小児期の脳震盪が長期的な脳の変化を引き起こす可能性(Childhood Concussions May Trigger Long-Term Brain Changes)

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2025-09-25 カリフォルニア大学リバーサイド校(UCR)

カリフォルニア大学リバーサイド校の研究は、幼少期に受けた脳震盪が長期にわたる脳構造変化を引き起こす可能性を示した。研究チームはマウスに軽度外傷を与え、18か月間にわたりMRIで追跡したところ、脳梁の白質成長が阻害され、初期には回復したように見えても後に再び悪化することが分かった。特に水分拡散の非対称性を示す指標(FA値)が早期に低下し、一時的に正常化しても加齢とともに再度悪化。重度群では顕著で、脳の左右をつなぐ神経結合に持続的な障害が確認された。さらに解析では、ミクログリアやアストロサイトの形態変化と白質劣化が関連し、慢性的炎症が長期的障害の要因となることが示唆された。研究者は、子どもの脳震盪は一過性の症状にとどまらず、生涯にわたり認知機能や神経結合に影響し得ると警告。短期的な回復だけで「完治」と判断せず、長期的なモニタリングとケアが必要だとしている。

<関連情報>

拡散MRIでモニタリングした幼若雄マウスの単回脳震盪後の脳梁の進行性寿命変化 Progressive lifespan modifications in the corpus callosum following a single concussion in juvenile male mice monitored by diffusion MRI

Andre Obenaus, Brenda P. Noarbe, Jeong Bin Lee, Polina E. Panchenko, Fang Tong, Sean D. Noarbe, Claire Bottini, Yu Chiao Lee, Jerome Badaut
Experimental Neurology  Available online: 7 September 2025
DOI:https://doi.org/10.1016/j.expneurol.2025.115455

Graphical abstract

小児期の脳震盪が長期的な脳の変化を引き起こす可能性(Childhood Concussions May Trigger Long-Term Brain Changes)

Highlights

  • Single pediatric concussion induced progressive and long term (up to 18 months) changes in MRI diffusion properties in mouse corpus callosum
  • MRI diffusion changes were dependent of concussion severity
  • Changes in diffusion MRI at 18 months may be driven by loss of astrocyte processes
  • Absence of significant changes in microglia at long term after concussion.

Abstract

Introduction

The vulnerability of white matter (WM) in acute and chronic moderate-severe traumatic brain injury (TBI) has been established. In concussion syndromes, including preclinical rodent models, lacking are comprehensive longitudinal studies spanning the mouse lifespan. We previously reported early WM modifications using clinically relevant neuroimaging and histological measures in a model of juvenile concussion at one month post injury (mpi) who then exhibited cognitive deficits at 12mpi. For the first time, we assess corpus callosum (CC) integrity across the lifespan after a single juvenile concussion utilizing diffusion MRI (dMRI).

Methods

C57Bl/6 mice were exposed to sham or two severities of closed-head concussion (Grade 1, G1, speed 2 m/s, depth 1 mm; Grade 2, G2, 3 m/s, 3 mm) using an electromagnetic impactor at postnatal day 17. In vivo diffusion tensor imaging was conducted at 1, 3, 6, 12 and 18mpi and processed for dMRI parametric maps: fractional anisotropy (FA), axial (AxD), radial (RD) and mean diffusivity (MD). Hemispheric CC and regional CC data were extracted. To identify the biological basis of altered dMRI metrics, astrocyte and microglia in the CC were characterized at 1, 12 and 18 mpi by immunohistochemistry.

Results

Hemispheric CC analysis revealed altered FA and RD trajectories following juvenile concussion. Shams exhibited a temporally linear increase in FA with age while G1/G2 mice had plateaued FA values. G2 concussed mice exhibited high variance of dMRI metrics at 18mpi, which was attributed to the heterogeneity of TBI on the anterior CC. Regional analysis of dMRI metrics at the impact site unveiled significant differences between G2 and sham mice. The dMRI findings appear to be driven, in part, by loss of astrocyte morphology.

Conclusion

For the first time, we demonstrate progressive perturbations to WM of male mice after a single juvenile concussion across their lifespan. The CC alterations were dependent on concussion severity with elevated sensitivity in the anterior CC that was related to astrocyte and microglial morphology changes. Our findings suggest that long-term monitoring of children with juvenile concussive episodes using dMRI is warranted, focusing on vulnerable WM tracts.

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