Primary Blast Injury Criteria for Animal/Human TBI Models using Field Validated Shock Tubes

Abstract

Blast-induced Traumatic Brain Injury (bTBI) is a leading cause of morbidity in soldiers on the battlefield and training sites with long-term neurological and psychological pathologies. We characterized in details of the mechanisms triggered by loss of the blood-brain barrier (BBB)integrity: extravasation of exogeneous markers, depleted tight junction proteins (occludin and claudin-5), and blood serum levels of endogenous proteins. we established there exist complementary temporal trends. The expression of these proteins decreases in the brain tissue homogenates, which is accompanied by elevation of their levels in the blood serum. The effects of oxidative stress on the BBB integrity and repair were also evaluated. The influx of the exogeneous matter into the brain parenchyma triggers a cascade of inflammatory response. We developed a refined model of the rat head under shock wave loading. A comprehensive convergence study and extensive model refinement resulted in a model which reproduced spatial and temporal maps of the pressure, stress, and strain within the rat brain at three blast overpressures (100, 130, and 190 kPa). We demonstrated control over shock wave pressure profile and established a set of conditions where peak overpressure remains constant with gradation of impulse. This level of control is yet to be demonstrated in the available literature on the subject. The developed dose-response models indicate predicted mortality rate is shifted towards lower peak overpressures at higher impulse values. This means that both blast overpressure and impulse are critical in bTBI and not just BOP. This report covers findings of the year 3 of the project (tasks 8, 9 and 10) and it summarizes the findings of all the tasks 1 to 7 of years 1 and 2.

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Document Details

Document Type
Technical Report
Publication Date
Sep 01, 2018
Accession Number
AD1087021

Entities

People

  • Kakulavarapu V. Rama Rao
  • Maciej Skotak
  • Molly T. Townsend
  • Namas Chandra

Organizations

  • New Jersey Institute of Technology

Tags

DTIC Thesaurus Topics

  • Brain
  • Brain Injuries
  • Cells
  • Chemical Synthesis
  • Chemistry
  • Health Services
  • Medical Personnel
  • Peptide Growth Factors

Readers

  • Computational Modeling and Simulation
  • Immunology and Pathology
  • Neurotrauma and Rehabilitation Medicine.