Repeated mild traumatic brain injury causes chronic neuroinflammation, changes in hippocampal synaptic plasticity,

Stephanie L Aungst1, Shruti V Kabadi1, Scott M Thompson2

  • 1Department of Anesthesiology, Shock, Trauma, and Anesthesiology Research (STAR) Center, University of Maryland School of Medicine, Heath Sciences Facility 2 (HSF2), Baltimore, Maryland, USA.

Insights

Repeated mild traumatic brain injury (mTBI) causes significant neuroinflammation and neuronal loss in rat hippocampus. This leads to impaired synaptic plasticity and cognitive deficits, highlighting long-term consequences of head trauma.

Area of Science:

  • Neuroscience
  • Traumatic Brain Injury Research
  • Neuroinflammation

Background:

  • Repeated mild traumatic brain injury (mTBI) is linked to persistent cognitive and psychiatric issues, alongside neurodegeneration.
  • The precise biological mechanisms underlying these chronic effects remain incompletely understood.

Purpose of the Study:

  • To investigate the histologic, neurophysiological, and cognitive consequences of single versus repeated mTBI.
  • To elucidate the impact of mTBI on hippocampal function and synaptic transmission.

Main Methods:

  • Utilized the rat lateral fluid percussion (LFP) model to induce single or repeated (three) mTBIs.
  • Assessed neuronal cell loss, microglial activation, long-term potentiation (LTP), and receptor-mediated responses (NMDA, AMPA) in hippocampal slices.
  • Evaluated cognitive function using the Morris water maze (MWM) and novel object recognition (NOR) tests.

Main Results:

  • Repeated mTBI resulted in significant neuronal loss and increased microglial activation in the hippocampus by post-injury day 28.
  • Long-term potentiation (LTP) was impaired, and N-Methyl-D-aspartate (NMDA) receptor responses were attenuated following repeated mTBI.
  • Single mTBI elicited LTP, with greater potentiation in the ipsilateral hippocampus, while repeated mTBI induced cognitive deficits in MWM and NOR tests.

Conclusions:

  • Repeated mTBI induces chronic neuroinflammation and neurodegeneration in the hippocampus.
  • These pathological changes correlate with impaired hippocampal synaptic function and long-lasting cognitive deficits.

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