Effect on Varying the Impact Velocity in the Controlled Cortical Impact Injury Model : Injury Severity and Impact Velocity

  • Ji, Yong-Cheol (Department of Neurosurgery, College of Medicine, Chung-Ang University) ;
  • Min, Byung-Kook (Department of Neurosurgery, College of Medicine, Chung-Ang University) ;
  • Park, Seung-Won (Department of Neurosurgery, College of Medicine, Chung-Ang University) ;
  • Hwang, Sung-Nam (Department of Neurosurgery, College of Medicine, Chung-Ang University) ;
  • Hong, Hyun-Jong (Department of Neurosurgery, College of Medicine, Chung-Ang University) ;
  • Suk, Jong-Sik (Department of Neurosurgery, College of Medicine, Chung-Ang University)
  • Published : 2005.07.28

Abstract

Objective : A study of the histopathologic and neurobehavioral correlates of cortical impact injury produced by increasing impact velocity using the controlled cortical impact[CCI] injury model is studied. Methods : Twenty-four Sprague-Dawley rats [$200{\sim}250g$] were given CCI injury using a pneumatically driven piston. Effect of impact velocity on a 3mm deformation was assessed at 2.5m/sec [n=6], 3.0m/sec [n=6], 3.5m/sec [n=6], and no injury [n=6]. After postoperative 24hours the rats were evaluated using several neurobehavioral tests including the rotarod test, beam-balance performance, and postural reflex test. Contusion volume and histopathologic findings were evaluated for each of the impact velocities. Results : On the rota rod test, all the injured rats exhibited a significant difference compared to the sham-operated rats and increased velocity correlated with increased deficit [p<0.001]. Contusion volume increased with increasing impact velocity. For the 2.5, 3.0, and 3.5m/sec groups, injured volumes were $18.8{\pm}2.3mm^3$, $26.8{\pm}3.1mm^3$, and $32.5{\pm}3.5mm^3$, respectively. In addition, neuronal loss in the hippocampal sub-region increased with increasing impact velocity. In the TUNEL staining, all the injured groups exhibited definitely positive cells at pericontusional area. However, there were no significant differences in the number of positive cells among the injured groups. Conclusion : Cortical impact velocity is a critical parameter in producing cortical contusion. Severity of cortical injury is proportional to increasing impact velocity of cortical injury.

Keywords

References

  1. Baskaya MK, Dogan A, Temiz C, Dempsey RJ : Application of 2,3,5- Triphenyl tetrazolium chloride staining to evaluate injury volume after controlled cortical impact brain injury : Role of brain edema in evolution of injury volume. J Neurotrauma 17 : 93-99, 2000 https://doi.org/10.1089/neu.2000.17.93
  2. Cernak I, Chapman SM, Hamlin GP, Vink R : Temporal characterization of pro-and anti-apoptotic mechanisms following diffuse traumatic brain injury in rats. J Clin Neurosci 9 : 565-572, 2002 https://doi.org/10.1054/jocn.2002.1132
  3. Cherian L, Robertson CS, Contant CF Jr, Bryan RM Jr : Lateral cortical impact injury in rats : cerebrovascular effects of varying depth of cortical deformation and impact velocity. J Neurotrauma 11 : 573-585, 1994 https://doi.org/10.1089/neu.1994.11.573
  4. Choi SM, Suk JS, Kwon JT, Min BK, Kim YB, Hwang SN, et al : Development of upgraded cortical impact model (Part I : Mechanics). J Korean Neurosurg Soc 32 : 29-34, 2002
  5. Choi SM, Suk JS, Min BK, Hwang SN, Kim YB, Kim JH : Development of upgraded cortical impact model (Part II : Functional outcome). J Korean Neurosurg Soc 32 : 458-462, 2002
  6. Faden AI : Neuroprotection and traumatic brain injury. Arch Neurol 58 : 1553-1555, 2001 https://doi.org/10.1001/archneur.58.10.1553
  7. Faden AI : Neuroprotection and traumatic brain injury : theoretical option or realistic proposition. Curr Opin Neurol 15 : 707-712, 2002 https://doi.org/10.1097/00019052-200212000-00008
  8. Geddes DM, LaPlaca MC, Cargill RS Jr : Susceptibility of hippocampal neurons to mechanically induced injury. Exp Neurol 184 : 420-427, 2003 https://doi.org/10.1016/S0014-4886(03)00254-1
  9. Gennarelli TA, Adams JH, Graham DI : Acceleration induced head injury in the monkey. I. The model, its mechanical and physiological correlates. Acta Neuropathol Suppl (Berl) 7 : 23-25, 1981
  10. Goodman JC, Cherian L, Bryan RM Jr, Robertson CS : Lateral cortical impact injury in rats : Pathologic effects of varying cortical compression and impact velocity. J Neurotrauma 11 : 587-597, 1994 https://doi.org/10.1089/neu.1994.11.587
  11. Hamm RJ, Pike BR, O'Dell DM, Lyeth BG, Jenkins LW : The rotarod test : an evaluation of its effectiveness in assessing motor deficits following traumatic brain injury. J Neurotrauma 11 : 187- 196, 1994 https://doi.org/10.1089/neu.1994.11.187
  12. Kaya SS, Mahmood A, Li Y, Yavuz E, Goksel M, Chopp M : Apoptosis and expression of p53 response proteins and cyclin D1 after cortical impact in rat brain. Brain Res 818 : 23-33, 1999 https://doi.org/10.1016/S0006-8993(98)01204-9
  13. Lighthall JW : Controlled cortical impact : A new experimental brain injury model. J Neurotrauma 5 : 1-15, 1988 https://doi.org/10.1089/neu.1988.5.1
  14. Lighthall JW, Dixon CE, Anderson TE : Experimental models of brain injury. J Neurotrauma 6 : 83-97, 1989 https://doi.org/10.1089/neu.1989.6.83
  15. Liou AK, Clark RS, Henshall DC, Yin XM, Chen J : To die or not to die for neurons in ischemia, traumatic brain injury and epilepsy : a review on the stress-activated signaling pathways and apoptotic pathways. Prog Neurobiol 69 : 103-142, 2003 https://doi.org/10.1016/S0301-0082(03)00005-4
  16. Lu J, Moochhala S, Kaur C, Ling E : Changes in apoptosis-related protein (p53, Bax, Bcl-2 and Fos) expression with DNA fragmentation in the central nervous system in rats after closed head injury. Neurosci Lett 290 : 89-92, 2000 https://doi.org/10.1016/S0304-3940(00)01307-0
  17. Napieralski JA, Raghupathi R, McIntosh TK : The tumor-suppressor gene, p53, is induced in injured brain regions following experimental traumatic brain injury. Brain Res Mol Brain Res 71 : 78-86, 1999 https://doi.org/10.1016/S0169-328X(99)00155-2
  18. O'Dell DM, Raghupathi R, Crino PB, Eberwine JH, McIntosh TK : Traumatic brain injury alters the molecular fingerprint of TUNELpositive cortical neurons In vivo : A single-cell analysis. J Neurosci 20 : 4821-4828, 2000
  19. Ommaya AK, Goldsmith W, Thibault L : Biomechanics and neuropathology of adult and paediatric head injury. Br J Neurosurg 16 : 220-242, 2002 https://doi.org/10.1080/02688690220148824
  20. Rink A, Fung KM, Trojanowski JQ, Lee VM, Neugebauer E, McIntosh TK : Evidence of apoptotic cell death after experimental traumatic brain injury in the rat. Am J Pathol 147 : 1575-1583, 1995
  21. Ruan YW, Ling GY, Zhang JL, Xu ZC : Apoptosis in the adult striatum after transient forebrain ischemia and the effects of ischemic severity. Brain Res 982 : 228-240, 2003 https://doi.org/10.1016/S0006-8993(03)03021-X
  22. Sato M, Chang E, Igarashi T, Noble LJ : Neuronal injury and loss after traumatic brain injury : time course and regional variability. Brain Res 917 : 45-54, 2001 https://doi.org/10.1016/S0006-8993(01)02905-5
  23. Shah PT, Yoon KW, Xu XM, Broder LD : Apoptosis mediates cell death following traumatic injury in rat hippocampal neurons. Neuroscience 79 : 999-1004, 1997 https://doi.org/10.1016/S0306-4522(97)00013-4
  24. Stelmasiak Z, Dudkowska-Konopa A, Rejdak K : Head trauma and neuroprotection. Med Sci Monit 6 : 426-432, 2000
  25. Zhang L, Yang KH, King AI : Biomechanics of neurotrauma. Neurol Res 23 : 144-156, 2001 https://doi.org/10.1179/016164101101198488