Background Image
Table of Contents Table of Contents
Previous Page  7 / 162 Next Page
Information
Show Menu
Previous Page 7 / 162 Next Page
Page Background

T1-14

COMT AND ANKK1 GENETICS INTERACT WITH DE-

PRESSION TO INFLUENCE BEHAVIOR FOLLOWING

MODERATE/SEVERE TBI

John Myrga

1

, Shannon Juengst

1

, Michelle Failla

1,2

, Gary Galang

1

,

Yvette Conley

3–5

, Patricia Arenth

1

, Amy Wagner

1–3

1

Univ Pittsburgh, PhysicalMed/Rehab, Pittsburgh, USA

2

Univ Pittsburgh, Neuroscience, Pittsburgh, USA

3

Univ Pittsburgh, SafarCenter, Pittsburgh, USA

4

Univ Pittsburgh, HumanGenetics, Pittsburgh, USA

5

Univ Pittsburgh, HealthPromotion/Development, Pittsburgh, USA

Polymorphisms in the dopamine system, specifically the functional

polymorphism Val158Met in the catechol-o-methyl transferase

(COMT) gene and the Taq1A polymorphism in the ankyrin repeat and

kinase domain containing 1 (ANKK1) gene, are associated with

problematic behavior (e.g. impulsivity, aggression) in healthy popu-

lations. Additionally, stressful environments can interact with DA

genetics to influence behavior. To determine whether depression, a

condition associated with stress, interacts with polymorphisms to

adversely influence behavior following TBI, we assessed behavior and

depression status with the Frontal Systems Behavioral Scale (FrSBe)

and the Patient Health Questionnaire (PHQ-9) at 6&12 months in a

population of 97 Caucasian individuals with TBI. The FrSBe assesses

behaviors associated with frontal lobe dysfunction and produces

t-scores based on age, sex, and education adjusted norms. The PHQ9

is a validated assessment in the TBI population for depression. At 12-

months post-injury, we found a significant interaction between de-

pression and both Taq1A (p

=

0.003) and Val158Met (p

=

0.030) poly-

morphisms with regard to FrSBe scores. Depressed A2-homozygotes

scored

*

20 points worse than depressed A1-carrier counterparts

(p

=

0.053), and depressed Met-homozygotes scored

*

23 points

worse than depressed Val-carriers (p

=

0.064). Those without depres-

sion did not differ in behavior by Taq1A status (p

=

0.651) or

Val158Met status (p

=

0.464). A significant gene*depression interac-

tion (p

=

0.002) was also found at 12-months when assessing con-

current effects of Taq1A and Val158Met status on behavior.

Depressed individuals who were A2/A2 and Met-homozygotes re-

ported worse behavior than A2/A2 OR Met -homozygotes (p

=

0.003)

and those with no risk alleles (p

=

0.023). Significant interactions were

also noted on Apathy (p

=

0.006), Executive Function (p

=

0.002), and

Disinhibition (p

=

0.045) subscales. Similar, but non-significant, trends

were observed at 6-months. DA genetics may inform biosusceptibility

to behavioral problems following TBI and may help identify ‘‘at-risk’’

individuals with the greatest need for behavioral intervention.

Keywords: Rehabilomics, genes, behavior

T1-15

DELAYED AND ABBREVIATED ENVIRONMENTAL EN-

RICHMENT AFTER EXPERIMENTAL TRAUMATIC BRAIN

INJURY INCREASES HIPPOCAMPAL NEUROGENESIS

Naima Lajud Avila

1,2

, Jeffrey P. Cheng

1

, Corina O. Bondi

1

, Anthony

E. Kline

1

1

University of Pittsburgh, Physical Medicine & Rehabilitation and

Safar Center for Resuscitation Research, Pittsburgh, USA

2

Instituto Mexicano del Seguro Social, Divisio´n de Neurociencias,

Morelia, MX

Continuous environmental enrichment (EE) exposure improves neu-

robehavioral outcome after experimental traumatic brain injury (TBI).

One likely mechanism for the benefit is increased neurogenesis. De-

layed and abbreviated EE, which is more akin to clinical rehabilitation

in terms of timing, also enhances neurobehavioral recovery compa-

rably to early and continuous exposure after TBI; however, its effect

on hippocampal neurogenesis is unknown. Therefore,

the aim of this

study was to test the hypothesis that delayed and abbreviated EE is

sufficiently robust to induce hippocampal neuroplasticity after TBI

.

Anesthetized adult male rats received a controlled cortical impact

(2.8 mm depth at 4 m/sec) and were randomly assigned to either

standard housing (TBI

+

STD), continuous EE (TBI

+

EE), or delayed

and abbreviated EE (TBI

+

EE, 3 day delay, 6 hr day). BrdU (500 mg/

kg) was provided twice per day for 3 days and then sacrificed 10 days

later. The brains were cut on a freezing microtome at 40

l

m and

immunostaining for BrdU or triple immunofluorescence for BrdU,

DCX and NeuN was performed. Continuous EE lead to a 91%

(

p

£

0.05) increase in BrdU labeled nuclei density in the subgranular

zone of the dentate gyrus when compared to STD. Abbreviated EE

resulted in a 156% increase (

p

£

0.01) relative to STD. Triple im-

munofluorescence showed there were no differences in the percentage

of BrdU/DCX or BrdU/NeuN double labeled cells among the groups;

however in the continuous EE group, DCX positive cells displayed

larger ramifications when compared to abbreviated EE. In conclusion,

abbreviated EE with a 3 day delay effectively induced hippocampal

neurogenesis after TBI, which supports the hypothesis. These findings

elucidate a possible mechanism for the benefits observed with both

continuous and delayed-and-abbreviated EE.

Keywords: controlled cortical impact, environmental enrichment,

neurogenesis, immunostaining

T1-16

DEPRESSIVE SYMPTOMS ALTER AMYGDALA CON-

NECTIVITY IN TRAUMATIC BRAIN INJURY

Kihwan Han

1

, Sandra Chapman

1

, Daniel Krawczyk

1,2

1

University of Texas at Dallas, Center for BrainHealth, School of

Behavioral and Brain Sciences, Dallas, USA

2

University of Texas Southwestern Medical Center, Department of

Psychiatry, Dallas, USA

Depression is one of the most common psychiatric conditions in

chronic Traumatic Brain Injury (TBI). While depression has detri-

mental effects on chronic TBI individuals, there have been few in-

vestigations of neuroimaging biomarkers for comorbid depression in

TBI. Here, we utilized resting-state functional Magnetic Resonance

Imaging to identify altered amygdala connectivity in individuals with

chronic TBI who exhibited comorbid depressive symptoms (N

=

30),

relative to chronic TBI individuals having minimal depressive

symptoms (N

=

24). Connectivity analysis of these TBI sub-groups

revealed that the TBI

+

depressive symptoms group showed relatively

increased left amygdala connectivity with the bilateral precuneus,

dorsal and medial superior frontal gyri and paracentral lobules; the left

postcentral gyrus; the right insula, lingual gyrus, anterior prefrontal

gyrus and precentral gyrus (

p

cluster

<

0.05,

p

voxel

<

0.005). The

TBI

+

depressive symptoms group also exhibited relatively increased

right amygdala connectivity with the bilateral middle cingulate cor-

tices, insulae, dorsal and medial superior frontal gyri, paracentral

lobules, pre- and postcentral gyri, dorsolateral prefrontal gyri and

lingual gyri; left inferior frontal gyrus, dorsal anterior cingulate cor-

tex, anterior fusiform gyrus and anterior cerebellar vermis; right

thalamus and caudate head as well as relatively reduced right amyg-

dala connectivity with the left caudate body and the right caudate tail.

We conducted a post-hoc analysis on selected regions of interest

analysis that showed group differences in amygdala connectivity

A-7