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Region-Specific Vulnerability of the Amygdala to Injury-Induced Spreading Depolarization
Mariia P Smirnova1, Tatiana M Medvedeva1, Irina V Pavlova1
1Institute of Higher Nervous Activity and Neurophysiology, Russian Academy of Sciences, 117485 Moscow, Russia.
Abstract:
Spreading depolarization (SD), a self-propagated wave of transient depolarization, regularly occurs in the cortex after acute brain insults and is now referred as an important diagnostic and therapeutic target in patients with acute brain injury. Here, we show that the amygdala, the limbic structure responsible for post-injury neuropsychological symptoms, exhibits strong regional heterogeneity in vulnerability to SD with high susceptibility of its basolateral (BLA) region and resilience of its centromedial (CMA) region to triggering SD by acute focal damage. The BLA micro-injury elicited SD twice as often compared with identical injury of the CMA region (71% vs. 33%). Spatiotemporal features of SDs triggered in the amygdala indicated diverse patterns of the SD propagation to the cortex. Our results suggest that even relatively small cerebral structures can exhibit regional gradients in their susceptibility to SD and the heterogeneity may contribute to the generation of complex SD patterns in the injured brain.
Insights
Spreading depolarization (SD) shows regional differences in the amygdala after brain injury. The basolateral amygdala (BLA) is more susceptible to SD than the centromedial amygdala (CMA), impacting brain injury patterns.
Area of Science:
- Neuroscience
- Brain Injury Research
- Electrophysiology
Background:
- Spreading depolarization (SD) is a key event in acute brain injury.
- The amygdala's role in post-injury neuropsychological symptoms is recognized.
- Regional heterogeneity in brain structures' response to injury is not fully understood.
Purpose of the Study:
- To investigate the regional vulnerability of the amygdala to spreading depolarization (SD) following acute focal brain damage.
- To analyze the spatiotemporal characteristics of SD triggered within the amygdala and its propagation patterns.
Main Methods:
- Inducing acute focal micro-injuries in specific amygdala subregions (basolateral amygdala - BLA and centromedial amygdala - CMA).
- Monitoring and recording the occurrence and propagation of spreading depolarization (SD) using electrophysiological methods.
- Comparing the incidence and characteristics of SD triggered by identical injuries in BLA versus CMA.
Main Results:
- The basolateral amygdala (BLA) demonstrated significantly higher susceptibility to SD induction (71%) compared to the centromedial amygdala (CMA) (33%) after micro-injury.
- SD events triggered in the amygdala exhibited diverse spatiotemporal patterns of propagation to the cortex.
- Identical focal injuries resulted in a higher frequency of SD in the BLA than in the CMA.
Conclusions:
- The amygdala exhibits significant regional heterogeneity in its susceptibility to spreading depolarization (SD).
- This regional gradient in SD vulnerability within the amygdala may influence the complexity of SD patterns observed in injured brains.
- Understanding this heterogeneity is crucial for targeting SD in acute brain injury management.
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