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OSU research: Early-life stress can compound effects of head injury

KEITH ARNOLD
Special to the Legal News

Published: December 7, 2023

Researchers at The Ohio State University reported they were surprised to learn the extent to which early-life stress can compound the effects of a childhood head injury on health and behavior later in life.
In research presented at Neuroscience 2023, the annual meeting of the Society for Neuroscience, scientists detailed the results of an animal study in which stress changed the activation level of many more genes in the brain than were changed by a bump to the head, according to a news release.
Researchers said it is widely known that head injuries in young kids can be linked to mood disorders and social difficulties that emerge later in life and that adverse childhood experiences can raise risk for disease, mental illness and substance misuse in adulthood.
“But we don’t know how those two things can interact,” said Ohio State associate psychology professor Kathryn Lenz, lead author of the study. “We wanted to understand whether experiencing a traumatic brain injury in the context of early life stress circumstances could modulate the response to the brain injury. And using an animal model allows us to really get into the mechanisms through which these two things might be impacting brain development as it’s occurring.”
The first set of experiments in rats suggests early life stress’ potential to lead to a lifetime of health consequences may not be fully appreciated, she said.
“We found many, many, many more genes were differentially expressed as a result of our early life stress manipulation than our traumatic brain injury manipulation,” Lenz said. “Stress is really powerful, and we shouldn’t understate the impact of early-life stress on the developing brain. I think it tends to get dismissed but it’s an incredibly important public health topic.”
Researchers temporarily separated newborn rats from their mothers daily for 14 days to induce stress mimicking the effects of adverse childhood experiences, which include a variety of potentially traumatic events, the release detailed.
On the 15th day, a time when rats are developmentally equivalent to a toddler, stressed and non-stressed rats were given either a concussion-like head injury under anesthesia or no head injury.
Three conditions––stress alone, head injury alone and stress combined with head injury––were compared to uninjured, non-stressed rats.
Ohio State grad student Michaela Breach examined the gene expression changes in the hippocampal region of the animals’ brains later in the juvenile period using single-nuclei RNA sequencing, the release continued.
Stress alone and stress combined with traumatic brain injury, or TBI, produced a few noteworthy results, researchers said.
Both conditions activated pathways in excitatory and inhibitory neurons associated with plasticity, which is the brain’s ability to adapt to all kinds of changes––mostly to promote flexibility, but sometimes, when the changes are maladaptive, resulting in negative outcomes.
“This may suggest that the brain is being opened up to a new period of vulnerability or is actively changing during this period of time when it could program later life deficits,” said Breach, the first author of the study.
She noted that both conditions also had an effect on signaling related to oxytocin, a hormone linked to maternal behavior and social bonding. Stress alone and combined with TBI, activated this oxytocin pathway, but brain injury alone inhibited it.
“Both stress and TBI are linked to abnormal social behavior, but we’re finding these differing effects with the oxytocin signaling,” Breach said. “That demonstrates that the effect of stress might modulate how TBI is changing the brain since the combination treatment was different from TBI on its own. Oxytocin is involved in the response to stress and repair, so that may mean it could be an interesting modulator for us to pursue in the future.”
In behavior tests in rats that had aged into adulthood, only animals that experienced early-life stress were prone to more frequently entering a wide-open space––a location that typically makes rodents feel vulnerable to predators, the release provided.
“Overall, that suggests they might be taking more risks later in life, which is consistent with human data showing that early life stress can increase the risk for certain conditions like ADHD, which can be characterized by risk-taking behavior or substance use disorders,” Breach said.
The behavior data pointing to detrimental effects of early-life stress provides further evidence of the need to address adverse childhood experiences, Lenz said.
“Things like social support and enrichment can buffer the effects of early-life stress that has been shown in animal models and in people,” she said. “I don’t think it can be over-emphasized how damaging early-life stressors can be if they’re not dealt with.”
Research was supported by the OSU Chronic Brain Injury Institute, the Brain Injury Association of America and a National Science Foundation Graduate Research Fellowship.
Additional co-authors included Ethan Goodman, Jonathan Packer, Ale Zaleta Lastra, Habib Akouri, Zoe Tapp-Poole, Cole Vonder Haar, Jonathan Godbout and Olga Kokiko-Cochran.
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