Abstract

Blast exposure (via detonation of high explosives) represents a major potential trauma source for Servicemembers and Veterans, often resulting in mild traumatic brain injury (mTBI). Executive dysfunction (e.g., alterations in memory, deficits in mental flexibility, difficulty with adaptability) is commonly reported by Veterans with a history of blast-related mTBI, leading to impaired daily functioning and decreased quality of life, but underlying mechanisms are not fully understood and have not been well studied in animal models of blast. To investigate potential underlying behavioral mechanisms contributing to deficits in executive functioning post-blast mTBI, here we examined how a history of repetitive blast exposure in male mice affects anxiety/compulsivity-like outcomes and appetitive goal-directed behavior using an established mouse model of blast mTBI. We hypothesized that repetitive blast exposure in male mice would result in anxiety/compulsivity-like outcomes and corresponding performance deficits in operant-based reward learning and behavioral flexibility paradigms. Instead, results demonstrate an increase in reward-seeking and goal-directed behavior and a congruent decrease in behavioral flexibility. We also report chronic adverse behavioral changes related to anxiety, compulsivity, and hyperarousal. In combination, these data suggest that potential deficits in executive function following blast mTBI are at least in part related to enhanced compulsivity/hyperreactivity and behavioral inflexibility and not simply due to a lack of motivation or inability to acquire task parameters, with important implications for subsequent diagnosis and treatment management.

Highlights

  • Deficits in cognitive control and flexibility are common following mild traumatic brain injury and can significantly contribute to decreased quality of life (McInnes et al, 2017; Hendrickson et al, 2018; Ozga et al, 2018)

  • A month following repetitive sham or blast exposure, male mice were tested in the marble burying assay, elevated zero maze, acoustic startle habituation, and acoustic startle prepulse inhibition, as behavioral dysfunction in these paradigms has previously been linked to deficits in executive function and motivation (Ozga et al, 2018)

  • Repetitive blast exposure resulted in acute weight loss that resolved to sham levels by 1 month post exposure (two-way RM ANOVA: main effect of group F(1,28) = 21.11, p = 0.0001, main effect of time F(3,28) = 164.3, p < 0.0001, interaction effect F(3,84) = 7.884, p = 0.0001, Bonferroni-Šídák; n = 11–15; Figure 1B)

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Summary

Introduction

Deficits in cognitive control and flexibility are common following mild traumatic brain injury (mTBI) and can significantly contribute to decreased quality of life (McInnes et al, 2017; Hendrickson et al, 2018; Ozga et al, 2018). Cognitive impairments commonly reported by Veterans with a history of blast exposure include alterations in memory, deficits in mental flexibility, and difficulty with adaptability (e.g., executive dysfunction; Amick et al, 2013; Schindler et al, 2017; Hendrickson et al, 2018; Pagulayan et al, 2018, 2020; Sullivan et al, 2018; Karr et al, 2019). Using a variety of behavioral paradigms, collective results demonstrate blast mTBI-induced deficits in working memory, sensorimotor performance, and motivation. These results raise the possibility that deficits in executive function arise indirectly because of anxiety, hyperarousal, and/or motivation deficits. More sophisticated operant-based paradigms aimed at assessing discrete aspects of flexible goal-directed behavior in animal models are required to further uncover how repetitive blast exposure contributes to executive dysfunction and is the focus of the current study

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