Abstract

Direct or indirect exposure to an explosion can induce traumatic brain injury (TBI) of various severity levels. Primary TBI from blast exposure is commonly characterized by internal injuries, such as vascular damage, neuronal injury, and contusion, without external injuries. Current animal models of blast-induced TBI (bTBI) have helped to understand the deleterious effects of moderate to severe blast forces. However, the neurological effects of mild blast forces remain poorly characterized. Here, we investigated the effects caused by mild blast forces combining neuropathological, histological, biochemical and neurophysiological analysis. For this purpose, we employed a rodent blast TBI model with blast forces below the level that causes macroscopic neuropathological changes. We found that mild blast forces induced neuroinflammation in cerebral cortex, striatum and hippocampus. Moreover, mild blast triggered microvascular damage and axonal injury. Furthermore, mild blast caused deficits in hippocampal short-term plasticity and synaptic excitability, but no impairments in long-term potentiation. Finally, mild blast exposure induced proteolytic cleavage of spectrin and the cyclin-dependent kinase 5 activator, p35 in hippocampus. Together, these findings show that mild blast forces can cause aberrant neurological changes that critically impact neuronal functions. These results are consistent with the idea that mild blast forces may induce subclinical pathophysiological changes that may contribute to neurological and psychiatric disorders.

Highlights

  • Blast-induced traumatic brain injury results from direct or indirect exposure to an explosive event as may occur in domestic or industrial accidents, terrorist attacks, or in military conflicts [1, 2]

  • Gross examination of rat brains at 1, 3, 7 and 21 day(s) following blast exposure revealed no macroscopic evidence of contusion, necrosis, hematoma, hemorrhage, or focal tissue damage of Blast-induced traumatic brain injury (bTBI) brains (Fig. 1d-l; data shown for 1 and 7 day(s) post-bTBI, vs. control)

  • Growing evidence suggests that brain injury from blast exposure is a unique and problematic form of neuropathology that may be linked to severe mental illness and chronic neurodegeneration [24]

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Summary

Introduction

Blast-induced traumatic brain injury (bTBI) results from direct or indirect exposure to an explosive event as may occur in domestic or industrial accidents, terrorist attacks, or in military conflicts [1, 2]. Hernandez et al Molecular Brain (2018) 11:64 These studies report characteristic neuropathological changes, including neuronal injury, neuroinflammation, hematomas, or contusion in rodent models of bTBI. Induction of common biochemical and molecular mechanisms associated with neuronal injury have been reported [4, 6, 11, 12] Together, these studies revealed that primary bTBI induced by stronger blasts negatively affects a variety of cerebral structures and neuronal functions. These studies revealed that primary bTBI induced by stronger blasts negatively affects a variety of cerebral structures and neuronal functions While these more profound effects demonstrate the ability to model moderate to severe bTBI, the physiological impact of mild blast forces remains poorly defined. It is hypothesized that milder blast forces, still may induce neuropathophysiological changes, a better understanding of the effect of mild bTBI on neuronal functions is needed

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