Abstract

Traumatic brain injury (TBI) triggers many secondary changes in tissue biology, which ultimately determine the extent of injury and clinical outcome. Hyaluronan [hyaluronic acid (HA)] is a protective cementing gel present in the intercellular spaces whose degradation has been reported as a causative factor in tissue damage. Yet little is known about the expression and activities of genes involved in HA catabolism after TBI. Young adult male Sprague-Dawley rats were assigned to three groups: naïve control, craniotomy, and controlled-cortical impact-induced TBI (CCI-TBI). Four animals per group were sacrificed at 4 h, 1, 3, and 7 days post-CCI. The mRNA expression of hyaluronan synthases (HAS1-3), hyaluronidases (enzymes for HA degradation, HYAL 1–4, and PH20), and CD44 and RHAMM (membrane receptors for HA signaling and removal) were determined using real-time PCR. Compared to the naïve controls, expression of HAS1 and HAS2 mRNA, but not HAS3 mRNA increased significantly following craniotomy alone and following CCI with differential kinetics. Expression of HAS2 mRNA increased significantly in the ipsilateral brain at 1 and 3 days post-CCI. HYAL1 mRNA expression also increased significantly in the craniotomy group and in the contralateral CCI at 1 and 3 days post-CCI. CD44 mRNA expression increased significantly in the ipsilateral CCI at 4 h, 1, 3, and 7 days post-CCI (up to 25-fold increase). These data suggest a dynamic regulation and role for HA metabolism in secondary responses to TBI.

Highlights

  • Traumatic brain injury (TBI) is the leading cause of mortality in children and young adult under 44 years of age in the USA

  • Altered hyaluronic acid (HA) metabolism has been reported at protracted periods following stroke in human [39] and following middle cerebral artery occlusion (MCAO) in the rat [40]

  • The biological relevance of the increased expression of HAS and CD44 remains to be fully understood, the results suggest that brain HA metabolism could have been altered and may represent a potentially important mechanism of secondary injury and/or repair in TBI

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Summary

Introduction

Traumatic brain injury (TBI) is the leading cause of mortality in children and young adult under 44 years of age in the USA. The three HAS genes show distinct patterns of expression during development and their protein products play significantly different roles in the formation of the HA matrix and in response to different stimuli [3,4,5]. Both HAS1 and HAS2 synthesize high-molecular-weight HA, whereas HAS3 produces lower molecular weight HA [3]. The concentration of high-molecular-weight hyaluronan is high in the brains of young rats, but it decreases with aging whereas the low molecular weight hyaluronan increases with aging [11, 12]

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