Evidence map›Paper›PMID 33960556›Full record

ArticleBrain pathology (Zurich, Switzerland)2021

Diverse changes in microglia morphology and axonal pathology during the course of 1 year after mild traumatic brain injury in pigs.

Michael R Grovola, Nicholas Paleologos, Daniel P Brown, Nathan Tran, Kathryn L Wofford, James P Harris, Kevin D Browne, Patricia A Shewokis, John A Wolf, D Kacy Cullen and 1 more

Open access · goldAbstract read
In one paragraph

Article in Brain pathology (Zurich, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.2field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 24 citations in OpenAlex.

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  4. Revisiting the critical roles of reactive microglia in traumatic brain injury.International journal of surgery (London, England) · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Michael R GrovolaCenter for Neurotrauma, Neurodegeneration & Restoration, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.ORCID 0000-0003-4125-9329
Nicholas PaleologosCenter for Neurotrauma, Neurodegeneration & Restoration, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.
Daniel P BrownCenter for Neurotrauma, Neurodegeneration & Restoration, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.
Nathan TranCenter for Neurotrauma, Neurodegeneration & Restoration, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.
Kathryn L WoffordCenter for Neurotrauma, Neurodegeneration & Restoration, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.
James P HarrisCenter for Neurotrauma, Neurodegeneration & Restoration, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.
Kevin D BrowneCenter for Neurotrauma, Neurodegeneration & Restoration, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.
Patricia A ShewokisDepartment of Nutrition Sciences, College of Nursing and Health Professions, Drexel University, Philadelphia, PA, USA.
John A WolfCenter for Neurotrauma, Neurodegeneration & Restoration, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.
D Kacy CullenCenter for Neurotrauma, Neurodegeneration & Restoration, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.ORCID 0000-0002-5355-5216
John E DudaCenter for Neurotrauma, Neurodegeneration & Restoration, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.ORCID 0000-0002-7282-2201
Philadelphia VA Medical Center · USDrexel University · US

Funding

BRIAN INJURY TRAINING GRANTT32NS043126 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI Douglas Hamilton Smith · 2003 to 2026
$5.9M
Network Dysfunction and Neuromodulation following TBIR01NS101108 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI John Allen Wolf · 2017 to 2026
$3.3M
Chronic Neurodegenerative Sequelae Driven by Neuroinflammation After Mild TBIR03NS116301 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI CULLEN, DANIEL KACY · 2020 to 2020
$162k
Understanding and Employing Innate Immune Cell Infiltration into the Brain Following TraumaF32NS116205 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI WOFFORD, KATHRYN LEIGH · 2020 to 2022
$155k
Chronic Focal and Diffuse Traumatic Brain Injury: Mechanisms Underlying Epileptogenesis and Progressive DysfunctionI01RX003498 · VA · PHILADELPHIA VA MEDICAL CENTER · PI WOLF, JOHN ALLEN · 2020 to 2024
–
Mechanisms of Cortico-Limbic Network Dysfunction Underlying PTSD after TBIIK2RX001479 · VA · PHILADELPHIA VA MEDICAL CENTER · PI WOLF, JOHN ALLEN · 2015 to 2018
–
Neuromodulation as a Therapy for PTSD following Chronic TBII01RX002705 · VA · PHILADELPHIA VA MEDICAL CENTER · PI John Allen Wolf · 2018 to 2026
–
Chronic neurodegenerative and neurophysiological sequela of closed-head TBII01RX001097 · VA · PHILADELPHIA VA MEDICAL CENTER · PI DUDA, JOHN ERIC · 2015 to 2018
–
Transplantable Micro-Tissue Engineered Neural Networks to Restore the Nigrostriatal Pathway in Parkinson's DiseaseI01BX003748 · VA · PHILADELPHIA VA MEDICAL CENTER · PI CULLEN, DANIEL KACY · 2017 to 2022
–
BLRD VA I01 BX003748NINDS NIH HHS F32 NS116205NINDS NIH HHS R01 NS101108NINDS NIH HHS R03 NS116301NINDS NIH HHS T32 NS043126RRD VA I01 RX001097RRD VA I01 RX002705RRD VA I01 RX003498RRD VA IK2 RX001479
6 · The paper itself

Abstract

Over 2.8 million people experience mild traumatic brain injury (TBI) in the United States each year, which may lead to long-term neurological dysfunction. The mechanical forces that are caused by TBI propagate through the brain to produce diffuse axonal injury (DAI) and trigger secondary neuroinflammatory cascades. The cascades may persist from acute to chronic time points after injury, altering the homeostasis of the brain. However, the relationship between the hallmark axonal pathology of diffuse TBI and potential changes in glial cell activation or morphology have not been established in a clinically relevant large animal model at chronic time points. In this study, we assessed the tissue from pigs subjected to rapid head rotation in the coronal plane to generate mild TBI. Neuropathological assessments for axonal pathology, microglial morphological changes, and astrocyte reactivity were conducted in specimens out to 1-year post-injury. We detected an increase in overall amyloid precursor protein pathology, as well as periventricular white matter and fimbria/fornix pathology after a single mild TBI. We did not detect the changes in corpus callosum integrity or astrocyte reactivity. However, detailed microglial skeletal analysis revealed changes in morphology, most notably increases in the number of microglial branches, junctions, and endpoints. These subtle changes were most evident in periventricular white matter and certain hippocampal subfields, and were observed out to 1-year post-injury in some cases. These ongoing morphological alterations suggest persistent change in neuroimmune homeostasis. Additional studies are needed to characterize the underlying molecular and neurophysiological alterations, as well as potential contributions to neurological deficits.

Indexed as

Amyloid beta-Protein PrecursorAnimalsAxonsBrainBrain ConcussionDiffuse Axonal InjuryDisease Models, AnimalMaleMicrogliaSwineAmyloid beta-Protein Precursoraxonal pathologyconcussionmicrogliamild traumatic brain injuryskeletal analysis

Identifiers

PMID33960556
PMCPMC8412066
OpenAlexW3157579497

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.