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Traumatic brain injury induces cognitive dysfunction through







                                                                                                                                                        decrease of brain O-GlcNAcylation in adult zebrafish








                                                                           Ngan An Bui¹#, Duong Tran Thi Thuy¹#, Dong Yeol Kim¹, Jiwon Park¹, Sang-Min Kim¹, Hyun Jae Sung¹, Quynh Nguyen Thi Nhu¹, Inn Oc Han¹*




                                                                                                                                         Program in Biomedical Science and Engineering, Inha University, 100 Inha Ro, Michuholgu, Incheon 22212, South Korea






















                                                                                                                 Abstract                                                                                                                                             A                                                                                                                        B






          Traumatic brain injury (TBI) is known as functional corruption of the brain, which is caused by a bump or blast to


          the head when an object hits suddenly or pierces the skull and penetrates brain tissues. The knowledge of


          pathophysiology following TBI is essentially in need as TBI is still leading in morbidity and mortality causes


          worldwide. In this study, we used a novel model of adult zebrafish to search for the underlying molecular and


          physiological changes following TBI. Using T-maze, at the 3rd day post stab lesion injury (dpi), learning and


          memory deficit and poor social response was observed. Results from mirror biting and novel tank test also


          provided us insight into their defective mobility, exploration rate, and territorial instincts. Severe brain


          inflammation was also observed at 3 dpi. In our previous studies, a decrease of O-GlcNAcylation flux inducing



          cognitive impairment was proved, but little is known about whether it applied to TBI model. Upon injury, a notable


          decrease of O-GlcNAc level was remarked at 3dpi. To further investigate this correlation, after TBI exposure,


          zebrafish were recovered 3 days in glucosamine (GlcN) diluted in water, which increase O-GlcNAc level. Under                                                                                                                                                C


          the treatment of GlcN, the inflammation level reduced significantly. TBI-induced O-GlcNAc deficiency, as well as


          L/M capability, were rescued by GlcN. As the result, regulation of brain O-GlcNAcylation may hold a potential

                                                                                                                                                                                                                                                                                                                                                                                             1 .5                                    4       **                               1 . 5       **             *
          role over TBI’s recuperation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           C o n

                                                                                                                                                                                                                                                                                                                                                                                                      **
                                                                                                                                                                                                                                                                                                                                                                                                                                     3                                                                                                            3 d
                                                                                                                                                                                                                                                                                                                                                                                            )                                       )                                        )
                                                                                                                                                                                                                                                                                                                                                                                            l d  1 .0                               l d                                      l d  1 . 0                                                           7 d
                                                                                                                                                                                                                                                                                                                                                                                            o                                       o
                                                                                                                                                                                                                                                                                                                                                                                            F                                       F                                        o
                                                                                                                                                                                                                                                                                                                                                                                              (  2                                    (  2                                   F    (                                                               1 4 d
                                                                                  Materials and Methods                                                                                                                                                                                                                                                                                     -  L  R 0 .5                            A  G                                     T  G  0 . 5                                                          3 0 d


                                                                                                                                                                                                                                                                                                                                                                                                                                    O
                                                                                                                                                                                                                                                                                                                                                                                                                                     1                                       O




        ∆ Zebrafish                                                                  ∆ Stab Lesion Injury                                                                    ∆ Behavior test                                                                                                                                                                                                 0 .0  C o n  3 d  7 d  1 4 d    3 0 d   0   C o n  3 d   7 d  1 4 d    3 0 d     0 . 0  C o n   3 d    7 d  1 4 d    3 0 d






                                                                                                                                                                        T-maze                                                                                                                                 Figure 3. O-GlcNAcylation flux during cognitive impairment and recovery period





                                                                                                                                                                                                                                                                                                           GlcN rescue cognitive dysfunction in zebrafish caused by TBI
                                                                                             x
         Vertebrate neural structure                                                                                                               2mm



                                                                                                                                                                                                                                                                          1 5 0
         Genetic homology ≧ 87%                                                                                                                                                                                                                                                                                                                        1 5 0


         with human                                                                                                                                                      Mirror Biting                                                                                  )  s                                                                                                                                                       1 0 0
                                                                                                                                                                                                                                                                          (  1 0 0                                                                   )
                                                                                                                                                                                                                                                                        e                                                                              ( s
                                                                                                                                                                                                                                                                          t im                                                                       e  1 0 0 C o n                                                                 8 0
        Able to regenerate organs                                                   ∆ Zebrafish Brain section                                                                                                                                                           g  in                                                                          t im                                                                      )     C o n




                                                                                                                                                                                                                                                                        n  n  5 0                                                                    g  tin  T B I   3 d p i                                                       ( %  y  6 0  T B I   3 d p i                                         C o n
        Absorption of drug by gills                                                                                                                                                                                                                                     u  R                                                                         c  a  5 0 T B I   3 d p i  +   0 . 1                                        c  n  te  4 0  T B I   3 d p i  +   0 . 1

                                                                                                                                                                                                                                                                                                                                                     t e  r                                                                      a  L                                                                   T B I   3 d p i
                                                                                                                                                                                                                                                                                                                                                     I n                                                                                                                                                T B I   3 d p i   +   0 . 1
         Rapid development                                                                                                                                                                                                                                                   0                                                                                                                                                      2 0


                                                                                                                                                                                                                                                                                      1 s t           2 n d           3 r d        M e m o r y
                                                                                                                                                                                                                                                                                                                                                          0                                                                          0
                                                                                                                                                                                                                                                                                                   L e a r n i n g
                                                                                                                                                                                                                                                                                                                                                                                                                                                           2 n d
     ∆ Glucosamine in water                                                                                                                                              Novel Tank Test                                                                                                    N ovel tank test                                      N ovel tank test 1 s t        L e a r n i n g   3 r d        M e m o r y                   1 s t      L e a r n i n g  3 r d      M e m o r y
                                                                                                                                                                                                                                                                                                                                                                                  2 n d


                                          GlcN (0.1g/ L)                           ∆ Timeline examination                                                                                                                                                               B                *    ns              ns                                               ns



                                                                                                                                                                                                                                                                           100                     **                             110          ns         *

                                                                                                                                                                                                                                                                                                                                  100                                                                                           C
                                                                                                                                                                                                                                                                           %  80
                                                                                                                                                                                                                                                                          te                                                     a te  %  90
                                                                                  TBI      3           7                14                         30       (day)                                                                                                         a   R  60
                                                                                                                                                                                                                                                                          n                                                        80
                                                                                                                                                                                                                                                                          tio                                                    ility  R
                                                                                      +/- GlcN                                                                                                                                                                            r a  40                                                b  70
                                                                                                                                                                                                                                                                          lo                                                     o
                                                                                                                                                                                                                                                                          p  20                                                  M
                                                                                   TBI             3      (day)                                                                                                                                                           x  E                                                     60
                                                                                                                                                                                                                                                                                                                                                   N o vel tan k test
                                                                                                                                                                                                                                                                             0                                                     50
                                                                                                                                                                                                                                                                                 N aiv e    N o vel tan k test 3dpi +  1                N aiv e     3dpi   3dpi +  0.1  3dpi +  1
                                                                                                                                                                                                                                                                                             3dpi
                                                                                                                                                                                                                                                                                                    3dpi +  0.1
                                                                                                                                                                                                                                                                                                                                                      ns
                                                                                                                                                                                                                                                                                                ns
                                                                                                                                                                                                                                                                                                                                                ***                                          6           **
                                                                                                                                                                                                                                                                             20          ***                                       /s )  60                           ns                                                             C o n

                                                                                                                     Results                                                                                                                                                )  c e  (m  15           **       ns                   m    (m  40              **                            )  l d  o  4                               3 d


                                                                                                                                                                                                                                                                                                                                                                                                                                     3 d G

                                                                                                                                                                                                                                                                            is ta n  10                                            e e d                                                    ( F  P
                                                                             Rapid recovery of zebrafish postinjury                                                                                                                                                                                                                e  s p                                                 A  F  2
                                                                                                                                                                                                                                                                            ta l D                                                                                                        G


                                                                                                                                                                                                                                                                            o  5                                                   v e ra g 20
        A                                                                                                       B                     N o v e l ta n k  te s t                                                N o v e l ta n k  te s t                                      T                                                      A

                                                                                                                               ****                                                                                                                                           0                                                      0                                                       0     C o n     3 d      3 d G
                                                                                                                 1 0 0                                                                   1 5 0                                                                                     N aiv e    3dpi    3dpi +  0.1  3dpi +  1              N aiv e    3d p i  3d p i +  0.1  3d p i +  1


                                                                                                                 %  8 0                                                                                   *
                                                                                                                te                                                                      %
        Control                                                                                                 a                                                                      te  1 0 0
                                                                                                                 R  6 0                                                                a                                                                                                                               Figure 4. Behavior normalization and L/M restoration after treatment of TBI
                                                                                                                n                                                                       R
                                                                                                                tio                                                                    ility
                                                                                                                ra  4 0
                                                                                                                lo                                                                     b  5 0
                                                                                                                p                                                                      o                                                                                                                      GlcN restores TBI- induced HBP/O-GlcNAcylation deficiency
                                                                                                                x  2 0                                                                 M
                                                                                                                E
        3dpi
                                                                                                                    0
                                                                                                                                      N
                                                                                                                        N a iv e    T B I 3 d o v e l ta n k  te s t                        0                  N o v e l ta n k  te s t
                                                                                                                                             T B I 7 d
                                                                                                                                                       T B I 1 4 d T B I 3 0 d
                                                                                                                                                                                                          T B I 3 d
                                                                                                                                                                                          2 0 N a iv e    ****        T B I 7 d  T B I 1 4 d  T B I 3 0 d                                                                                                B                                                                                 C
                                                                                                                                ****
                                                                                                                  6 0
                                                                                                                /s )                                                                    )
        7dpi                                                                                                    m                                                                        (m  e  1 5
                                                                                                                  (m  4 0                                                               c  n


                                                                                                                d                                                                       ta
                                                                                                                e                                                                       is 1 0
                                                                                                                e
                                                                                                                p                                                                       l D
                                                                                                                e  s                                                                    ta
                                                                                                                g 2 0                                                                   o   5

        14dpi                                                                                                   ra                                                                      T
                                                                                                                e
                                                                                                                v
                                                                                                                A                                                                           0
                                                                                                                    0
                                                                                                                       N a iv e    T B I 3 d  T B I 7 d  T B I 1 4 d  T B I 3 0 d              N a iv e    T B I 3 d  T B I 7 d  T B I 1 4 d  T B I 3 0 d






                                                                                                                                                                                       D                            M i r r o r   b i t i n g   t e s t
        30dpi

       C        1 5 0                                                             N a iv e                                                                                                                                         ns
                                                                                  T B I   3 d
              )                                                                                                                                                                                                                  *
              c                                                                                                                                                                      N a iv e        4 0 0                    *
              e                                                                   T B I   7 d                                     1 5 0                                                                                 ***
                ( s                                                                                                              )                                                   T B I   3 d                ****
              e 1 0 0                                                             T B I   1 4 d                                  c  e                                                T B I   7 d     3 0 0                                                                               1 . 5                                                                                                  *                                                        1 . 5                                              C o n
                t i m                                                             T B I   3 0 d                                    ( s  e  1 0 0                                     T B I   1 4 d  )    ( s                                                                                                                                                                  2 . 5
              g                                                                                                                    t i m                                                            g                                                                                                    **                                                                                                                                                              *                                  3 d
              i n                                                                                                                n  5 0                                              T B i  3 0 d    2 0 0                                                                                                                                                                    2 . 0
              n  5 0                                                                                                                                                                                i t t i n                                                                          )                                                                                                                                                               )  1 . 0                                             3 d G
              n                                                                                                                  t i o                                                              B                                                                                  l d  1 . 0                                                                            )                                                                         l d
              u                                                                                                                  c                                                                                                                                                     o                                                                                     l d                                                                       o
              R                                                                                                                  r a  0                                                              1 0 0                                                                                                                                                                   o  1 . 5                                                                    ( F
                                                                                                                                 t e                                                                                                                                                     ( F                                                                                   ( F                                                                     T
                                                                                                                                 I n                                                                                                                                                   - 2
                  0                                                                                                                                                                                                                                                                    L                                                                                     A                                                                         G  0 . 5
                                                                                                                                  - 5 0                                                                0                                                                                 0 . 5                                                                               G 1 . 0                                                                   O
                          1 s t       2 n d        3 r d     M e m o r y                                                                                                                                                                                                               R
                                                                                                                                         1 s t     2 n d     3 r d   M e m o r y                             ( - )    ( - )  3 d   7 d   1 4 d  3 0 d                                                                                                                        O
                                                                                                                                                                                                                                                                                                                                                                              0 . 5
                                    L e a r n in g                                                                                              L e a r n in g
                                                     Figure 1. Restoration of tissue integrity and behavior impairment of the adult zebrafish                                                                                                                                            0 . 0     C o n       3 d        3 d G                                               0 . 0                                                                      0 . 0    C o n       3 d       3 d G
                                                                                                                                                                                                                                                                                                                                                                                        C o n       3 d        3 d G



                                                                                                                                                                                                                                                                                                                                   Figure 5. O-GlcNAC flux deficiency restores after treatment of TBI








                                                                                                                                                           1 0              **                       *                                                                                                                                                                 Conclusion
                                                                                                                                                                                                                                         C o n
                                                                                                                                                                                                                                                                        -        TBI leads to not only learning and memory deficit, poor social response,  but also defective mobility, exploration and
                                                                                                                                                             8                                                                           3 d

                                                                                                                                                         )                                                                                                                       territorial instincts in zebrafish.
                                                                                                                                                         l d                                                                             7 d
                                                                                                                                                         o   6
                                                                                                                                                         F                                                                                                              -        TBI-induced inflammatory response in zebrafish brain was declined quickly after one week of recovery.
                                                                                                                                                           (                                                                             1 4 d
                                                                                                                                                         P                                                                                                              -        GlcN rescues TBI-induced L/M dysfunction and improves other abnormal behaviors.
                                                                                                                                                         A   4                                                                           3 0 d
                                                                                                                                                         F
                                                                                                                                                         G                                                                                                              -        GlcN restores O-GlcNAc deficiency that was promoted by TBI.
                                                                                                                                                             2
                                                                                                                                                                                                                                                                        -         Our results implies that there is an association of HBP/O-GlcNAcylation changes under TBI condition with


                                                                                                                                                             0                                                                                                                   progression of neurodegeneration.
                                                                                                                                                                    C o n        3 d         7 d        1 4 d       3 0 d
                                                                                                                                                                                                                                                                        -        Furtherly, by studying the O-GlcNacylation effect on molecules that were proved to enhance brain regeneration,


                                                  Figure 2. Rapid decline of TBI inflammation response in adult zebrafish                                                                                                                                                        regulation of brain O-GlcNAcylation may hold a potential key to TBI’s recuperation.
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