Imaging Synaptic Injury in TBI using SEQUIN

使用 SEQUIN 对 TBI 中的突触损伤进行成像

基本信息

批准号：
10514616
负责人：
TERRANCE T KUMMER
金额：
--
依托单位：
ST. LOUIS VA MEDICAL CENTER
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-10-01 至 2024-09-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10514616
关键词：
APP-PS1 Acute Admixture Adolescent and Young Adult Adult Affect Age Aging Alzheimer associated neurodegeneration Alzheimer&apos s Disease Alzheimer&apos s disease risk Amyloid Amyloidosis Animal Model Atrophic Automobile Driving Behavior monitoring Behavioral Brain Brain region Cause of Death Chronic Cognitive Complement Complex Data Dementia Diffuse Elements Emotional Environmental Risk Factor Epigenetic Process Evaluation Excitatory Synapse Fright Functional disorder Genetic Head Health Human Human Resources Image Image Analysis Immune system Impaired cognition Indolent Inflammatory Injury Innate Immune System Interruption Life Link Measures Mediating Mediator Military Personnel Modeling Molecular Monitor Nanostructures Nerve Degeneration Neurofibrillary Tangles Neurologic Neurons Neuropil Neuropsychology Outcome Pathologic Pathology Pathway interactions Pattern Play Process Public Health Risk Factors Role Senile Plaques Synapses TBI treatment Tauopathies Time Trauma Traumatic Brain Injury Veterans War active duty advanced disease aged analysis pipeline axon injury complement pathway cost disability falls functional improvement functional outcomes gray matter immune activation improved outcome injured innovation loss of function middle age mouse model neural circuit neural network neurobehavioral neuroinflammation neuron loss novel pharmacologic presynaptic prevent resilience response service member social stem superresolution imaging tau Proteins tau aggregation therapeutic target tool white matter young adult

项目摘要

Traumatic brain injury (TBI) is the leading cause of death and disability in adults under the age of 45, affecting ∼20% of veterans from recent wars. Once thought to be a monophasic injury, TBI is now known to trigger an indolent neurodegenerative process that substantially increases the risk of Alzheimer’s and other forms of dementia for older veterans. All disability resulting from TBI stems from its disruption of functional neural networks. The mechanisms by which TBI interrupts these networks and sets up further neurodegenerative network breakdown are inadequately defined, though injury loci beyond those observed in white matter are increasingly recognized. Synaptic injury has been identified following TBI in humans and in animal models, resulting in pathological molecular, structural, and functional changes to synapses, or their frank loss. Synapse loss is also a common, early finding in Alzheimer’s disease (AD) where it is the strongest pathological correlate of AD-induced dementia—even stronger than amyloid plaques or tau tangles. Neuroinflammatory pathways are activated in a prolonged fashion after TBI in animal models and in humans, and play a central role in mediating synapse loss in AD. A better understanding of synaptic injury in TBI, and its neuroinflammatory mediators, therefore, could supply a missing and potentially interruptible structural-mechanistic connection between these conditions. Synapses, however, are very challenging to study due to their extremely small size and admixture within the extraordinarily complex subcellular milieu of mammalian neuropil. We developed an innovative, widely accessible super-resolution imaging and image analysis platform called SEQUIN (Synaptic Evaluation and QUantification by Imaging of Nanostructure) to enable routine monitoring of synaptic health in animal models and in humans. Our preliminary data demonstrate that synapse loss is a prominent feature of diffuse, closed head TBI in a militarily-relevant mouse model, and indicate that inhibition of the complement pathway (part of the innate immune system) prevents traumatic synapse loss and improves function after TBI. These findings suggest that neuroinflammatory synaptic injury leads to acute neurological disability following diffuse TBI and sensitizes the brain to subsequent neurodegenerative changes, hastening the onset of dementia. We propose to first (Aim 1) characterize regional synapse loss resulting from diffuse TBI and determine its neuropsychological and behavioral correlates at a scale impossible to achieve pre-SEQUIN. We will then (Aim 2) determine the role of the complement pathway in mediating traumatic synapse loss, and determine whether genetic and/or pharmacological targeting of this pathway can rescue synaptic endpoints and improve functional outcomes. Lastly, we will (Aim 3) determine whether and how TBI potentiates synapse loss later in life in response to the amyloid- and tau-related neurodegeneration that typifies AD. These studies are expected to reveal novel, druggable mechanisms of circuit injury after TBI that are connected to cognitive and emotional disability in returning active military, guard, and reserve personnel. They will furthermore establish innovative tools (SEQUIN) for the understanding of conditions with unique significance for veterans, and identify an intervenable mechanistic link between AD and its best-established epigenetic risk factor, brain trauma.