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Published on: August 18, 2018
Importance of Control Groups for Evaluating Long-Term Behavioral and Cognitive Outcomes of Controlled Cortical Impact
Nagat El-Demerdash1, Tiffany Pan1, Olivia Choi1
1Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University, School of Medicine, Baltimore, Maryland, USA.
Insights
Pediatric traumatic brain injury (TBI) in rats impairs learning, memory, and social behavior long-term. Careful control groups are crucial for accurately assessing TBI effects in research models.
Area of Science:
- Neuroscience
- Developmental Neuroscience
- Behavioral Neuroscience
Background:
- Pediatric traumatic brain injury (TBI) presents limited therapeutic options and can cause lasting cognitive and behavioral deficits.
- Animal models are vital for understanding pediatric TBI but often struggle to demonstrate clinically relevant long-term effects.
- Controlled cortical impact (CCI) is a common model, but the impact of surgical procedures like craniotomy requires careful consideration.
Purpose of the Study:
- To comprehensively characterize the short- and long-term behavioral and cognitive outcomes in a rat model of pediatric TBI.
- To evaluate the necessity and impact of appropriate control groups, specifically comparing TBI effects against sham surgery (craniotomy) and anesthesia controls.
- To establish a sensitive testing paradigm for detecting subtle, long-term deficits following early-life brain injury.
Main Methods:
- A controlled cortical impact (CCI) model was used in male rats at postnatal day 10 (PND 10).
- Animals were assessed using a battery of tests including motor function, novel object recognition (NOR), water maze (WM), and social interaction tests between 2 weeks and 4 months post-injury.
- Key control groups included Naïve (no intervention), Anesthesia, and Craniotomy (sham surgery).
Main Results:
- Rats with TBI exhibited significant long-term functional impairments across multiple cognitive and behavioral tasks compared to naïve controls.
- Cognitive functions most sensitive to TBI included one-trial learning, memory flexibility, and social recognition memory.
- Craniotomy alone produced notable effects across several tasks, sometimes comparable to TBI effects, highlighting the importance of this control group.
Conclusions:
- Comprehensive cognitive and behavioral testing is highly sensitive to detecting long-term deficits after early-life TBI and surgical procedures.
- The choice of control groups, particularly sham surgery, is critical for accurately interpreting results in pediatric TBI models.
- This study provides a robust testing framework for future evaluation of therapeutic interventions for pediatric TBI.
Abstract:
Therapies are limited for pediatric traumatic brain injury (TBI), especially for the very young who can experience long-term consequences to learning, memory, and social behavior. Animal models of pediatric TBI have yielded mechanistic insights, but demonstration of clinically relevant long-term behavioral and/or cognitive deficits has been challenging. We characterized short- and long-term outcomes in a controlled cortical impact (CCI) model of pediatric TBI using a panel of tests between 2 weeks and ∼4 months after injury. Male rats with CCI at postnatal Day (PND) 10 were compared with three control groups: Naïve, Anesthesia, and Craniotomy. Motor testing (PND 25-33), novel object recognition (NOR; PND 40-50), and multiple tasks in water maze (WM; PND 65-100) were followed by social interaction tests (PND 120-140). Anesthesia rats performed the same as Naïve rats in all tasks. TBI rats, when compared with Naïve controls, had functional impairments across most tests studied. The most sensitive cognitive processes affected by TBI included those that required fast one-trial learning (NOR, WM), flexibility of acquired memory traces (reversals in WM), response strategies (WM), or recognition memory in the setting of reciprocal social interactions. Both TBI and Craniotomy groups demonstrated increased rates of decision making across several WM tasks, suggesting disinhibition of motor responses. When the TBI group was compared with the Craniotomy group, however, deficits were detected in a limited number of outcomes. The latter included learning speed (WM), cognitive flexibility (WM), and social recognition memory. Notably, effects of craniotomy, when compared with Naïve controls, spanned across multiple tasks, and in some tasks, could reach the effect sizes observed in TBI. These results highlight the importance of appropriate control groups in pediatric CCI models. In addition, the study demonstrates the high sensitivity of comprehensive cognitive testing to detect long-term effects of early-age craniotomy and TBI and provides a template for future testing of experimental therapies.

