Blast traumatic brain injury-induced cognitive deficits are attenuated by preinjury or postinjury treatment with the glucagon-like peptide-1 receptor agonist, exendin-4

David Tweedie*, Lital Rachmany, Vardit Rubovitch, Yazhou Li, Harold W. Holloway, Elin Lehrmann, Yongqing Zhang, Kevin G. Becker, Evelyn Perez, Barry J. Hoffer, Chaim G. Pick, Nigel H. Greig

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

52 Scopus citations

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 languageEnglish
Pages (from-to)34-48
Number of pages15
JournalAlzheimer's and Dementia
Volume12
Issue number1
DOIs
StatePublished - 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

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