Chronic Alcoholism-Mediated Impairment in the Medulla Oblongata: A Mechanism of Alcohol-Related Mortality in Traumatic Brain Injury?

Alcohol-related traumatic brain injury (TBI) is a common condition in medical and forensic practice, and results in high prehospital mortality. We investigated the mechanism of chronic alcoholism-related mortality by examining the effects of alcohol on the synapses of the medulla oblongata in a rat...

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Veröffentlicht in:Cell biochemistry and biophysics 2013-12, Vol.67 (3), p.1049-1057
Hauptverfasser: Lai, Xiao-ping, Yu, Xiao-jun, Qian, Hong, Wei, Lai, Lv, Jun-yao, Xu, Xiao-hu
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container_title Cell biochemistry and biophysics
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creator Lai, Xiao-ping
Yu, Xiao-jun
Qian, Hong
Wei, Lai
Lv, Jun-yao
Xu, Xiao-hu
description Alcohol-related traumatic brain injury (TBI) is a common condition in medical and forensic practice, and results in high prehospital mortality. We investigated the mechanism of chronic alcoholism-related mortality by examining the effects of alcohol on the synapses of the medulla oblongata in a rat model of TBI. Seventy adult male Sprague–Dawley rats were randomly assigned to either ethanol (EtOH) group, EtOH-TBI group, or control groups (water group, water-TBI group). To establish chronic alcoholism model, rats in the EtOH group were given EtOH twice daily (4 g/kg for 2 weeks and 6 g/kg for another 2 weeks). The rats also received a minor strike on the occipital tuberosity with an iron pendulum. Histopathologic and ultrastructure changes and the numerical density of the synapses in the medulla oblongata were examined. Expression of postsynaptic density-95 (PSD-95) in the medulla oblongata was measured by ELISA. Compared with rats in the control group, rats in the chronic alcoholism group showed: (1) minor axonal degeneration; (2) a significant decrease in the numerical density of synapses ( p  
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We investigated the mechanism of chronic alcoholism-related mortality by examining the effects of alcohol on the synapses of the medulla oblongata in a rat model of TBI. Seventy adult male Sprague–Dawley rats were randomly assigned to either ethanol (EtOH) group, EtOH-TBI group, or control groups (water group, water-TBI group). To establish chronic alcoholism model, rats in the EtOH group were given EtOH twice daily (4 g/kg for 2 weeks and 6 g/kg for another 2 weeks). The rats also received a minor strike on the occipital tuberosity with an iron pendulum. Histopathologic and ultrastructure changes and the numerical density of the synapses in the medulla oblongata were examined. Expression of postsynaptic density-95 (PSD-95) in the medulla oblongata was measured by ELISA. Compared with rats in the control group, rats in the chronic alcoholism group showed: (1) minor axonal degeneration; (2) a significant decrease in the numerical density of synapses ( p  &lt; 0.01); and (3) compensatory increase in PSD-95 expression ( p  &lt; 0.01). Rats in the EtOH-TBI group showed: (1) high mortality (50 %, p  &lt; 0.01); (2) inhibited respiration before death; (3) severe axonal injury; and (4) decrease in PSD-95 expression ( p  &lt; 0.05). Chronic alcoholism induces significant synapse loss and axonal impairment in the medulla oblongata and renders the brain more susceptible to TBI. 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We investigated the mechanism of chronic alcoholism-related mortality by examining the effects of alcohol on the synapses of the medulla oblongata in a rat model of TBI. Seventy adult male Sprague–Dawley rats were randomly assigned to either ethanol (EtOH) group, EtOH-TBI group, or control groups (water group, water-TBI group). To establish chronic alcoholism model, rats in the EtOH group were given EtOH twice daily (4 g/kg for 2 weeks and 6 g/kg for another 2 weeks). The rats also received a minor strike on the occipital tuberosity with an iron pendulum. Histopathologic and ultrastructure changes and the numerical density of the synapses in the medulla oblongata were examined. Expression of postsynaptic density-95 (PSD-95) in the medulla oblongata was measured by ELISA. Compared with rats in the control group, rats in the chronic alcoholism group showed: (1) minor axonal degeneration; (2) a significant decrease in the numerical density of synapses ( p  &lt; 0.01); and (3) compensatory increase in PSD-95 expression ( p  &lt; 0.01). Rats in the EtOH-TBI group showed: (1) high mortality (50 %, p  &lt; 0.01); (2) inhibited respiration before death; (3) severe axonal injury; and (4) decrease in PSD-95 expression ( p  &lt; 0.05). Chronic alcoholism induces significant synapse loss and axonal impairment in the medulla oblongata and renders the brain more susceptible to TBI. The combined effects of chronic alcoholism and TBI induce significant synapse and axon impairment and result in high mortality.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>23546937</pmid><doi>10.1007/s12013-013-9603-y</doi><tpages>9</tpages></addata></record>
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subjects Alcoholism
Alcoholism - complications
Animals
Axons - drug effects
Axons - metabolism
Axons - ultrastructure
Biochemistry
Biological and Medical Physics
Biomedical and Life Sciences
Biophysics
Biotechnology
Brain Injuries - complications
Brain Injuries - metabolism
Brain Injuries - mortality
Cell Biology
Disease Models, Animal
Disks Large Homolog 4 Protein
Ethanol
Ethanol - toxicity
Intracellular Signaling Peptides and Proteins - metabolism
Life Sciences
Male
Medulla Oblongata - drug effects
Medulla Oblongata - pathology
Medulla Oblongata - ultrastructure
Membrane Proteins - metabolism
Mortality
Original Paper
Pharmacology/Toxicology
Rats
Rats, Sprague-Dawley
Synapses - drug effects
Synapses - metabolism
Synapses - ultrastructure
title Chronic Alcoholism-Mediated Impairment in the Medulla Oblongata: A Mechanism of Alcohol-Related Mortality in Traumatic Brain Injury?
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