1. Field of the Invention
The present invention relates a device and method for inducing traumatic brain injury (TBI) in animal test subjects. Specifically, the invention is (1) a device driven by compressed gases and method for launching a small projectile designed to impact a target and (2) a protective custom-designed small animal helmet that uses pressure sensor film to measure the force/distribution of the impact pressure on both the outer and inner surfaces of the helmet.
2. Brief Description of Related Art
Traumatic brain injury (TBI) has been identified as a significant public health concern affecting over 1.7 million people each year in the United States alone. The vast majority of nonfatal TBIs (75%) in military have been classified as “mild” (mTBI) typically caused by closed-head concussion (Gerberding J L and Binder S. 2003. Report to Congress on Mild Traumatic Brain Injury in the United States: Steps to Prevent a Serious Public Health Problem. In: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention). Because of the high use of improvised explosive devices (IEDs) in war, there has been increased concern regarding combat-related concussions sustained by U.S. military personnel (Owens B D, Kragh J F, Jr., Wenke J C, Macaitis J, Wade C E and Holcomb J B. (2008). Combat wounds in operation Iraqi Freedom and operation Enduring Freedom. J Trauma. 64:295-299). It has been estimated that up to 28% of U.S. military personnel sustained at least one concussive mTBI event while deployed in Iraq and Afghanistan (Warden D. (2006). Military TBI during the Iraq and Afghanistan wars. J Head Trauma Rehabil. 21:398-402). Moreover, the emergence of the mTBI casualty during OIF and OEF and the extremely high incidence of which it has occurred in our soldiers has defined this combat wound as the “signature injury” of these wars. From the period 2000 through 2010, over 200,000 cases of TBI were diagnosed in the military (http://www.health.mil/Research/TBI_Numbers.aspx), with over 75% of these injuries classified as mTBI. Importantly, combat troops are often exposed to more than one concussion or mTBI in a short timeframe, the cumulative effects of which can produce long-lasting effects including physical, mental, emotional and cognitive impairments and may place our returning soldiers at increased risk for PTSD and/or neurodegenerative disorders.
Despite the high incidence of closed-head concussive mTBI in civilian and military sectors, objective diagnostic tools and knowledge about what occurs in the brain following this type of injury are limited. Ideally, the diagnosis or treatment of mTBI would be based upon understanding the injurious changes in the brain on a cellular level. However, concussive-impact induced mTBI does not produce structural changes detectable by conventional neuroimaging techniques, making clinical diagnosis challenging, particularly in the presence of more obvious injuries. Much of what has been learned about concussion in the past decade has been acquired through the systematic study of concussion sustained in sports. Currently, the clinical diagnosis of mTBI relies on symptom reporting and neurological exams, such as the Sport Concussion Assessment Tool 2 (SCAT2) National Football League (NFL) sideline exam and the Military Acute Concussion Evaluation (MACE). However, these tests typically require baseline scores for clear interpretation and rely heavily on self-reported symptoms and subjective evaluations. Increased understanding of the complex pathophysiological processes affecting the brain as a result of concussion may provide more objective diagnostic tools and improve guidelines for managing cerebral concussion for both our military population and the civilian population.
In order to study experimentally-induced concussion in animal test subjects that is clinically relevant, we have developed a device and method for producing closed-head projectile-induced concussive impact in animal test subjects. The device and method is capable of producing brain injuries ranging from mild to severe. In order to induce mild TBI, the model requires the animal test subject to wear a custom-designed small animal helmet to protect the head from bruising, yet allowing the brain to sustain an injury that meets the “clinical” criteria of a concussion.
An object of the invention is to produce an animal model with traumatic brain injury to advance research.
Another object of the invention is to inflict measured pressure wave or projectile mediated concussion in laboratory animals.
The present invention provides an experimental tool and method to elucidate the mechanism and pathology of mTBI and facilitate therapeutics research aimed specifically at mTBI treatments.
In order to study problems of mTBI in the research laboratory, we disclose a 1st and 2nd generation device, both of which are driven by compressed gases and a method for launching a small projectile designed to impact a target, which includes a protective custom-designed small animal helmet that uses pressure sensor film to measure the force/distribution of the impact pressure on both the outer and inner surfaces of the helmet. The 1st generation device uses a method whereby exposure to heat produces rapid sublimation of dry ice contained in a torque-sealed microcentrifuge that generates a strong pressure-wave to cause non-concussive (without a projectile) or concussive (unprotected, directly impact by a projectile) brain injury. The 2nd generation device uses a computerized apparatus driven by compressed gases and a method for launching a small projectile designed to impact a target and a protective custom-designed small animal helmet that uses pressure sensor film to measure the force/distribution of the impact pressure on both the outer and inner surfaces of the helmet. The 2nd generation device allows for greater manipulation of the injury parameters while providing better control over the “pressure wave” effect. Different degrees of mTBI can be produced by controlling the amount of pressurized gas and the distance of impact from a laboratory animal's head. This method produces clinically relevant mTBI deficits in expected neuropathological (i.e. astrocyte accumulation, nestin and heat shock protein upregulation and neurodegeneration) and neurofunction outcomes (i.e. motor, cognitive and gait disturbances).
Advantages of the present invention over the prior art include, but are not limited to, being more compact and safe, more logistically compatible with small lab spaces, being less inexpensive to set-up and maintain, and being amenable to high throughput experimentation. A salient feature of this invention is that it is capable of reliably and reproducibly generating a true closed-head concussion leading to mild, moderate or severe TBI in animal test subjects with clinically-relevant symptoms and neuropathology. The present invention can induce a closed head trauma that does not require any surgical procedures that is completely non-invasive (i.e. scalp incision, no burr holes for screw sets, or craniotomy).
a is a photograph of brain showing no brain injury in sham control rat (received anesthesia only) after 3 days;
b is a photograph of brain showing no brain injury in sham control rat (received anesthesia only) after 14 days;
c is a photograph of brain showing no gross pathology induced by pressure wave after 3 days;
d is a photograph of brain showing no gross pathology induced by pressure wave after 14 days;
e is a photograph of brain showing the extent of subdural hemorrhage and contusion caused by a direct impact of the projectile (unprotected) after 3 days;
f is a photograph of brain showing the extent of subdural hemorrhage and contusion caused by a direct impact of the projectile (unprotected) after 14 days;
a is a photograph of a coronal section of the brain immunostained for nestin in sham control rat (received anesthesia only) showing no brain injury after 3 days;
b is a photograph of a coronal section of the brain stained immunostained for nestin in sham control rat (received anesthesia only) showing no brain injury after 14 days;
c is a photograph of a coronal section of the brain showing no nestin immunoreactivity induced by pressure wave after 3 days;
d is a photograph of a coronal section of the brain showing no nestin immunoreactivity induced by pressure wave after 14 days;
e is a photograph of a coronal section of the brain showing nestin immunoreactivity induced by a direct impact of the projectile (unprotected) after 3 days;
f is a photograph of a coronal section of the brain showing nestin immunoreactivity induced by a direct impact of the projectile (unprotected) after 14 days;
a is a photograph of a coronal section of the brain immunostained for heat shock protein 27 (HSP27) in sham control rat (received anesthesia only) showing no brain injury after 3 days;
b is a photograph of a coronal section of the brain immunostained for HSP27 in sham control rat (received anesthesia only) showing no brain injury after 14 days;
c is a photograph of a coronal section of the brain showing no HSP27 immunoreactivity induced by pressure wave after 3 days;
d is a photograph of a coronal section of the brain showing no HSP27 immunoreactivity induced by pressure wave after 14 days;
e is a photograph of a coronal section of the brain showing HSP27 immunoreactivity induced by a direct impact of the projectile (unprotected) after 3 days;
f is a photograph of a coronal section of the brain showing HSP 27 immunoreactivity induced by a direct impact of the projectile (unprotected) after 14 days;
a is a photograph of a coronal section of the brain immunostained for albumin in sham control rat (received anesthesia only) showing no blood brain barrier (BBB) leakage after 3 days;
b is a photograph of a coronal section of the brain immunostained for albumin in sham control rat (received anesthesia only) showing no blood brain barrier (BBB) leakage after 14 days;
c is a photograph of a coronal section of the brain showing BBB leakage by albumin extravasation induced by pressure wave after 3 days;
d is a photograph of a coronal section of the brain showing BBB leakage by albumin extravasation induced by pressure wave after 14 days;
e is a photograph of a coronal section of the brain showing BBB leakage by albumin extravasation induced by a direct impact of the projectile (unprotected) after 3 days;
f is a photograph of a coronal section of the brain showing BBB leakage by albumin extravasation induced by a direct impact of the projectile (unprotected) after 14 days;
a is a photograph of a coronal section of the brain with silver staining in sham control rat (received anesthesia only) showing no neurodegeneration after 14 days;
b is a photograph of a coronal section of the brain with silver staining showing no neurodegeneration induced by pressure wave after 14 days;
c is a photograph of a coronal section of the brain with silver staining showing neurodegeneration induced by a direct impact of the projectile (unprotected) after 14 days;
a is a photograph of relative amounts of cortical GFAP expression in a sham control rat after 3 days;
b is a photograph of relative amounts of cortical GFAP expression in a sham control rat after 14 days;
c is a photograph of relative amounts of cortical GFAP expression induced by pressure wave after 3 days;
d is a photograph of relative amounts of cortical GFAP expression induced by pressure wave after 14 days;
e is a photograph of relative amounts of cortical GFAP expression induced by a direct impact of the projectile (unprotected) after 3 days;
f is a photograph of relative amounts of cortical GFAP expression induced by a direct impact of the projectile (unprotected) after 14 days;
a is a photograph of relative amounts of hippocampal GFAP expression in a sham control rat after 3 days;
b is a photograph of relative amounts of hippocampal GFAP expression in a sham control rat after 14 days;
c is a photograph of relative amounts of hippocampal GFAP expression induced by pressure wave after 3 days;
d is a photograph of relative amounts of hippocampal GFAP expression induced by pressure wave after 14 days;
e is a photograph of relative amounts of hippocampal GFAP expression induced by a direct impact of the projectile (unprotected) after 3 days;
f is a photograph of relative amounts of hippocampal GFAP expression induced by a direct impact of the projectile (unprotected) after 14 days;
a is a graph showing the correlation between input pressure and projectile velocity of the projectile launching device according to a second embodiment of the invention;
b is a graph showing the correlation between input pressure and impact force of the projectile launching device according to a second embodiment of the invention;
c is a graph showing the correlation between input pressure and side-on pressure of the projectile launching device according to a second embodiment of the invention; and
d is a graph showing the correlation between input pressure and reflected pressure of the projectile launching device according to a second embodiment of the invention.
To aid in understanding the invention, several terms are defined below.
“Animal test subject” refers to, without limitation all deuterostomia, including chordates and specifically mammalia, as well as any live organism with a discernable brain capable of being analyzed using known techniques. Said animal test subjects are administered according to U.S. Government principles for the utilization and care of vertebrate animals used in testing, research, and training and in accordance with Public Law 89-544, 1966, as amended, (P.L. 91-579, P.L. 94-279 and P.L. 99-198) 7 U.S.C. 2131 et. seq., and the Guide for the Care and Use of Laboratory Animals, National Academy Press, 1996, Washington, D.C., or succeeding revised editions, as well as applicable laws, regulations and policies.
“Propellant” refers to a gas to include carbon dioxide gas, nitrogen gas, ambient air, gaseous products of a chemical reaction, or the like.
“Propulsive force” refers to the kinetic energy used to eject a projectile from a source.
“Pressure sensor” includes, without limitation, all electromagnetic, resistive, capacitive, and optical sensors; all pressure transducers, pressure transmitters, pressure sensors, pressure indicators, piezoelectric sensor, manometers including sensors that rely on deflection of a membrane under an applied pressure difference; piezoresistors and strain gauges.
“Heat source” includes all means for heat transfer, including but not limited to conduction, convention and radiation means and heat produced from a chemical reaction, as well as any combination of these.
“Sensor film” includes, without limitation, all colorimetric and electronic thin membrane film sensor which are able to indicate or measure pressure magnitude and distribution between contacting surfaces.
On the upper platform 1a, an opening 7 is defined therein. Adjacent to at least one side of the opening are one or more slide bar(s) 8 for positioning the head or skull of an animal such as a rodent or other laboratory animal over the opening 7. A screen 9 made of highly perforated metal, plastic or other sturdy material can be positioned over the opening 7 if desired for blocking the projectile yet allowing the pressure wave to pass through.
On the lower platform 1b, a hook 6 is affixed to or integral with the lower platform. The hook 6 is for connecting to a projectile launching device B (
As shown in
In
In an alternate embodiment of the invention, animals are subjected to a pressure wave 24 with the screen 9 removed such that the cap 14 (or projectile) impacts directly on the anesthetized animal's head 20 (
As shown in
In
The heating unit in
Various novel aspects of preferred embodiments of the invention are described in the following, non-limiting, examples.
Anesthetized rats (with 2% isoflurane) were exposed to concussive impact via a cap or other projectile 14 targeted and propelled by compressed CO2 gas released from 1.7 g dry ice (
These subjects displayed various degrees of hemorrhage at 3 days and contusion at 14 days (
Anesthetized rats (with 2% isoflurane) were exposed to concussive impact via a cap or other projectile 14 targeted and propelled by compressed CO2 gas released from 1.7 g dry ice (
A modified projectile launching device B is disclosed (
It can be appreciated by one ordinarily skilled in the art that the nature of the tube (size, shape and material) may be changed and still be within the scope of the embodiments of the invention as disclosed herein. Further, the means for producing pressure in this embodiment of the invention may be suitably modified while still remaining within the scope of the preferred embodiment of the invention. In can also be appreciated that means for capturing and/or deflecting the cap or projectile may be modified to suit the needs of the experiment requiring only that the pressure wave be allowed to continue substantially unabated towards the target head. Further still, the method of gathering data by way of this non-limiting example may be modified to suit the specific requirements of the experiment using methods well known in the art.
In a second embodiment of the invention, compressed gas, such as and preferably CO2 gas, was substituted for dry ice sublimation to serve as a trigger mechanism for the projectile. The velocity of the projectile was estimated based on high speed videos. Impact force and pressures were measured at different CO2 input pressures.
According to the second embodiment of the invention, a brain injury device C has a projectile launching device B. The projectile launching device B is computerized to launch a small projectile 14 using compressed gases. The projectile launching device can be used to deliver a concussive impact traumatic brain injury.
As shown in
The raising and lowering device 2 can be manual or electronic. It can also be controlled by a computer. The type of raising and lowering device is not particularly important as long as it can operate to raise and lower the platform in relation to the projectile launching device and be locked into position.
A temperature sensor 33 and a pressure transducer 34 (to measure reflected pressure) are mounted near or on the underside of the upper platform (preferably parallel to the underside of the upper platform 1a) near the ovular opening 7. A second pressure transducer 34 (to measure side-on pressure) is also mounted near the underside of the platform 1a (preferably on a metal plate attached to the underside of the platform) near the opening 7 that is perpendicular to the platform 1a. The temperature and pressure data are collected by a data acquisition system and displayed on a computer 26. This data can be transported from the computer controlled interface 31 to a computer via a data transfer means 44. A data transfer means is any means known in the art that transports data such as but not limited to cable, Bluetooth, wirelessly. The computer can be part of the brain injury apparatus or can be a remote computer such as personal computer (PC).
Referring to
The input pressure is directly proportional to the projectile velocity and impact force. The input pressure is user-selectable between 25 to 150 psi, which corresponds to forces ranging from 50 to 150 N and projectile velocities ranging from 20 to 60 m/s. An experiment is initiated by entering the desired input pressure in the software module. When the desired input pressure has been reached, the computer controlled mechanism releases the projectile from the projectile launching device.
The platform and the projectile launching device can be contained within an enclosed anesthesia transparent viewing chamber 25 such as that shown in
The velocity of the projectile was estimated based on high speed videos. Impact force and pressures were measured at different CO2 input pressures. The device produced a range of projectile velocity and impact force dependent on the CO2 input pressure, as shown in
In summary, the linear relationship between input pressure of compressed gas and impact force/projectile velocity in the second embodiment facilitates greater manipulation of the injury parameters. In addition, the pressure wave generated from the release of compressed CO2 is of low magnitude and is not related to the input pressure. Thus, the injury is purely impact-induced and any “pressure wave” effect is minimal.
As shown in
An inner pressure sensor film 38 and an outer pressure sensor film 39 may be applied to or made integral with the helmet substrate materials 40 during manufacturing. The pressure sensor films measure the pressure magnitude/distribution during impact on both the outer and inner surfaces of the helmet.
The animal helmets are constructed based on the dimension of the life size mold of an adult test animal type and breed. In the present invention, for example, the helmet was designed to fit a 300 g Sprague-Dawley male rat. The helmet can be designed to fit other types of animals. The helmet substrate is fabricated from but not limited to, the following materials: Carbon, glass, Kevlar and Dyneema.
The thicknesses of the helmet and the sensor film are about 0.91 mm and 0.18 mm respectively.
Specific examples of composite materials for the helmet are as follows:
Colorimetric pressure sensor films 38 and 39 are laid on the inner and outer side of the helmet to form a three layer helmet. The type of pressure sensor film used in the invention is Fujifilm Prescale Film. Pressure data (magnitude, distribution), contact area and impact force were analyzed using Topaq Pressure Analysis System (Sensor Products, Inc.). Upon impact, the inner film 38 reveals the pressure distribution profile, contact area, pressure and force magnitudes, that occurred between the helmet and rat head and outer film 39 reveals the same data that occurred between the helmet and projectile.
Helmets substrates constructed of three different composite materials, (A) woven glass/carbon, (B) fiber glass pre-impregnated with resin, (C) Dyneema/woven carbon fiber with toughened epoxy resin, were tested for protective performance. Strength and modulus of these composites were determined by tensile testing using the testing standard ASTM D3039 with Instron material testing system (10 kN load cell). To evaluate the helmet performance, rats were assigned into four groups (n=3/group): Sham control (received anesthesia only), Helmet A, Helmet B and Helmet C. The helmet groups were subjected to PCI (right, 45°) once daily for consecutive five days. At 24 h after the 5th hit, brains were harvested after transcardial perfusion, post-fixed in 4% paraformaldehyde and cryoprotected in 20% sucrose solution. Coronal sections (40 μm) of cerebrum were immunostained for glial fibrillary acidic protein (GFAP) and β-amyloid precursor protein (βAPP). Immunoreactivities of GFAP and βAPP were quantified using threshold analysis and were expressed as % Area (100%*thresholded pixel/area).
The elastic modulus and maximum stress of Helmet A were much lower than those of Helmet B and C, indicating that material used for Helmet A are flexible and can be deformed by a small amount of stress whereas, Helmet B and C are relatively stiff.
The average pressure applied to the helmet's outer surface by the projectile was 4747±60 kPa. All helmets effectively protected against skull fracture, subarachnoid hemorrhage and contusion. Pressure data of the inner surface demonstrated that helmet A (449±6 kPa) yielded the most consistent pressure distribution and the highest force magnitude (160±21N). Helmet A's material is flexible and can be deformed by a small amount of stress (low elastic modulus). Thus, it transfers load efficiently from the projectile impact to the animal's head that is critical for producing concussion in the absence of any overt pathology. In contrast, the other 2 helmets did not yield a satisfactory pressure distribution on the inner surface indicating these helmets were relatively stiff and may not effectively transfer the load to the rat head.
Significant increase in GFAP was detected in the right hippocampus of Helmet A group, compared with sham (p<0.01) and Helmet C group (p<0.05). No significant increases in βAPP immunoreactivity were detected at 24 h. See
The preferred helmet is made of fiberglass and carbon weave because it exhibited low elastic modulus and strength while demonstrating consistent load transfer efficiency that is critical for producing concussion without overt pathology. Histopathology results showed that astrocyte activation increased significantly in hippocampus of the rats with Helmet A at 24 hours following repeated projectile concussive impact injury.
Overall the combination use of the helmet and the compressed CO2 projectile launching device show a good concussive model with controlled, reproducible and quantifiable results. The intensity of the force can be titrated, potentially producing a wide spectrum of concussive injury severities for further study.
While particular embodiments of the present invention have been shown and described, it will be obvious to those skilled in the art that changes and modifications may be made without departing from this invention. Therefore, it is intended that the claims herein are to include all such obvious changes and modifications as fall within the true spirit and scope of this invention.
The teachings of the references cited herein are incorporated herein in their entirety:
This invention claims priority of U.S. Provisional Application Ser. No. 61/521,446 filed on Aug. 9, 2011.
This invention was made with support from the United States Government, specifically the Walter Reed Army Institute of Research, and; accordingly, the United States Government has certain rights in this invention.
Number | Date | Country | |
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61521446 | Aug 2011 | US |