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  4. Neutrophil elastase mediates acute pathogenesis and is a determinant of long-term behavioral recovery after traumatic injury to the immature brain

Neutrophil elastase mediates acute pathogenesis and is a determinant of long-term behavioral recovery after traumatic injury to the immature brain

Neurobiol Dis., 2015 · DOI: 10.1016/j.nbd.2014.12.003 · Published: February 1, 2015

NeurologyGeneticsBrain Injury

Simple Explanation

This research explores the role of neutrophil elastase (NE), an enzyme released by immune cells, in brain injury in young mice. The study found that NE contributes to early brain damage after trauma. The researchers used genetic and drug-based methods to reduce NE activity. Reducing NE improved long-term behavioral outcomes in the injured mice. These findings suggest that targeting NE could be a potential therapeutic strategy for treating traumatic brain injury in children.

Study Duration
2 months post-injury
Participants
175 mice (B6.129X1-Elanetm1Sds/J and C57Bl/6J pups)
Evidence Level
Not specified

Key Findings

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    Genetic deletion or inhibition of NE results in alleviation of acute cell death, strongly implicating NE in early post-injury pathogenesis.
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    Deficits in cognitive memory and hyperactivity were markedly attenuated in brain-injured NE KO mice.
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    Amelioration of brain water content in NE KO mice, despite normal neutrophil infiltration, provides evidence that NE rather than neutrophils per se directly mediates edema formation.

Research Summary

The study investigated the role of neutrophil elastase (NE) in acute and chronic outcomes after traumatic brain injury (TBI) in the developing brain of mice. Results showed that NE contributes to acute cell death and vasogenic edema after TBI. Genetic deletion of NE improved long-term behavioral outcomes, such as reducing hyperactivity and improving spatial memory. Pharmacological inhibition of NE acutely reduced cell death, but did not improve long-term outcomes, suggesting a potential therapeutic window for NE inhibition in pediatric TBI.

Practical Implications

Therapeutic Target

Neutrophil elastase (NE) is a potential therapeutic target for pediatric traumatic brain injury (TBI).

Timing of Intervention

Acute intervention targeting NE may be beneficial in reducing initial damage following TBI.

Prolonged Treatment

Prolonged or repeated treatment strategies may be needed to address the extended inflammatory response observed in the immature brain following injury.

Study Limitations

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