Newborn and juveniles exhibit distinct transcriptional and pathological profiles after brain injury

Oluwagbemisola Aderibigbe1, Akshara D Thakore1, Martin N Griffin2

  • 1Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta, GA, USA.

Insights

Developmental stage, not injury force, significantly impacts brain molecular changes after traumatic brain injury (TBI). Newborn piglets show distinct responses from juveniles, highlighting age-related differences in TBI recovery.

Area of Science:

  • Neuroscience
  • Developmental Biology
  • Traumatic Brain Injury Research

Background:

  • Patient outcomes after traumatic brain injury (TBI) are influenced by age and injury severity.
  • Limited understanding exists regarding the effects of age and biomechanical load on molecular brain changes post-pediatric TBI.

Purpose of the Study:

  • To investigate transcriptional and axonal injury differences in newborn versus juvenile piglets after controlled rotational TBI.
  • To determine the relative contributions of biomechanical load and developmental stage to TBI-induced molecular alterations.

Main Methods:

  • Sagittal rapid non-impact head rotation (RNR) model in newborn (3-5 days) and juvenile (4 weeks) piglets.
  • Exposure to varying rotational loads (Low and High) and age-matched sham controls.
  • Analysis of frontal lobe transcriptional changes (differentially expressed genes) and axonal injury volume.

Main Results:

  • Newborn piglets exhibited distinct gene expression profiles compared to juveniles, with newborns showing endothelial cell-related gene upregulation and juveniles showing neuron-related gene upregulation.
  • Overlapping differentially expressed genes (DEGs) in newborns indicated stress, inflammation, and extracellular matrix remodeling, while high-load specific DEGs suggested exacerbated immune response.
  • Axonal injury volume was significantly greater in high-load newborns, correlating with increased rotational loads, but TBI-specific molecular changes were primarily observed in juvenile piglets.

Conclusions:

  • Developmental stage profoundly influences the brain's molecular and pathological response to TBI, often overriding the impact of biomechanical load.
  • Distinct cellular responses (endothelial vs. neuronal) and microglia morphologies between age groups underscore critical differences in TBI susceptibility and recovery.
  • Findings emphasize the need for age-specific TBI research and therapeutic strategies to address developmental variations in brain injury.