Functional and Structural Improvement with a Catalytic Carbon Nano-Antioxidant in Experimental Traumatic Brain Injury Complicated by Hypotension and Resuscitation

Kimberly Mendoza, Paul J. Derry, Leela Mathew Cherian, Robert Garcia, Lizanne Nilewski, J. Clay Goodman, Lamin Mbye, Claudia S. Robertson, James M. Tour, Thomas A. Kent

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Hypotension worsens outcome after all severities of traumatic brain injury (TBI), with loss of cerebral autoregulation being a potential contributor. Previously, we demonstrated that intravenous injection of a high capacity catalytic antioxidant, poly(ethylene)glycol conjugated hydrophilic carbon clusters (PEG-HCCs) rapidly restored cerebral perfusion and acutely restored brain oxidative balance in a TBI model complicated by hemorrhagic hypotension without evidence of toxicity. Here, we tested whether these acute effects translated into behavioral and structural benefit. TBI was generated by a cortical contusion impactor in 38 Long Evans rats, followed by blood withdrawal to a target mean arterial pressure of 40 mm Hg. PEG-HCC (2 mg/kg) or diluent was injected intravenously 80 min later at the onset of blood resuscitation followed by another injection 2 h later (doses determined in prior studies). Performance on beam walking (performed on days 1-5) and Morris water maze (MWM) (performed on days 11-15) was tested, and lesion size was determined at the termination. PEG-HCC treatment nearly completely prevented motor dysfunction (p < 0.001 vs. diluent), improved MWM performance (p < 0.001; treatment vs. time interaction) and reduced lesion size by 61% (p = 0.054). Here we show that treatment with PEG-HCCs at a clinically realistic time point (onset of resuscitation) prevented a major portion of the neurological dysfunction induced in this TBI model, and that PEG-HCCs are candidates for additional study as a potential therapeutic agent.

Original languageEnglish (US)
Pages (from-to)2139-2146
Number of pages8
JournalJournal of Neurotrauma
Volume36
Issue number13
DOIs
StatePublished - Jul 1 2019

Keywords

  • TBI
  • carbon nanomaterial
  • hemorrhagic shock
  • oxidative stress

ASJC Scopus subject areas

  • Clinical Neurology

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