Spreading depression expands traumatic injury in neocortical brain slices

Alanna J Church1, R David Andrew

  • 1Department of Anatomy and Cell Biology, Queen's University, Kingston, Ontario, Canada.

Journal of Neurotrauma
|February 18, 2005
PubMed

Insights

Traumatic brain injury (TBI) triggers spreading depression (tSD) events that worsen brain damage. MK-801 and sigma-1 receptor ligands like dextromethorphan effectively block tSD and reduce injury.

Area of Science:

  • Neuroscience
  • Trauma Research
  • Cellular Biology

Background:

  • Traumatic brain injury (TBI) is a significant concern, especially in young individuals, leading to long-term healthcare costs.
  • Early cellular events post-TBI are poorly understood, yet the initial hours are critical for mitigating secondary injury.
  • Spreading depression (SD) is a known phenomenon of neuronal and glial inactivation that occurs after focal stroke and exacerbates damage.

Purpose of the Study:

  • To investigate the occurrence of SD-like events immediately following TBI in neocortex.
  • To determine if these traumatic spreading depression (tSD) events contribute to neuronal damage.
  • To test the efficacy of specific drugs in inhibiting tSD and limiting TBI-induced damage.

Main Methods:

  • Development of a novel technique involving dropping a small weight onto live rat neocortical slices.
  • Imaging of light transmittance (LT) changes to detect propagating wave-like events.
  • Pharmacological inhibition of NMDA receptors and sigma-1 receptors (sigma1R) to assess their role in tSD and damage.

Main Results:

  • A propagating wave of increased LT, indicative of tSD, was observed originating from the TBI impact site.
  • tSD was found to significantly expand the area of subsequent neuronal damage.
  • The NMDA receptor antagonist MK-801 and sigma-1 receptor ligands (dextromethorphan, BD-1063) effectively blocked both tSD and the associated damage.

Conclusions:

  • An SD-like event, termed traumatic spreading depression (tSD), can occur within seconds of neocortical impact.
  • tSD plays a role in expanding acute neuronal damage following TBI.
  • Inhibiting tSD with NMDA receptor antagonists or sigma-1 receptor ligands presents a potential therapeutic strategy for TBI.

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