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The Journal of Neuroscience, August 1, 1998, 18(15):5663-5672
Experimental Brain Injury Induces Regionally Distinct Apoptosis
during the Acute and Delayed Post-Traumatic Period
Alana C.
Conti1,
Ramesh
Raghupathi1,
John Q.
Trojanowski2, and
Tracy K.
McIntosh1
Departments of 1 Neurosurgery and
2 Pathology and Laboratory Medicine, University of
Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104
The temporal pattern of apoptosis in the adult rat brain after
lateral fluid-percussion (FP) brain injury was characterized using
terminal deoxynucleotidyl-transferase-mediated biotin-dUTP nick end
labeling (TUNEL) histochemistry and agarose gel electrophoresis. Male Sprague Dawley rats were subjected to brain injury and killed for
histological analysis at intervals from 12 hr to 2 months after injury
(n = 3/time point). Sham (uninjured) controls were subjected to anesthesia with (n = 3) or without
(n = 3) surgery. Apoptotic TUNEL-positive cells
were defined using stringent morphological criteria including nuclear
shrinkage and fragmentation and condensation of chromatin and
cytoplasm. Double-labeled immunocytochemistry was performed to identify
TUNEL-positive neurons (anti-neurofilament monoclonal antibody RM044),
astrocytes (anti-glial fibrillary acidic protein polyclonal antibody),
and oligodendrocytes (anti-cyclic nucleotide phosphohydrolase
polyclonal antibody). Compared with that seen with sham controls, in
the injured cortex, significant apoptosis occurred at 24 hr (65 ± 19 cells; p < 0.05) with a second, more pronounced
response at 1 week after injury (91 ± 24 cells; p < 0.05). The number of apoptotic cells in the
white matter was increased as early as 12 hr after injury and peaked by
1 week (33 ± 6 cells; p < 0.05). An increase
in apoptotic cells was observed in the hippocampus at 48 hr (13 ± 8), whereas in the thalamus, the apoptotic response was delayed,
peaking at 2 weeks after injury (151 ± 71 cells;
p < 0.05). By 2 months, the number of apoptotic cells in most regions had returned to uninjured levels. At 24 hr after
injury, TUNEL-labeled neurons and oligodendrocytes were localized
primarily to injured cortex. By 1 week after injury, populations of
TUNEL-labeled astrocytes and oligodendrocytes were present in the
injured cortex, while double-labeled neurons were present predominantly
in injured cortex and thalamus, with a few scattered in the
hippocampus. DNA agarose gels confirmed morphological identification of
apoptosis. These data suggest that the apoptotic response to trauma is
regionally distinct and may be involved in both acute and delayed
patterns of cell death.
Key words:
apoptosis; traumatic brain injury; delayed cell death; DNA fragmentation; neurodegeneration; programmed cell death; rat; TUNEL
Copyright © 1998 Society for Neuroscience 0270-6474/98/18155663-10$05.00/0
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