1
University of Iowa, Iowa City, USA
2
UT Southwestern Medical Center, Dallas, USA
3
Iowa City Veterans Affair Hospital, Iowa City, USA
The prevalence of soldiers suffering from blast-mediated traumatic
brain injury (TBI) has increased due to use of improvised explosive
devices by enemy combatants. TBI results in progressive neuronal
damage associated with chronic cognitive and neurological symp-
toms. Currently, there are no available pharmacotherapeutic inter-
ventions to prevent TBI induced neurological damage. Previously, we
have demonstrated that P7C3-A20, a neuroprotective aminopropyl
carbazole, protects rats from neurological deficit after fluid percussion
injury. We have now evaluated the efficacy of P7C3-243, a more
recently developed analog in the P7C3-series of neuroprotective
compounds, after blast-mediated TBI in mice. When daily adminis-
tration of P7C3-243 is initiated within 36 hr after TBI, mice are
protected from deficits in the hippocampal-dependent Barnes maze
task of learning and memory. This is associated with similar protec-
tion in electrophysiologic measures of synaptic transmission in the
hippocampus (long term potentiation and paired pulse facilitation).
We further reveal that blast-mediated TBI precipitates axonal de-
generation in the absence of frank neuronal cell loss, and that P7C3-
243 blocks this axonal loss. Our hope is that the chemical scaffold
represented by P7C3-243 will provide a basis for developing new
pharmacologic agents for patients with TBI.
Key word
therapeutic
C3-01
DELAYED MICROBLEEDS AND WHITE MATTER DAMAGE
AFTER EXPERIMENTAL TRAUMATIC BRAIN INJURY
Glushakova, O.Y.
, Johnson, D., Hayes, R.L.
Banyan Biomarkers, Inc., Alachua, USA
This study evaluates microvascular abnormalities observed at acute
and chronic stages following TBI in rats and examines pathological
processes associated with these abnormalities. TBI in adult rats was
induced by controlled cortical impact (CCI) of two magnitudes. Brain
pathology was assessed in white matter of the corpus callosum for 24
h to 3 months following injury using immunohistochemistry (IHC).
TBI resulted in focal microbleeds that were related to the magnitude
of injury. At the lower magnitude of injury, microbleeds gradually
increased over the 3 month duration of the study. IHC revealed TBI-
induced focal abnormalities including brain barrier (BBB) damage
(IgG), endothelial damage [Intercellular Adhesion Molecule 1
(ICAM-1)], activation of reactive microglia [Ionized calcium binding
adaptor molecule 1 (Iba1)], gliosis [Glial Fibrillary Acidic Protein
(GFAP)] and macrophage mediated inflammation [Cluster of Differ-
entiation 68 (CD68)], all showing different temporal profiles. At
chronic stages (up to 3 months), apparent myelin loss (Luxol fast blue)
and scattered deposition of microbleeds were observed. Microbleeds
were surrounded by glial scars and colocalized with CD68 and IgG
puncta stainings, suggesting that localized BBB breakdown and in-
flammation were associated with vascular damage. Our results indi-
cate that evolving white matter degeneration following experimental
TBI is associated with significantly delayed microvascular damage
and focal microbleeds that are temporally and regionally associated
with development of punctate BBB breakdown and progressive in-
flammatory responses. Increased understanding of mechanisms un-
derlying delayed microvascular damage following TBI could provide
novel insights into chronic pathological responses to TBI and poten-
tial common mechanisms underlying TBI and neurodegenerative
diseases.
Key words
BBB, CD 68, chronic TBI, GFAP, ICAM-1, microbleeds, microglia
C3-02
TRAUMATIC BRAIN INJURY-INDUCED MICRORNAS SUP-
PRESS PROSURVIVAL GENE EXPRESSION
Boone, D.R.
, Weisz, H., Parsley, M., Bolding, I., Prough, D., DeWitt,
D., Hellmich, H.
University of Texas Medical Branch, Department of Anesthesiology,
Galveston, USA
We and others have shown that TBI alters expression of several mi-
croRNAs (miRNAs) – small, non-coding RNAs that negatively reg-
ulate the expression of target genes involved in cell death/survival.
Here we test the hypothesis that miR-15b, a TBI-induced miRNA
suppresses the expression of prosurvival genes in dying neurons.
Adult male Sprague-Dawley rats (350–400 g) were prepared for se-
vere lateral fluid percussion brain injury, their brains removed 24
hours later, and total RNA containing microRNA isolated. We per-
formed quantitative real-time PCR analysis (using TaqMan probes) of
individual miRNAs in total RNA samples isolated from whole hip-
pocampus and from laser capture microdissected samples of Fluoro-
Jade-positive (dying) and Fluoro-Jade-negative (surviving) cells. To
determine if dying neurons had higher levels of miR-15b, we per-
formed
in situ
hybridization experiments using an Alexa 594 antibody
to the digoxigenin-labeled locked nucleic acid (LNA) probe to miR-
15b, and then stained the sections with Fluoro-Jade C. To confirm the
negative regulation of BDNF, a predicted gene target of miR-15b, we
cloned the sequence of the miR-15b binding site in the 3
¢
UTR of
BDNF into the pmirGlo Dual Luciferase reporter vector, and per-
formed the assay using a miR-15b mimic and antagomir. We have
confirmed the up- and down regulation of several miRNAs in both
whole rat hippocampi and individual dying and surviving neurons.
miR-758, miR-379 and miR-181c were confirmed to be down regu-
lated after TBI, and miR-18a and 19a were up-regulated in total RNA
samples from whole hippocampi. We confirmed that dying FJ
+
neu-
rons expressed higher levels of miR-15b than adjacent FJ- surviving
neurons. miR-15b mimics reduced the expression of BDNF (reduced
luciferase activity) and addition of LNA antagomir for miR-15b re-
stored normal levels of luciferase activity, confirming that BDNF
expression is negatively regulated by miR-15b. These studies are
expected to aid in developing miRNA-based therapeutics that can be
used to treat TBI.
Key word
miRNA
C3-03
ADENOSINE KINASE GENE ASSOCIATED WITH POST-
TRAUMATIC EPILEPSY DEVELOPMENT
Diamond, M.L.
1
, Ritter, A.C.
1
, Conley, Y.P.
2
, Boison, D.
7
, Kochanek,
P.M.
3,5
, Jackson, E.K.
4
, Wagner, A.K.
1,5,6
1
Department of PM&R, Pittsburgh,
2
Department of Health Promotion and Development, Pittsburgh,
3
Department of Critical Care Medicine, Pittsburgh,
4
Department of Pharmacology and Chemical Biology, Pittsburgh,
A-89