Evaluation of Clinically Relevant Prognostic Indicators in a Model of Mild TBI/Concussion

Abstract

Closed head concussions, also known as mild traumatic brain injuries (mTBIs), are of great concern to both military and civilian populations alike. While acute concussion symptoms resolve for most patients, a subset will experience effects that persist chronically. Emphasis has been placed upon identifying prognostic indicators to distinguish these vulnerable patient populations for the purpose of providing enhanced care. Two potential clinically-relevant prognostic indicators include altered brain glucose metabolism as detected by FDG-PET imaging and changes in serum microRNA levels. The aim of this work is to comprehensively characterize longitudinal profiles of these two potential prognostic indicators following single and repeated injuries in a rodent model of closed head concussion. These studies utilize the WRAIR Projectile Concussive Impact (PCI) model, which is a military relevant model of closed head concussion developed under the directive of the Combat Care Casualty Research Program (CCCRP). In this Year 2 Report, we provide finalized results to characterize longitudinal alterations in brain glucose uptake and associated neurobehavioral changes through 6 months following single or repeated closed head concussions. In addition, altered microRNAs following a single concussion are identified through 14 days following injury.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2018
Accession Number
AD1094955

Entities

People

  • Bernard S. Wilfred
  • Deborah A. Shear

Organizations

  • Geneva Foundation

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Blood
  • Brain
  • Brain Injuries
  • Casualties
  • Correlation Analysis
  • Craniocerebral Trauma
  • Data Analysis
  • Indicators
  • Medical Personnel
  • Metabolism
  • Neurodegeneration
  • Neurosciences
  • Projectiles
  • Thalamus
  • Trauma

Fields of Study

  • Medicine

Readers

  • Neurotrauma and Rehabilitation Medicine.