Abstract
Introduction Blast traumatic brain injury (B-TBI) affects military and civilian personnel. Presently, there are no approved drugs for blast brain injury. Methods Exendin-4 (Ex-4), administered subcutaneously, was evaluated as a pretreatment (48 hours) and postinjury treatment (2 hours) on neurodegeneration, behaviors, and gene expressions in a murine open field model of blast injury. Results B-TBI induced neurodegeneration, changes in cognition, and genes expressions linked to dementia disorders. Ex-4, administered preinjury or postinjury, ameliorated B-TBI-induced neurodegeneration at 72 hours, memory deficits from days 7-14, and attenuated genes regulated by blast at day 14 postinjury. Discussion The present data suggest shared pathologic processes between concussive and B-TBI, with end points amenable to beneficial therapeutic manipulation by Ex-4. B-TBI-induced dementia-related gene pathways and cognitive deficits in mice somewhat parallel epidemiologic studies of Barnes et al. who identified a greater risk in US military veterans who experienced diverse TBIs, for dementia in later life.
Original language | English |
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Pages (from-to) | 34-48 |
Number of pages | 15 |
Journal | Alzheimer's and Dementia |
Volume | 12 |
Issue number | 1 |
DOIs | |
State | Published - 1 Jan 2016 |
Keywords
- Alzheimer's disease
- Behavioral deficits
- Blast injury
- Exendin-4
- Gene expression
- Glucagon-like peptide-1
- Neurodegeneration
- Parkinson's disease
- Traumatic brain injury