that global AQP4 expression after TBI was generally increased; however, analysis of AQP4 localization revealed that the most prominent effect of TBI on AQP4 was the loss of polarized localization at endfoot processes of reactive astrocytes. This AQP4 dysregulation peaked at 7 days after injury and was largely indistinguishable between mild and moderate grade TBI for the first 2 weeks after injury. Within the same model, blood-brain barrieranalysis of variance permeability, cerebral edema, and ICP largely normalized within 7 days after moderate TBI. These findings suggest that changes in AQP4 expression and localization may not contribute to cerebral edema formation, but rather may represent a compensatory mechanism to facilitate its resolution.
基金:
National Institutes of HealthUnited States Department of Health & Human ServicesNational Institutes of Health (NIH) - USA; United States Department of DefenseUnited States Department of Defense; Harold and Leila Y. Mathers Charitable Foundation; American Heart AssociationAmerican Heart Association; Neurosurgical Research and Education Foundation from the American Association of Neurological Surgeons (AANS)