Gliovascular changes precede white matter damage and long-term disorders in juvenile mild closed head injury

Beatriz Rodriguez-Grande1, Andre Obenaus1,2,3,4,5, Aleksandra Ichkova1

  • 1CNRS UMR5287, Institut de Neurosciences Cognitives et Intégratives d'Aquitaine, University of Bordeaux, Bordeaux, France.

Glia
|April 18, 2018
PubMed

Insights

Mild traumatic brain injury (TBI) in juvenile mice causes early white matter changes, including altered AQP4 levels and astrogliosis. These changes precede long-term deficits and suggest potential therapeutic targets for pediatric TBI.

Area of Science:

  • Neuroscience
  • Pediatric Traumatology
  • Neuroimaging

Background:

  • Traumatic brain injury (TBI) is a significant cause of pediatric hospitalizations, often leading to long-term neurological disorders.
  • White matter (WM) alterations are common sequelae of TBI, but early pathophysiology after mild pediatric TBI remains poorly understood.
  • The role of the gliovascular unit in acute mild TBI is an area requiring further investigation.

Purpose of the Study:

  • To investigate early white matter (WM) pathophysiology and gliovascular unit changes following mild traumatic brain injury (TBI) in juvenile mice.
  • To compare the effects of two grades of TBI severity on WM integrity and cellular responses.
  • To identify potential biomarkers and therapeutic targets for acute pediatric TBI.

Main Methods:

  • Mild TBI was induced in juvenile mice (postnatal day 17) using a closed head injury model with two severity grades (G1, G2).
  • Assessments included MRI (T2-signal, diffusion tensor imaging), blood-brain barrier (BBB) integrity assays (IgG extravasation), and immunohistochemistry for glial fibrillary acidic protein (GFAP), aquaporin-4 (AQP4), myelin, and neurofilaments.
  • Behavioral tests were conducted one month post-injury.

Main Results:

  • Grade 2 (G2) TBI caused significant WM edema and BBB damage, while Grade 1 (G1) TBI showed decreased T2 signal and increased AQP4 levels.
  • Both TBI severities induced astrogliosis (GFAP) acutely, with no immediate changes in myelin or neurofilaments.
  • One month post-injury, G2 mice exhibited altered fractional anisotropy (MRI) and reduced neurofilament staining, alongside behavioral impairments in both groups.

Conclusions:

  • Distinct early gliovascular alterations, including changes in AQP4 and astrogliosis, occur after juvenile mild TBI.
  • These acute changes precede the development of long-term WM deficits and behavioral impairments observed in mouse models.
  • AQP4 emerges as a potential therapeutic target for modulating disease severity in pediatric TBI.

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