Aruna Sharma, Dafin F Muresanu, Jose Vicente Lafuente, Per-Ove Sjoquist and Hari Shanker Sharma
Uppsala University, Sweden
University of Medicine & Pharmacy, Romania
University of Basque Country, Spain
Karolinska Institute, Sweden
Posters & Accepted Abstracts: J Nanomed Nanotechnol
Military personnel are the most vulnerable to TBI either during peace keeping or combat operations at extreme hot and cold environments. Although, some reports suggest that hyperthermia following TBI is harmful, studies conducted on the effects of cold environment on the pathophysiological outcomes of TBI are still lacking. We examined the effects of cold environment on TBI in our rat model with regard to generation of oxidative stress and brain pathophysiology. In addition, an effect of a potent antioxidant compound H-290/51 with or without TiO2 nanowired drug delivery on the pathophysiology of TBI in cold environment was also evaluated. Focal TBI was inflicted under Equithesin anesthesia in Wistar Male rats over the right parietal cortex by making an incision of 2 mm deep and 4 mm long after opening of the skull bone (ca. 4 mm diameter, area 12.56 mm2). The animals were allowed to survive 48 h after TBI. Animals were exposed either at 5°C for 3 h daily for 5 weeks before injury. The control groups were maintained at normal room temperature (21±1°C). In these animals some of the key oxidative stress parameters e.g., Leucigenin (LCG), Luminol (LUM), Malondialdehyde (MDA) and Glutathione (GTH) in the brain along with blood-brain barrier (BBB) breakdown, brain edema formation and neuronal injuries were measured. TBI in animals subjected to cold environments exhibited about 80 to 190 % increase in LCG, LUM and MDA and 220 % decrease in GTH in the brain as compared to rats subjected to TBI at room temperature. The magnitude and intensity of BBB breakdown to radioiodine and Evans blue albumin, edema formation and neuronal injuries were also exacerbated in TBI group in cold environment by 120 to 280 % from the injured group at room temperature. Nanowired delivery of H-290/51 (50 mg/kg) 6 to 8 h after TBI in cold group was able to significantly thwart brain pathology and oxidative stress whereas normal delivery of H-290/51 failed to achieve any reduction in these animals after TBI. These observations demonstrate that cold aggravates the pathophysiology of TBI and this could be partially due to an enhanced production of oxidative stress in cold environment, not reported earlier.
Email: Aruna.sharma@surgsci.uu.se