Kavita Singh1, Seenu Haridas2, Kailash Manda2, Richa Trivedi1, and Subash Khushu1
1NMR, INMAS, DRDO, Delhi, Delhi, India, 2Neurobehavioral lab, INMAS, DRDO, Delhi, Delhi, India
Synopsis
Mild
traumatic brain injury (mTBI), (70-90% of all TBI) shows consequences of anxiety-like
behavioral alterations in approximately 23% of cases. The
present study assesses acute anxiety-like behavior and its neurometabolic basis
in a rodent model of mTBI using 1H-MRS and neurobehavioral
analysis. At day5 reduced Tau/tCr levels in cortex was observed in mTBI group
as compared to control. Neurobehavioral analysis showed increased anxiety-like
behavior with normal cognition at day5. This study provides a putative neurometabolic
basis of anxiety-like behavior in mTBI model which closely mimics human
concussion injury. Introduction
Mild traumatic brain injury (mTBI) is the most common
form of TBI (70-90%)(1) with anxiety disorders are found in 23% of mTBI
cases. Studies report neurometabolic alterations following different severities
and types of rodent TBI (2) using magnetic resonance spectroscopy (MRS) with
scant evidences of studies relating anxiety-like behavior and metabolic
alterations in mTBI. So, the present study aims to investigate the longitudinal
neurometabolic alterations in anxiety modulating regions in a suitable
experimental model of mTBI.
Materials and methods
68adult, male SDrats (250gms) were used during the study. mTBI was
induced by freely dropping 450 gm(1cm diameter) brass rod from a height of 25cm
above the sagittal midway of the rat brain(3). The experiment was done in 3phases
with 4groups of rats viz; GpI:injury with anesthesia(IA), GpII:Injury only(IO),GpIII:anesthesia
only (AO), GpIV:control(OO)(Fig1). In phaseI mTBI induced longitudinal
neurometabolic alterations were studied using 1H-MRS prior to injury (D0) and
at 4hr, day1 and day5 post injury(PI) in gpIA . In phII of the study, 1H-MRS was done at D5 in
4groups to analyse the effect of injury on metabolic alterations without/with
interference of anesthesia used for imaging. Neurobehavioral analysis was done
in phaseIII of the study in all 4groups at D5.
1H-MRS experiments were carried on a 7T(Biospec USR70/30) Bruker system.
Based on anxiety modulating regions, the MRS voxels were localised in the
cortex, hippocampus region and amygdala of the rat brain(Fig2). Due to
poor SNR, amygdala could not be investigated in the study. The local field homogeneity
in 1H-MRS acquisition was optimised using the FASTMAP sequence. Outer volume
suppression combined with a point resolved spectroscopy (PRESS) sequence was
used with TR/TE 2500/20 ms, 512 averages. The water signal was suppressed by
variable power and optimised relaxation delay (VAPOR). A spectrum without water
suppression was acquired using 16 averages. The line width of the water peak was
between 9-12 Hz FWHM. MRS spectra were quantified offline using LCModel
(Provencher 2001). Total creatine, tCr (sum of Cr and PCr) concentration was
used as a normalising factor since no difference was observed in tCr between
groups.
Gross behavioral
changes, locomotor activities and basal anxiety level parameters were studied using
open field test (OFT) paradigm. The novel object recognition test (NORT) paradigm
was used to measure short-term memory functions in the rodents. All the
behavioral tests were conducted on the D5 PI, except for novel object
recognition tests, which include 2-day paradigms and hence were completed 24 hr
later, on D6.
Statistical analysis
Results of phI of the study was analysed using repeated
measures one way analysis of variance(ANOVA) with boneferroni confidence
interval adjustment. Results of phII and III, were analysed using ANOVA with
post-hoc boneferroni correction. p-value of ≤0.05 was considered to be
significant.
Results
PhI showed statistically significant reduction in Tau/tCr levels
in cortex at D5 PI in GpIA as compared to D0 (Fig3).
PhII showed reduced Tau/tCr levels in gpIA and IO at D5 as compared to gpOO.
AO didnot show any significant change in taurine levels indicating injury
induced changes in taurine levels. tGlu/tCr levels were significantly decreased
in group IA as compared to controls and AO group at D5 PI. tCho/tCr levels
showed non-significant reduction in IA group as compared to gpOO. Group AO
showed statistically increased tCho/tCr levels as compared to group IO at D5
imaging. GpIA didnot show any statistical difference in tNAA/tCr levels at any
timepoint PI. Group AO showed significantly increased levels of tNAA/tCr as
compared to gpsOO and IO at D5 (Fig3). Hippocampus did not show
any metabolic alteration in any group/timepoint PI.
PhaseIII
showed locomotor hyperactivity in gpsIO and AO groups with respect to gpOO rats.
Increased anxiety behaviour was observed in 3gps (IA,IO,AO) as compared to
gpOO. NORT showed non-significantly changed discrimination ratio of gpIA, IO
and AO as compared to gpOO(Fig4,5).
Discussion
mTBI has shown high extracellular K+concentration,
leading to cytotoxic edema and progressive taurine release. Significantly
decreased tGlu/tCr levels in gpIA at D5 PI suggests towards neuroprotective
mechanism to overcome injury induced glutamate excitotoxicity. Interaction of
taurine and glutamate alters physiological functions of the brain where taurine
may activate both GABAA and glycine receptors to modulate anxiety
behavior. Other metabolites showed variable results indicating anesthetic
affect; which needs further histological/cellular investigation. This study presents
neurometabolic basis of anxiety-like behavior in mTBI where acute reduction in cortical
taurine levels is accompanied with anxiety-like behavior but normal cognition
similar to symptoms of generalized anxiety disorder as seen in clinical TBI.
Acknowledgements
No acknowledgement found.References
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