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Traumatic brain injury exacerbates mitochondrial dysfunction in APP/PS1 knock-in mice through time-dependent
Elika Z Moallem1,2,3, Hemendra J Vekaria1,2, Teresa Macheda1,2
1Spinal Cord & Brain Injury Research Center, University of Kentucky, Lexington, KY.
Biorxiv : the Preprint Server for Biology
|November 19, 2025
Summary
Traumatic brain injury (TBI) temporarily worsens mitochondrial dysfunction in early Alzheimer's disease (AD) models. Male mice showed greater vulnerability, highlighting sex differences in neurodegenerative disease progression.
Area of Science:
- Neuroscience
- Mitochondrial Biology
- Neurodegenerative Diseases
Background:
- Cerebral hypometabolism is common in traumatic brain injury (TBI) and Alzheimer's disease (AD).
- Mechanisms underlying TBI- and AD-related hypometabolism, particularly their interplay, remain unclear.
- TBI impacts cerebral metabolism through blood-brain barrier damage and oxidative stress, while AD involves amyloid-β (Aβ) effects on mitochondria.
Purpose of the Study:
- To investigate if TBI-induced mitochondrial dysfunction exacerbates Aβ-mediated impairment in a mouse model.
- To explore the temporal relationship between TBI and AD pathology on mitochondrial function.
- To assess the influence of sex on vulnerability to combined TBI and AD insults.
Main Methods:
- Utilized a closed-head injury (CHI) model in APP/PS1 knock-in (KI) mice, a model for Alzheimer's disease.
- Administered CHI at 4-5 months of age, prior to endogenous plaque formation and mitochondrial deficits in KI mice.
- Assessed mitochondrial bioenergetics in hippocampal and cortical tissues at 1, 4, and 8 months post-injury using Seahorse assays.
Main Results:
- At 1 month post-injury, a genotype-by-injury interaction showed significantly greater mitochondrial dysfunction in KI mice compared to single insults, with males more affected than females.
- By 4-8 months post-injury, Aβ-mediated effects became dominant, and TBI-specific changes diminished, suggesting recovery or convergence on shared pathways.
- These findings indicate a temporary exacerbation of mitochondrial dysfunction by TBI in the context of early amyloidosis, influenced by sex.
Conclusions:
- TBI can transiently worsen mitochondrial deficits associated with early-stage Alzheimer's disease pathology.
- Sex significantly influences vulnerability to the combined effects of TBI and amyloidosis.
- Understanding these interactions is crucial for neurodegenerative disease research, emphasizing the role of sex as a biological variable.

