Abstract

Mild traumatic brain injury (mTBI) produces symptoms similar to those typifying posttraumatic stress disorder (PTSD) in humans. We sought to determine whether a rodent model of stress concurrent with mTBI produces characteristics of PTSD such as impaired contextual fear extinction, while also examining concurrent alterations to limbic monoamine activity in brain regions relevant to fear and anxiety states. Male rats were exposed to social stress or control conditions immediately prior to mTBI induction, and 6 days later were tested either for anxiety-like behavior using the elevated plus maze (EPM), or for contextual fear conditioning and extinction. Brains were collected 24 h after EPM testing, and tissue from various limbic regions analyzed for content of monoamines, their precursors and metabolites using HPLC with electrochemical detection. Either social defeat or mTBI alone decreased time spent in open arms of the EPM, indicating greater anxiety-like behavior. However, this effect was enhanced by the combination of treatments. Further, rats exposed to both social defeat and mTBI exhibited greater freezing within extinction sessions compared to all other groups, suggesting impaired contextual fear extinction. Social defeat combined with mTBI also had greater effects on limbic monoamines than either insult alone, particularly with respect to serotonergic effects associated with anxiety and fear learning. The results suggest social stress concurrent with mTBI produces provides a relevant animal model for studying the prevention and treatment of post-concussive psychobiological outcomes.

Highlights

  • Mild TBI is one of the most common brain injuries, contributing to 75 percent of total TBI cases (Center for Disease Control and Prevention [CDC], 2003)

  • Significant effects of treatment on monoamine levels were followed up with Pearson Product Moment Correlation tests to determine any relationship between the monoamine and time spent in open arms of the elevated plus maze (EPM)

  • Anxiety-like Behavior in Elevated Plus Maze. Both social defeat and mild traumatic brain injury (mTBI) independently affected the number of entries [Figure 2A; F(3,36) = 3.296, p = 0.031] and time spent in open arms of the EPM [Figure 2B; F(3,33) = 10.331, p < 0.001]

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Summary

Introduction

Mild TBI is one of the most common brain injuries, contributing to 75 percent of total TBI cases (Center for Disease Control and Prevention [CDC], 2003). Clinical evidence suggests mild traumatic brain injury (mTBI) increases the risk for anxiety disorders (Bryant and Harvey, 1999; Moore et al, 2006). This relationship is further exemplified by a recent study of a military population, in which 43.9 percent of those who received a mTBI met the diagnostic criteria for TBI with Stress Increases Anxiety posttraumatic stress disorder (PTSD) compared to just 16.2 percent of those receiving other injuries during deployment (Hoge et al, 2008). There appears to be some consistency in the alterations to hippocampal and amygdala structure and function that could explain increased anxiety-like signs and fear following mTBI

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