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          Abstract

          Traumatic brain injury (TBI) induces cerebrovascular oxidative stress, which is associated with neurovascular uncoupling, autoregulatory dysfunction, and persisting cognitive decline in both pre-clinical models and patients. However, single mild TBI (mTBI), the most frequent form of brain trauma, increases cerebral generation of reactive oxygen species (ROS) only transiently. We hypothesized that comorbid conditions might exacerbate long-term ROS generation in cerebral arteries after mTBI. Because hypertension is the most important cerebrovascular risk factor in populations prone to mild brain trauma, we induced mTBI in normotensive and spontaneously hypertensive rats (SHR) and assessed changes in cytoplasmic and mitochondrial superoxide (O 2-) production by confocal microscopy in isolated middle cerebral arteries (MCA) 2 weeks after mTBI using dihydroethidine (DHE) and the mitochondria-targeted redox-sensitive fluorescent indicator dye MitoSox. We found that mTBI induced a significant increase in long-term cytoplasmic and mitochondrial O 2- production in MCAs of SHRs and increased expression of the nicotinamide adenine dinucleotide phosphate (NADPH) oxidase subunit Nox4, which were reversed to the normal level by treating the animals with the cell-permeable, mitochondria-targeted antioxidant peptide SS-31 (5.7 mg kg −1 day −1, i.p.). Persistent mTBI-induced oxidative stress in MCAs of SHRs was significantly decreased by inhibiting vascular NADPH oxidase (apocyinin). We propose that hypertension- and mTBI-induced cerebrovascular oxidative stress likely lead to persistent dysregulation of cerebral blood flow (CBF) and cognitive dysfunction, which might be reversed by SS-31 treatment.

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          Author and article information

          Journal
          J Neurotrauma
          J. Neurotrauma
          neu
          Journal of Neurotrauma
          Mary Ann Liebert, Inc., publishers (140 Huguenot Street, 3rd FloorNew Rochelle, NY 10801USA )
          0897-7151
          1557-9042
          01 December 2019
          11 November 2019
          : 36
          : 23
          : 3309-3315
          Affiliations
          [ 1 ]Department of Neurosurgery and Szentagothai Research Center, University of Pecs, Medical School, Pecs, Hungary.
          [ 2 ]Institute for Translational Medicine, University of Pecs, Medical School, Pecs, Hungary.
          [ 3 ]Department of Medical Biology, University of Pecs, Medical School, Pecs, Hungary.
          [ 4 ]Department of Immunology and Biotechnology, University of Pecs, Medical School, Pecs, Hungary.
          [ 5 ]Reynolds Oklahoma Center on Aging, Donald W. Reynolds Department of Geriatric Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
          [ 6 ]Department of Morphology and Physiology, Semmelweis University, Budapest, Hungary.
          [ 7 ]Sport-Physiology Research Center, University of Physical Education, Budapest, Hungary.
          [ 8 ]Department of Physiology, New York Medical College, Valhalla, New York.
          [ 9 ]MTA-PTE Clinical Neuroscience MR Research Group, Pecs, Hungary.
          Author notes
          [*]Address correspondence to: Peter Toth, MD, PhD, Department of Neurosurgery, University of Pecs, 2 Ret Street, Pecs, 7624, Hungary toth.peter@ 123456pte.hu
          Article
          PMC6857460 PMC6857460 6857460 10.1089/neu.2019.6439
          10.1089/neu.2019.6439
          6857460
          31266393
          dcf875d1-1e6c-4cce-a2aa-16f59c4f703f
          Copyright 2019, Mary Ann Liebert, Inc., publishers
          History
          Page count
          Figures: 3, References: 36, Pages: 7
          Categories
          Short Communication

          free radicals,hypertension,mitochondrion,brain trauma,MCA
          free radicals, hypertension, mitochondrion, brain trauma, MCA

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