Abstract

ObjectivePost-traumatic epilepsy is a devastating complication of traumatic brain injury that has no targeted pharmacological therapy. Previous literature has explored the role of the c-Jun N-terminal kinase (JNK) pathway in epilepsy and the creation of epileptogenic foci by reactive astrogliosis; however, the relationship between reactive astrogliosis and the c-Jun N-terminal kinase signaling pathway in the development of post-traumatic epilepsy has not been thoroughly examined.MethodsFour experimental groups, consisting of c57/b16 male mice, were examined: (1) control, (2) traumatic brain injury of graded severity (mild, moderate, severe), (3) sub-convulsive kainic acid alone without traumatic brain injury (15 mg/kg i.p.), and (4) sub-convulsive kainic acid administered 72 h after moderate traumatic brain injury. Modified Racine scale from 1 to 72 h and total beam breaks at 72 h were used to assess seizure activity. Immunohistochemistry and western blot were utilized to examine astrogliosis (GFAP), microglia activation (IBA-1), and phosphorylated JNK in prefrontal cortex samples collected from the contracoup side at 72 h post-injury.ResultsAstrogliosis, measured by GFAP, was increased after traumatic brain injury and increased commensurately based on the degree of injury. Mice with traumatic brain injury demonstrated a four-fold increase in phosphorylated JNK: p < 0.001. Sub-convulsive kainic acid administration did not increase seizure activity nor phosphorylation of JNK in mice without traumatic brain injury; however, sub-convulsive kainic acid administration in mice with moderate traumatic brain injury did increase phosphorylated JNK. Seizure activity was worse in mice, with traumatic brain injury, administered kainic acid than mice administered kainic acid.ConclusionsReactive astrocytes may have dysfunctional glutamate regulation causing an increase in phosphorylated JNK after kainic acid administration. Future studies exploring the effects of JNK inhibition on post-traumatic epilepsy are recommended.

Highlights

  • Post-traumatic epilepsy (PTE) is one of the most common and devastating complications of traumatic brain injury (TBI) with a variety of consequences for patient care, recovery, and outcomes (TBI) [1]

  • Immunohistochemistry and western blot were utilized to look at hematoxylin and eosin staining (H&E), astrogliosis (GFAP), microglia activation by ionized calcium-binding adapter molecule 1 (IBA-1), and Jun N-terminal kinase (JNK) phosphorylation

  • Our results demonstrate that TBI is associated with reactive astrogliosis, decreased resilience to kainic acid-induced seizures, and impedance of locomotion; this suggests that dysfunctional regulation of glutamate in reactive astrocytes may predispose to the development of PTE

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Summary

Introduction

Post-traumatic epilepsy (PTE) is one of the most common and devastating complications of traumatic brain injury (TBI) with a variety of consequences for patient care, recovery, and outcomes (TBI) [1]. PTE is defined two or more unprovoked seizures more than a week after injury [1,2,3]. The development of PTE after TBI varies with type and prevalence but may be as high as 50% [1, 5] Those at greatest risk are those with penetrating, versus closed head, injury and is directly correlated to injury severity [1, 6]. Many of those studied are veterans as they represent a significant population at risk for TBI, and the impact on quality of life can be significant [3].

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