A Neurovascular Perspective for Long-Term Changes After Brain Trauma

Translational Stroke Research - Tập 2 - Trang 533-545 - 2011
V. Pop1, J. Badaut1,2
1Department of Pediatrics, Loma Linda University School of Medicine, Loma Linda, USA
2Department of Physiology, Loma Linda University School of Medicine, Loma Linda, USA

Tóm tắt

Traumatic brain injury (TBI) affects all age groups in a population and is an injury generating scientific interest not only as an acute event, but also as a complex brain disease with several underlying neurobehavioral and neuropathological characteristics. We review early and long-term alterations after juvenile and adult TBI with a focus on changes in the neurovascular unit, including neuronal interactions with glia and blood vessels at the blood–brain barrier (BBB). Post-traumatic changes in cerebral blood flow, BBB structures and function, as well as mechanistic pathways associated with brain aging and neurodegeneration are presented from clinical and experimental reports. Based on the literature, increased attention on BBB changes should be integrated in studies characterizing TBI outcome and may provide a meaningful therapeutic target to resolve detrimental post-traumatic dysfunction.

Tài liệu tham khảo

Wade SL, Michaud L, Brown TM. Putting the pieces together: preliminary efficacy of a family problem-solving intervention for children with traumatic brain injury. J Head Trauma Rehab. 2006;21(1):57–67. Brancu M, Straits-Troster K, Kudler H. Behavioral health conditions among military personnel and veterans: prevalence and best practices for treatment. N C Med J. 2011;72(1):54–60. Faul M et al. Traumatic brain injury in the United States: emergency department visits, hospitalizations, and deaths, 2002–2006. Atlanta: CDC; 2010. Zaloshnja E et al. Prevalence of long-term disability from traumatic brain injury in the civilian population of the United States, 2005. J Head Trauma Rehab. 2008;23(6):394–400. Selassie AW et al. Incidence of long-term disability following traumatic brain injury hospitalization, United States, 2003. J Head Trauma Rehab. 2008;23(2):123–31. Thurman D, Guerrero J. Trends in hospitalization associated with traumatic brain injury. JAMA. 1999;282(10):954–7. Thurman DJ et al. Traumatic brain injury in the United States: a public health perspective. J Head Trauma Rehab. 1999;14(6):602–15. Langlois JA, Rutland-Brown W, Wald MM. The epidemiology and impact of traumatic brain injury: a brief overview. J Head Trauma Rehab. 2006;21(5):375–8. Coronado VG et al. Surveillance for traumatic brain injury-related deaths—United States, 1997–2007. MMWR Surveill Summ. 2011;60(5):1–32. Finkelstein E et al. The incidence and economic burden of injuries in the United States. New York: Oxford University Press; 2006. Vakili A, Kataoka H, Plesnila N. Role of arginine vasopressin V1 and V2 receptors for brain damage after transient focal cerebral ischemia. J Cereb Blood Flow Metab. 2005;25(8):1012–9. Trabold R et al. Role of vasopressin V(1a) and V2 receptors for the development of secondary brain damage after traumatic brain injury in mice. J Neurotraum. 2008;25(12):1459–65. Smith DH et al. Protein accumulation in traumatic brain injury. Neuromol Med. 2003;4(1–2):59–72. Gavett BE et al. Mild traumatic brain injury: a risk factor for neurodegeneration. Alzheimers Res Ther. 2010;2(3):18. Johnson VE, Stewart W, Smith DH. Traumatic brain injury and amyloid-beta pathology: a link to Alzheimer’s disease? Nat Rev Neurosci. 2010;11(5):361–70. Maas AI, Stocchetti N, Bullock R. Moderate and severe traumatic brain injury in adults. Lancet Neurol. 2008;7(8):728–41. Malec JF et al. The mayo classification system for traumatic brain injury severity. J Neurotraum. 2007;24(9):1417–24. Ponsford J et al. Cognitive and behavioral outcome following mild traumatic head injury in children. J Head Trauma Rehab. 1999;14(4):360–72. Ponsford J et al. Impact of early intervention on outcome after mild traumatic brain injury in children. Pediatrics. 2001;108(6):1297–303. Ponsford J et al. Long-term outcomes after uncomplicated mild traumatic brain injury: a comparison with trauma controls. J Neurotraum. 2011;28(6):937–46. Lippert-Gruner M et al. Neurobehavioural deficits after severe traumatic brain injury (TBI). Brain Inj. 2006;20(6):569–74. Kuppermann N et al. Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. Lancet. 2009;374(9696):1160–70. Schneier AJ et al. Incidence of pediatric traumatic brain injury and associated hospital resource utilization in the United States. Pediatrics. 2006;118(2):483–92. Brown AW et al. Long-term survival after traumatic brain injury: a population-based analysis. NeuroRehabilitation. 2004;19(1):37–43. Harrison-Felix C et al. Mortality following rehabilitation in the traumatic brain injury model systems of care. NeuroRehabilitation. 2004;19(1):45–54. Himanen L et al. Risk factors for reduced survival after traumatic brain injury: a 30-year follow-up study. Brain Inj. 2011;25(5):443–52. Anderson V et al. Educational, vocational, psychosocial, and quality-of-life outcomes for adult survivors of childhood traumatic brain injury. J Head Trauma Rehab. 2009;24(5):303–12. Anderson V et al. Intellectual outcome from preschool traumatic brain injury: a 5-year prospective, longitudinal study. Pediatrics. 2009;124(6):e1064–71. Babikian T, Asarnow R. Neurocognitive outcomes and recovery after pediatric TBI: meta-analytic review of the literature. Neuropsychology. 2009;23(3):283–96. Babikian T et al. The UCLA longitudinal study of neurocognitive outcomes following mild pediatric traumatic brain injury. J Int Neuropsychol Soc. 2011;17:886–95. Levin HS et al. Magnetic resonance imaging and computerized tomography in relation to the neurobehavioral sequelae of mild and moderate head injuries. J Neurosurg. 1987;66(5):706–13. Fujii D, Ahmed I. Psychotic disorder following traumatic brain injury: a conceptual framework. Cogn Neuropsychiatry. 2002;7(1):41–62. Giza CC. Lasting effects of pediatric traumatic brain injury. Indian J Neurotraum. 2006;3(1):19–26. Satz P. Brain reserve capacity on symptom onset after brain injury: a formulation and review of evidence for threshold theory. Neuropsychology. 1993;7(3):273–95. Ikonomovic MD et al. Alzheimer’s pathology in human temporal cortex surgically excised after severe brain injury. Exp Neurol. 2004;190(1):192–203. DeKosky ST et al. Association of increased cortical soluble abeta42 levels with diffuse plaques after severe brain injury in humans. Arch Neurol. 2007;64(4):541–4. Levine B et al. The Toronto traumatic brain injury study: injury severity and quantified MRI. Neurology. 2008;70(10):771–8. McKee AC et al. Chronic traumatic encephalopathy in athletes: progressive tauopathy after repetitive head injury. J Neuropathol Exp Neurol. 2009;68(7):709–35. Baethmann A et al. Mediators of brain edema and secondary brain damage. Crit Care Med. 1988;16(10):972–8. Sahuquillo J, Poca MA, Amoros S. Current aspects of pathophysiology and cell dysfunction after severe head injury. Curr Pharm Des. 2001;7(15):1475–503. Gaetz M. The neurophysiology of brain injury. Clin Neurophysiol. 2004;115(1):4–18. Zweckberger K et al. Effect of early and delayed decompressive craniectomy on secondary brain damage after controlled cortical impact in mice. J Neurotraum. 2006;23(7):1083–93. Bell RD, Zlokovic BV. Neurovascular mechanisms and blood–brain barrier disorder in Alzheimer’s disease. Acta Neuropathol. 2009;118(1):103–13. Iadecola C, Nedergaard M. Glial regulation of the cerebral microvasculature. Nat Neurosci. 2007;10(11):1369–76. Neuwelt EA et al. Engaging neuroscience to advance translational research in brain barrier biology. Nat Rev Neurosci. 2011;12(3):169–82. Engelhardt B, Coisne C. Fluids and barriers of the CNS establish immune privilege by confining immune surveillance to a two-walled castle moat surrounding the CNS castle. Fluids Barriers CNS. 2011;8(1):4. Saunders NR, Knott GW, Dziegielewska KM. Barriers in the immature brain. Cell Mol Neurobiol. 2000;20(1):29–40. Saunders NR et al. Barriers in the brain: a renaissance? Trends Neurosci. 2008;31(6):279–86. Abbott NJ, Ronnback L, Hansson E. Astrocyte–endothelial interactions at the blood–brain barrier. Nat Rev Neurosci. 2006;7(1):41–53. Abbott NJ et al. Structure and function of the blood–brain barrier. Neurobiol Dis. 2010;37(1):13–25. Owens T, Bechmann I, Engelhardt B. Perivascular spaces and the two steps to neuroinflammation. J Neuropathol Exp Neurol. 2008;67(12):1113–21. Tam SJ, Watts RJ. Connecting vascular and nervous system development: angiogenesis and the blood–brain barrier. Annu Rev Neurosci. 2010;33:379–408. Daneman R et al. Pericytes are required for blood–brain barrier integrity during embryogenesis. Nature. 2010;468(7323):562–6. Armulik A et al. Pericytes regulate the blood–brain barrier. Nature. 2010;468(7323):557–61. Bushong EA, Martone ME, Ellisman MH. Maturation of astrocyte morphology and the establishment of astrocyte domains during postnatal hippocampal development. Int J Dev Neurosci. 2004;22(2):73–86. Silverberg GD et al. Amyloid efflux transporter expression at the blood–brain barrier declines in normal aging. J Neuropathol Exp Neurol. 2010;69(10):1034–43. Silverberg GD et al. Amyloid and tau accumulate in the brains of aged hydrocephalic rats. Brain Res. 2010;1317:286–96. Werner C, Engelhard K. Pathophysiology of traumatic brain injury. Br J Anaesth. 2007;99(1):4–9. Bouma GJ et al. Cerebral circulation and metabolism after severe traumatic brain injury: the elusive role of ischemia. J Neurosurg. 1991;75(5):685–93. Bryan Jr RM, Cherian L, Robertson C. Regional cerebral blood flow after controlled cortical impact injury in rats. Anesth Analg. 1995;80(4):687–95. Engel DC et al. Changes of cerebral blood flow during the secondary expansion of a cortical contusion assessed by 14C-iodoantipyrine autoradiography in mice using a non-invasive protocol. J Neurotraum. 2008;25(7):739–53. Kochanek PM et al. Severe controlled cortical impact in rats: assessment of cerebral edema, blood flow, and contusion volume. J Neurotraum. 1995;12(6):1015–25. Schroder ML et al. Focal ischemia due to traumatic contusions documented by stable xenon-CT and ultrastructural studies. J Neurosurg. 1995;82(6):966–71. Sahuquillo J et al. Evaluation of cerebrovascular CO2-reactivity and autoregulation in patients with post-traumatic diffuse brain swelling (diffuse injury III). Act Neur S. 1998;71:233–6. Vavilala MS et al. Impaired cerebral autoregulation and 6-month outcome in children with severe traumatic brain injury: preliminary findings. Dev Neurosci. 2006;28(4–5):348–53. Muizelaar JP et al. Cerebral blood flow and metabolism in severely head-injured children. Part 1: relationship with GCS score, outcome, ICP, and PVI. J Neurosurg. 1989;71(1):63–71. Muizelaar JP et al. Cerebral blood flow and metabolism in severely head-injured children. Part 2: autoregulation. J Neurosurg. 1989;71(1):72–6. Freeman SS et al. Young age as a risk factor for impaired cerebral autoregulation after moderate to severe pediatric traumatic brain injury. Anesthesiology. 2008;108(4):588–95. Sharples PM, Matthews DS, Eyre JA. Cerebral blood flow and metabolism in children with severe head injuries. Part 2: cerebrovascular resistance and its determinants. J Neurol Neurosurg Psychiatry. 1995;58(2):153–9. Sharples PM et al. Cerebral blood flow and metabolism in children with severe head injury. Part 1: relation to age, Glasgow coma score, outcome, intracranial pressure, and time after injury. J Neurol Neurosurg Psychiatry. 1995;58(2):145–52. Armstead WM. Cerebral hemodynamics after traumatic brain injury of immature brain. Exp Toxicol Pathol. 1999;51(2):137–42. Armstead WM. Role of endothelin-1 in age-dependent cerebrovascular hypotensive responses after brain injury. Am J Physiol. 1999;277(5 Pt 2):H1884–94. Armstead WM. Age-dependent impairment of K(ATP) channel function following brain injury. J Neurotraum. 1999;16(5):391–402. Armstead WM. Stimulus duration modulates the interaction between opioids and nitric oxide in hypoxic pial artery dilation. Brain Res. 1999;825(1–2):68–74. Armstead WM. Superoxide generation links protein kinase C activation to impaired ATP-sensitive K+ channel function after brain injury. Stroke. 1999;30(1):153–9. Hamel E. Perivascular nerves and the regulation of cerebrovascular tone. J Appl Physiol. 2006;100(3):1059–64. Furchgott RF, Zawadzki JV. The obligatory role of endothelial cells in the relaxation of arterial smooth muscle by acetylcholine. Nature. 1980;288(5789):373–6. Wada K et al. Role of nitric oxide in traumatic brain injury in the rat. J Neurosurg. 1998;89(5):807–18. Cherian L, Hlatky R, Robertson CS. Nitric oxide in traumatic brain injury. Brain Pathol. 2004;14(2):195–201. Armstead WM et al. Glucagon protects against impaired NMDA-mediated cerebrovasodilation and cerebral autoregulation during hypotension after brain injury by activating cAMP protein kinase A and inhibiting upregulation of tPA. J Neurotraum. 2011;28(3):451–7. Cherian L, Robertson CS. l-arginine and free radical scavengers increase cerebral blood flow and brain tissue nitric oxide concentrations after controlled cortical impact injury in rats. J Neurotraum. 2003;20(1):77–85. Orihara Y et al. Induction of nitric oxide synthase by traumatic brain injury. Forensic Sci Int. 2001;123(2–3):142–9. Steiner J et al. Attenuation of iNOS mRNA exacerbates hypoperfusion and upregulates endothelin-1 expression in hippocampus and cortex after brain trauma. Nato Sci S A Lif Sci. 2004;10(3):162–9. Xia Y, Zweier JL. Superoxide and peroxynitrite generation from inducible nitric oxide synthase in macrophages. Proc Natl Acad Sci USA. 1997;94(13):6954–8. Xia Y et al. Inducible nitric-oxide synthase generates superoxide from the reductase domain. J Biol Chem. 1998;273(35):22635–9. Guix FX et al. The physiology and pathophysiology of nitric oxide in the brain. Prog Neurobiol. 2005;76(2):126–52. Armstead WM et al. Phenylephrine infusion prevents impairment of ATP- and calcium-sensitive potassium channel-mediated cerebrovasodilation after brain injury in female, but aggravates impairment in male, piglets through modulation of ERK MAPK upregulation. J Neurotraum. 2011;28(1):105–11. Plesnila N et al. Relative cerebral blood flow during the secondary expansion of a cortical lesion in rats. Neurosci Lett. 2003;345(2):85–8. Ashwal S et al. Predictive value of proton magnetic resonance spectroscopy in pediatric closed head injury. Pediatr Neurol. 2000;23(2):114–25. Bartnik BL, Spigelman I, Obenaus A. Cell-permeant calcium buffer induced neuroprotection after cortical devascularization. Exp Neurol. 2005;192(2):357–64. Bartnik BL et al. Upregulation of pentose phosphate pathway and preservation of tricarboxylic acid cycle flux after experimental brain injury. J Neurotraum. 2005;22(10):1052–65. Casey PA et al. Early and sustained alterations in cerebral metabolism after traumatic brain injury in immature rats. J Neurotraum. 2008;25(6):603–14. Ashwal S et al. Proton spectroscopy detected myoinositol in children with traumatic brain injury. Pediatr Res. 2004;56(4):630–8. Rhodes J. Peripheral immune cells in the pathology of traumatic brain injury? Curr Opin Crit Care. 2011;17(2):122–30. Badaut J, Ashwal S, Obenaus A. Aquaporins in cerebrovascular disease: a target for treatment of brain edema? Cerebrovasc Dis. 2011;31(6):521–31. Unterberg AW et al. Edema and brain trauma. Neuroscience. 2004;129(4):1021–9. Klatzo I. Brain oedema following brain ischaemia and the influence of therapy. Br J Anaesth. 1985;57(1):18–22. Pappius HM. Part I: tumors of the brain and skull. In: Vinken PJ, Bruyn GW, editors. Handbook of clinical neurology. New York: North Holland Publishing Company; 1974. p. 167–85. Bauer R, Fritz H. Pathophysiology of traumatic injury in the developing brain: an introduction and short update. Exp Toxicol Pathol. 2004;56(1–2):65–73. Lang DA et al. Diffuse brain swelling after head injury: more often malignant in adults than children? J Neurosurg. 1994;80(4):675–80. Kochanek PM. Pediatric traumatic brain injury: quo vadis? Dev Neurosci. 2006;28(4–5):244–55. Wen H et al. Ontogeny of water transport in rat brain: postnatal expression of the aquaporin-4 water channel. Eur J Neurosci. 1999;11(3):935–45. Dobbing J. The later development of the brain and its vulnerability. In: Davis JA, Dobbing J, editors. Scientific foundations of paediatrics. London: Heinemann; 1981. p. 744–59. Badaut J, Regli L. Distribution and possible roles of aquaporin 9 in the brain. Neuroscience. 2004;129(4):971–81. Badaut J et al. Aquaporin 1 and aquaporin 4 expression in human brain after subarachnoid hemorrhage and in peritumoral tissue. Act Neur S. 2003;86:495–8. Badaut J et al. Aquaporins in brain: distribution, physiology, and pathophysiology. J Cereb Blood Flow Metab. 2002;22(4):367–78. de Castro Ribeiro M et al. Thrombin in ischemic neuronal death. Exp Neurol. 2006;198(1):199–203. Badaut J. Aquaglyceroporin 9 in brain pathologies. Neuroscience. 2010;168(4):1047–57. Neuwelt E et al. Strategies to advance translational research into brain barriers. Lancet Neurol. 2008;7(1):84–96. Ke C et al. Heterogeneous responses of aquaporin-4 in oedema formation in a replicated severe traumatic brain injury model in rats. Neurosci Lett. 2001;301(1):21–4. Kiening KL et al. Decreased hemispheric aquaporin-4 is linked to evolving brain edema following controlled cortical impact injury in rats. Neurosci Lett. 2002;324(2):105–8. Sun MC et al. Regulation of aquaporin-4 in a traumatic brain injury model in rats. J Neurosurg. 2003;98(3):565–9. Meng S et al. Correspondence of AQP4 expression and hypoxic-ischaemic brain oedema monitored by magnetic resonance imaging in the immature and juvenile rat. Eur J Neurosci. 2004;19(8):2261–9. Taniguchi M et al. Induction of aquaporin-4 water channel mRNA after focal cerebral ischemia in rat. Brain Res Mol Brain Res. 2000;78(1–2):131–7. Ke C et al. Impact of experimental acute hyponatremia on severe traumatic brain injury in rats: influences on injuries, permeability of blood–brain barrier, ultrastructural features, and aquaporin-4 expression. Exp Neurol. 2002;178(2):194–206. Saadoun S et al. Greatly improved neurological outcome after spinal cord compression injury in AQP4-deficient mice. Brain. 2008;131(Pt 4):1087–98. Kimura A et al. Protective role of aquaporin-4 water channels after contusion spinal cord injury. Ann Neurol. 2010;67(6):794–801. Zhao J et al. Sulforaphane enhances aquaporin-4 expression and decreases cerebral edema following traumatic brain injury. J Neurosci Res. 2005;82(4):499–506. Guo Q et al. Progesterone administration modulates AQP4 expression and edema after traumatic brain injury in male rats. Exp Neurol. 2006;198(2):469–78. Badaut J et al. Brain water mobility decreases after astrocytic aquaporin-4 inhibition using RNA interference. J Cereb Blood Flow Metab. 2011;31(3):819–31. Shlosberg D, Benifla M, Kaufer D, Friedman A. Blood-brain barrier breakdown as a therapeutic target in traumatic brain injury. Nat Rev Neurol. 2010 6(7):393–403. Epub 2010 Jun 15. Beaumont A et al. Bolus tracer delivery measured by MRI confirms edema without blood–brain barrier permeability in diffuse traumatic brain injury. Act Neur S. 2006;96:171–4. Strbian D et al. The blood–brain barrier is continuously open for several weeks following transient focal cerebral ischemia. Neuroscience. 2008;153(1):175–81. Nag S, Venugopalan R, Stewart DJ. Increased caveolin-1 expression precedes decreased expression of occludin and claudin-5 during blood–brain barrier breakdown. Acta Neuropathol. 2007;114(5):459–69. Jiao H et al. Specific role of tight junction proteins claudin-5, occludin, and ZO-1 of the blood–brain barrier in a focal cerebral ischemic insult. J Mol Neurosci. 2011;44(2):130–9. Abdul Muneer PM. Inhibitory effects of alcohol on glucose transport across the blood–brain barrier leads to neurodegeneration: preventive role of acetyl-L: -carnitine. Psychopharmacology (Berl). 2011;214(3):707–18. Lin JL et al. Ascorbic acid prevents blood–brain barrier disruption and sensory deficit caused by sustained compression of primary somatosensory cortex. J Cereb Blood Flow Metab. 2010;30(6):1121–36. Liao CW et al. Blood–brain barrier impairment with enhanced SP, NK-1R, GFAP and claudin-5 expressions in experimental cerebral toxocariasis. Parasite Immunol. 2008;30(10):525–34. Pierre K, Pellerin L. Monocarboxylate transporters in the central nervous system: distribution, regulation and function. J Neurochem. 2005;94(1):1–14. Prins ML, Giza CC. Induction of monocarboxylate transporter 2 expression and ketone transport following traumatic brain injury in juvenile and adult rats. Dev Neurosci. 2006;28(4–5):447–56. Appelberg KS, Hovda DA, Prins ML. The effects of a ketogenic diet on behavioral outcome after controlled cortical impact injury in the juvenile and adult rat. J Neurotraum. 2009;26(4):497–506. Deane R, Wu Z, Zlokovic BV. RAGE (yin) versus LRP (yang) balance regulates alzheimer amyloid beta-peptide clearance through transport across the blood–brain barrier. Stroke. 2004;35(11 Suppl 1):2628–31. Miller DS. Regulation of P-glycoprotein and other ABC drug transporters at the blood–brain barrier. Trends Pharmacol Sci. 2010;31(6):246–54. Zlokovic BV et al. Low-density lipoprotein receptor-related protein-1: a serial clearance homeostatic mechanism controlling Alzheimer’s amyloid beta-peptide elimination from the brain. J Neurochem. 2010;115(5):1077–89. Pop, V., et al. Long-term alterations in the blood–brain barrier, cognitive impairment, and development of Alzheimer-type neuropathology after juvenile traumatic brain injury. XXVth International Symposium on Cerebral Blood Flow and Metabolism, Barcelona, Spain, JCBFM; 2011. Wu B et al. Age-related changes in P-glycoprotein expression in senescence-accelerated mouse. Curr Aging Sci. 2009;2(3):187–92. Wu B et al. RAGE, LDL receptor, and LRP1 expression in the brains of SAMP8. Neurosci Lett. 2009;461(2):100–5. Cirrito JR et al. P-glycoprotein deficiency at the blood–brain barrier increases amyloid-beta deposition in an Alzheimer disease mouse model. J Clin Invest. 2005;115(11):3285–90. Mawuenyega KG et al. Decreased clearance of CNS beta-amyloid in Alzheimer’s disease. Science. 2010;330(6012):1774. Magnoni S, Brody DL. New perspectives on amyloid-beta dynamics after acute brain injury: moving between experimental approaches and studies in the human brain. Arch Neurol. 2010;67(9):1068–73. Abrahamson EE et al. Caspase inhibition therapy abolishes brain trauma-induced increases in Abeta peptide: implications for clinical outcome. Exp Neurol. 2006;197(2):437–50. Tran HT et al. Distinct temporal and anatomical distributions of amyloid-beta and tau abnormalities following controlled cortical impact in transgenic mice. PLoS One. 2011;6(9):e25475. Tran HT et al. Controlled cortical impact traumatic brain injury in 3xTg-AD mice causes acute intra-axonal amyloid-beta accumulation and independently accelerates the development of tau abnormalities. J Neurosci. 2011;31(26):9513–25. Uryu K et al. Repetitive mild brain trauma accelerates Abeta deposition, lipid peroxidation, and cognitive impairment in a transgenic mouse model of Alzheimer amyloidosis. J Neurosci. 2002;22(2):446–54. Nakagawa Y et al. Traumatic brain injury in young, amyloid-beta peptide overexpressing transgenic mice induces marked ipsilateral hippocampal atrophy and diminished Abeta deposition during aging. J Comp Neurol. 1999;411(3):390–8. Nakagawa Y et al. Brain trauma in aged transgenic mice induces regression of established abeta deposits. Exp Neurol. 2000;163(1):244–52. Loane DJ et al. Modulation of ABCA1 by an LXR agonist reduces beta-amyloid levels and improves outcome after traumatic brain injury. J Neurotraum. 2011;28(2):225–36. Del Valle J et al. Cerebral amyloid angiopathy, blood–brain barrier disruption and amyloid accumulation in SAMP8 mice. Neurodegener Dis. 2011;8(6):421–9. Hardy J. The amyloid hypothesis for Alzheimer’s disease: a critical reappraisal. J Neurochem. 2009;110(4):1129–34. Canepa E et al. Cholesterol and amyloid-beta: evidence for a cross-talk between astrocytes and neuronal cells. J Alzheimers Dis. 2011;25(4):645–53. Butterfield DA et al. Elevated oxidative stress in models of normal brain aging and Alzheimer’s disease. Life Sci. 1999;65(18–19):1883–92. Markesbery WR, Lovell MA. Damage to lipids, proteins, DNA, and RNA in mild cognitive impairment. Arch Neurol. 2007;64(7):954–6. Lovell MA, Markesbery WR. Oxidative damage in mild cognitive impairment and early Alzheimer’s disease. J Neurosci Res. 2007;85(14):3036–40. Lovell MA, Markesbery WR. Oxidative DNA damage in mild cognitive impairment and late-stage Alzheimer’s disease. Nucleic Acids Res. 2007;35(22):7497–504. Shao C et al. Oxidative stress in head trauma in aging. Free Radic Biol Med. 2006;41(1):77–85. Berchtold NC et al. Gene expression changes in the course of normal brain aging are sexually dimorphic. Proc Natl Acad Sci USA. 2008;105(40):15605–10. Uryu K et al. Age-dependent synuclein pathology following traumatic brain injury in mice. Exp Neurol. 2003;184(1):214–24. Uryu K et al. Multiple proteins implicated in neurodegenerative diseases accumulate in axons after brain trauma in humans. Exp Neurol. 2007;208(2):185–92. Nicolakakis N, Hamel E. Neurovascular function in Alzheimer’s disease patients and experimental models. J Cereb Blood Flow Metab. 2011;31(6):1354–70.