Extracellular N-Acetylaspartate in Human Traumatic Brain Injury
Shannon, Richard J
van, der Heide Susan
Carter, Eleanor L
Journal of Neurotrauma
Mary Ann Liebert
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Shannon, R. J., van, d. H. S., Carter, E. L., Jalloh, I., Menon, D., Hutchinson, P., & Carpenter, K. (2015). Extracellular N-Acetylaspartate in Human Traumatic Brain Injury. Journal of Neurotrauma, 33 319-329. https://doi.org/10.1089/neu.2015.3950
N-acetylaspartate (NAA) is an amino acid derivative primarily located in the neurons of the adult brain. The function of NAA is incompletely understood. Decrease in brain tissue NAA is presently considered symptomatic and a potential biomarker of acute and chronic neuropathological conditions. The aim of this study was to use microdialysis to investigate the behavior of extracellular NAA (eNAA) levels after traumatic brain injury (TBI). Sampling for this study was performed using cerebral microdialysis catheters (M Dialysis 71) perfused at 0.3 µL/min. Extracellular NAA was measured in microdialysates by high-performance liquid chromatography in 30 patients with severe TBI and for comparison, in radiographically ‘‘normal’’ areas of brain in six non-TBI neurosurgical patients. We established a detailed temporal eNAA profile in eight of the severe TBI patients. Microdialysate concentrations of glucose, lactate, pyruvate, glutamate, and glycerol were measured on an ISCUS clinical microdialysis analyzer. Here, we show that the temporal profile of microdialysate eNAA was characterized by highest levels in the earliest time-points post-injury, followed by a steady decline; beyond 70 h post-injury, average levels were 40% lower than those measured in non-TBI patients. There was a significant inverse correlation between concentrations of eNAA and pyruvate; eNAA showed significant positive correlations with glycerol and the lactate/pyruvate (L/P) ratio measured in microdialysates. The results of this on-going study suggest that changes in eNAA after TBI relate to the release of intracellular components, possibly due to neuronal death or injury, as well as to adverse brain energy metabolism.
N-acetyl aspartate, microdialysis, brain metabolism, traumatic brain injury (human)
We gratefully acknowledge financial support as follows. Research support: the Medical Research Council (MRC, Grant Nos. G0600986 ID79068 and G1002277 ID98489) and the National Institute for Health Research Biomedical Research Centre (NIHR BRC) Cambridge (Neuroscience Theme; Brain Injury and Repair Theme). Authors’ support: R.J.S. - NIHR BRC (Neuroscience Theme; Brain Injury and Repair Theme); SV - NIHR BRC (Neuroscience Theme; Brain Injury and Repair Theme); I.J. – MRC (Grant no. G1002277 ID 98489) and NIHR BRC Cambridge; D.K.M. - NIHR Senior Investigator Award; P.J.H. – NIHR Research Professorship, Academy of Medical Sciences/Health Foundation Senior Surgical Scientist Fellowship; K.L.H.C. – NIHR BRC Cambridge (Neuroscience Theme; Brain Injury and Repair Theme).
External DOI: https://doi.org/10.1089/neu.2015.3950
This record's URL: https://www.repository.cam.ac.uk/handle/1810/248900
Attribution 2.0 UK: England & Wales
Licence URL: http://creativecommons.org/licenses/by/2.0/uk/