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Sex Differences in Behavioral Sensitivities After Traumatic Brain Injury
Ann N Hoffman1,2,3,4, Sonya L Watson1,2, Anna S Makridis2
1Neurosurgery, Brain Injury Research Center, University of California, Los Angeles, Los Angeles, CA, United States.
Frontiers in Neurology
|December 16, 2020
Summary
Traumatic brain injury (TBI) increases fear and sensory sensitivity in both sexes. Females with TBI show heightened responses to stimuli, potentially explaining higher rates of anxiety and PTSD.
Area of Science:
- Neuroscience
- Behavioral Science
- Sex Differences Research
Background:
- Traumatic brain injury (TBI) is linked to psychiatric and neurological issues, with females reporting worse outcomes.
- Sex differences in TBI comorbidities like anxiety and PTSD are not fully understood.
- TBI may heighten susceptibility to anxiety or PTSD after stressors, with sex-specific impacts unexplored.
Purpose of the Study:
- Investigate sex differences in TBI's impact on fear learning and sensory sensitivity.
- Determine if TBI enhances fear conditioning and defensive behaviors in female and male rats.
- Explore TBI-induced sensory hypersensitivity across different modalities in both sexes.
Main Methods:
- Adult male and female rats underwent lateral fluid percussion injury (FPI) or sham surgery.
- Behavioral tests included auditory fear conditioning to white noise and contextual fear conditioning.
- Sensory sensitivity was assessed using responses to white noise, footshocks, and a light gradient open field test.
Main Results:
- FPI significantly increased defensive behaviors to white noise, particularly in females, indicating enhanced auditory sensitivity.
- TBI led to faster contextual fear learning in both sexes.
- FPI females exhibited photophobia, suggesting TBI-induced sensory hypersensitivity across modalities.
Conclusions:
- TBI enhances fear acquisition and defensive phenotypes following stressors in both sexes.
- Females with TBI display heightened sensitivity to sensory stimuli across multiple modalities.
- These sex-specific TBI effects may contribute to the higher prevalence of comorbid PTSD and anxiety in women.

