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Clin Exp Emerg Med > Accepted Articles
doi: https://doi.org/10.15441/ceem.24.266    [Accepted]
The long-term influences of age at injury on neuroinflammation and neuronal apoptosis following traumatic brain injury in pediatric and adult mice
Jin-Soo Park1 , Hyun-Jeong Park2 , Young-Min Kim2 , Hyun-Seok Chai2 , Gwan Jin Park1,2 , Sang-Chul Kim1,2 , Gyeong-Gyu Yu2 , Suk-Woo Lee1,2 , Hoon Kim1,2
1Department of Emergency Medicine, Chungbuk National University Hospital, Cheongju, Korea
2Department of Emergency Medicine, Chungbuk National University College of Medicine, Cheongju, Korea
Correspondence  Hoon Kim Tel: + 82-43-261-2847, Fax: +82-43-269-7810, Email: nichekh2000@chungbuk.ac.kr
Received: June 6, 2024. Revised: September 7, 2024.  Accepted: November 7, 2024. Published online: January 14, 2025.
ABSTRACT
Objective
The study explores the long-term impacts of traumatic brain injury (TBI) on neuroinflammation and neuronal apoptosis in pediatric and adult mice, focusing on how age at injury influences these processes.
Methods
Controlled cortical impacts were used to induce TBI in pediatric (21–25 days old) and adult (8–12 weeks old) C57BL/6 male mice. Neuroinflammation was evaluated by measuring immunoreactivity for allograft inflammatory factor 1 (AIF-1)/ionized calcium-binding adaptor molecule 1 (Iba-1) and glial fibrillary acidic protein (GFAP), while apoptosis was assessed using markers such as B-cell lymphoma 2 (Bcl-2)-associated X protein (Bax), Bcl-2, and procaspase-3. Additionally, heat shock protein 70 (HSP70) expression was measured to understand the stress response.
Results
Following controlled cortical impacts, pediatric mice exhibited a significant reduction in expression of neuronal nuclei (P<0.001), and significant increases in expression of GFAP (P<0.01) and AIF-1/Iba-1 (P<0.05) at 3 days post-injury (DPI) compared with sham controls. In contrast, adult mice exhibited no significant change in AIF-1/Iba-1 expression and a less pronounced increase in GFAP (P<0.05) at 3 DPI compared with sham controls. A more significant increase in Bax/Bcl-2 ratio at 7 DPI (P<0.01) was seen in pediatric mice, while a weak but significant increase in Bax/Bcl-2 ratio at 7 DPI (P<0.05) was evident in adults. Both age groups showed a significant but transient increase in HSP70 levels at 7 DPI, which normalized by 90 DPI.
Conclusion
Pediatric and adult mice exhibited significant time-dependent differences in neuroinflammation and apoptosis following TBI, with pediatric mice showing more intense early responses indicative of age-specific vulnerabilities in post-injury outcomes. Both age groups showed a significant but transient increase in HSP70 expression, suggesting an acute response to stress post-injury.
Keywords: Age at injury; Controlled cortical impact; Neruoinflammatory disease; Apoptosis; HSP70 heat-shock proteins; Neuroprotection
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