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Long-term consequences of single and multiple mild blast exposure on select physiological parameters and blood-based
Farid A Ahmed1, Alaa Kamnaksh, Erzsebet Kovesdi
1Department of Anatomy, Physiology and Genetics, Uniformed Services University, Bethesda, MD 20814, USA.
Abstract:
Mild traumatic brain injury (mTBI), especially when it is repeated (rmTBI), can lead to progressive degenerative diseases and lasting neuropsychiatric abnormalities. To better understand the long-term pathobiological changes in mTBI and rmTBI, we exposed rats to single or repeated (5 total; administered on consecutive days) mild blast overpressure, monitored changes in physiological parameters, and determined the plasma levels of select biomarkers at 42 days post injury by proteomics. We unexpectedly found comparable changes in arterial oxygen saturation levels and heart rates of single-injured (SI) and multiple-injured (MI) rats throughout the observation period. Our analyses indicated lasting oxidative stress, vascular abnormalities, and neuronal and glial cell loss in both injured groups. However, MI rats exhibited a relatively more pronounced increase in the plasma levels of most of the tested markers-particularly those associated with inflammation-albeit the differences between the two injured groups were not statistically significant. Our findings indicate that the frequency of blast exposures is an important determinant of the resulting cumulative damage in rmTBI.
Insights
Repeated mild traumatic brain injuries (mTBI) cause cumulative damage. Even without statistically significant differences, multiple injuries showed more inflammation markers than single injuries in rats.
Area of Science:
- Neuroscience
- Pathobiology
- Proteomics
Background:
- Mild traumatic brain injury (mTBI) and repeated mTBI (rmTBI) can cause progressive neurodegeneration and neuropsychiatric issues.
- Understanding long-term pathobiological changes from mTBI and rmTBI is crucial.
Purpose of the Study:
- To investigate the long-term pathobiological consequences of single versus repeated mild blast overpressure injuries in a rat model.
- To identify lasting physiological and plasma biomarker changes at 42 days post-injury.
Main Methods:
- Rats were exposed to single or repeated (5 total) mild blast overpressure.
- Physiological parameters were monitored.
- Plasma biomarkers were analyzed using proteomics at 42 days post-injury.
Main Results:
- Both single-injured (SI) and multiple-injured (MI) rats showed lasting oxidative stress, vascular abnormalities, and neuronal/glial cell loss.
- Comparable changes in arterial oxygen saturation and heart rate were observed between SI and MI rats.
- MI rats displayed a trend towards higher plasma inflammatory markers compared to SI rats, though not statistically significant.
Conclusions:
- The frequency of blast exposure is a key factor in the cumulative damage associated with rmTBI.
- rmTBI induces persistent pathobiological alterations, with a tendency for increased inflammation markers after repeated exposures.
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