Epidemiological data link TBI to increased likelihood of development of AD and other neurodegenerative dementias later in life. While recent meta-analyses estimate the overall risk of dementia attributable to TBI at 5- 15%, it is still poorly understood how history of brain trauma may contribute to neurodegeneration years or even decades later. One possibility is that TBI may speed up detrimental cellular and biochemical events occurring during normal brain ageing. One of the pathways known to be affected during both, normal brain aging and more severely in neurodegenerative diseases, is autophagy. Thus, accelerated inhibition of autophagy-lysosomal function as compared to that observed in normal brain aging, could contribute to neurodegeneration observed in AD and other age-related dementias. In the course of our investigation supported by R01 NS091218 ?Function and mechanisms of autophagy-lysosomal pathway in traumatic brain injury? we demonstrated that autophagy is also inhibited after TBI. This is caused by TBI-induced lysosomal defects and is associated with profound changes in lysosomal lipid composition. Lysosomal dysfunction associated with accumulation of lipofuscin and other lipid byproducts in the endo-lysosomal compartments is also observed in aged mice. Significantly, these changes are exacerbated and accelerated by either drug or disease induced demyelinating episodes. Since TBI leads to myelin damage as well as more general perturbation of lipid metabolism in the brain, lipid-mediated damage could also lead to lysosomal inhibition after TBI and over time cause accelerated autophagy-lysosomal dysfunction as compared to that observed during normal aging, thus contributing to neurodegeneration and dementia. Based on our preliminary data, we hypothesize that TBI accelerates lysosomal accumulation of lipofuscin and other lipid byproducts as compared to normal aging, leading to lysosomal dysfunction and autophagy defects, thus predisposing to neurodegeneration. In order to test this hypothesis, we will use LC-MS/MS based lipidomic analysis and complementary IF/IHC approaches to compare changes in lysosomal lipid composition and autophagy-lysosomal function in the brains of normal aging mice and mice aging after TBI.

Public Health Relevance

Epidemiological data link the history of traumatic brain injury (TBI) to increased likelihood of development of Alzheimer?s disease (AD) and other dementias later in life. While recent analyses estimate the overall risk of dementia attributable to TBI at 5-15%, it is still poorly understood how history of brain trauma may contribute to neurodegeneration years or even decades later. Here we propose to determine whether TBI may speed up detrimental cellular changes occurring during normal brain ageing, thus leading to dementia.

Agency
National Institute of Health (NIH)
Institute
National Institute of Neurological Disorders and Stroke (NINDS)
Type
Research Project (R01)
Project #
3R01NS091218-05S1
Application #
9880798
Study Section
Brain Injury and Neurovascular Pathologies Study Section (BINP)
Program Officer
Bellgowan, Patrick S F
Project Start
2015-03-01
Project End
2021-02-28
Budget Start
2019-08-01
Budget End
2021-02-28
Support Year
5
Fiscal Year
2019
Total Cost
Indirect Cost
Name
University of Maryland Baltimore
Department
Anesthesiology
Type
Schools of Medicine
DUNS #
188435911
City
Baltimore
State
MD
Country
United States
Zip Code
21201
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Lipinski, Marta M; Wu, Junfang; Faden, Alan I et al. (2015) Function and Mechanisms of Autophagy in Brain and Spinal Cord Trauma. Antioxid Redox Signal 23:565-77
Lipinski, Marta M; Wu, Junfang (2015) Modification of autophagy-lysosomal pathway as a neuroprotective treatment for spinal cord injury. Neural Regen Res 10:892-3