(PQ 9) Synaptic basis of deficits in attention and executive function following cranial radiation

(PQ 9) 颅脑辐射后注意力和执行功能缺陷的突触基础

• 批准号: 9763496
• 负责人: DAVID R GROSSHANS
• 金额: $ 48.13万
• 依托单位: UNIVERSITY OF TX MD ANDERSON CAN CTR
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-01 至 2021-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9763496
• 关键词: Acute; Adult; Adverse effects; Age; Animal Model; Animals; Area; Attention; Attentional deficit; Behavioral; Brain; Brain Neoplasms; Cells; Cessation of life; Childhood Brain Neoplasm; Clinic; Clinical; Clinical Research; Clinical Trials; Cognitive; Cognitive deficits; Cranial Irradiation; Data; Development; Electrophysiology (science); Epigenetic Process; Functional disorder; Glutamate Receptor; Glutamates; Goals; Hippocampus (Brain); Image; Impaired cognition; Impulsivity; Intervention; Knowledge; Laboratories; Laboratory Study; Left; Life; Measurement; Measures; Memantine; Memory; Memory impairment; Mission; Molecular; N-Methylaspartate; National Cancer Institute; Neurons; Neurotransmitters; Nitric Oxide; Oxidative Stress; Patients; Phase III Clinical Trials; Prefrontal Cortex; Prevention; Preventive treatment; Public Health; Quality of life; Radiation; Radiation therapy; Reaction Time; Research; Research Support; Resistance; Resources; Role; Signal Transduction; Structure; Survivors; Synapses; Synaptic plasticity; Techniques; Testing; Therapeutic; Thinness; Time; Toxic effect; Transgenic Animals; Treatment Side Effects; cancer rehabilitation; cancer therapy; clinical investigation; design; excitotoxicity; executive function; frontal lobe; functional outcomes; improved; in vivo; inhibitor/antagonist; irradiation; neurocognitive test; neurogenesis; neuron loss; novel; novel therapeutics; postnatal; precursor cell; preservation; prevent; processing speed; protective effect; radiation effect; radiation-induced cognitive dysfunction; real-time images; synaptic function; tumor

In recent decades, the cure rates for adult and childhood brain tumors have improved. Unfortunately, many survivors now live with life-long side effects from the treatment itself. Radiation therapy is particularly damaging to the brain and results in long-term cognitive deficits. The majority of both laboratory and clinical investigation has focused on the negative effects of radiation on memory. The hippocampus, a brain structure important in memory formation where postnatal neurogenesis occurs, has been the sole focus. While memory is of great importance, deficits in attention and executive function may be equally debilitating for patients. Other brain areas, including the frontal cortex, control these functions and radiation effects on these non-neurogenic brain areas have been ignored. Moving outside the hippocampus to areas of the brain where neurogenesis does not occur, exciting new preliminary data indicate that neurons in the pre- frontal cortex are also susceptible to radiation-induced dysfunction. This challenges commonly held notions regarding the molecular and cellular mechanisms that underlie radiation-induced cognitive dysfunction. Such findings have the potential to explain fundamental aspects of radiation-induced cognitive decline. To identify such mechanisms we will use unique resources including simultaneous imaging and electrophysiological recordings of synaptic activity with radiation as well as in vivo assessments of persistent alterations in synaptic plasticity and dendritic structure in transgenic animals. In this proposal we will examine the role of acute glutamate toxicity following radiation, explore how synaptic function changes in the frontal cortex and determine the mechanisms leading to long lasting synaptic dysfunction. We will conduct the following aims; (1) define the role of glutamate toxicity and oxidative stress in the prefrontal cortex following radiation, (2) establish an animal model of radiation-induced attention and executive deficits and correlate these with alterations in synaptic function, (3) identify the role of epigenetic mechanisms in long lasting changes in synaptic structure and function following radiation. Knowledge of the early and late mechanisms involved will allow for the development of more effective preventative treatments or even reversal of pre-existing radiation-induced deficits.

近几十年来，成人和儿童脑肿瘤的治愈率有所提高。不幸的是很多 幸存者现在生活在治疗本身的终身副作用中。放射治疗尤其 对大脑造成损害并导致长期认知缺陷。大多数实验室和临床 研究集中在辐射对记忆力的负面影响上。海马体，一个大脑 在记忆形成中重要的结构，出生后神经发生发生，一直是唯一的焦点。 虽然记忆力非常重要，但注意力和执行功能的缺陷可能同样使人衰弱 对患者其他大脑区域，包括额叶皮层，控制这些功能和辐射对大脑的影响。 这些非神经性的大脑区域被忽略了。移动到海马体以外的区域， 大脑中的神经发生不发生，令人兴奋的新的初步数据表明，神经元在前 额叶皮层也容易受到辐射引起的功能障碍的影响。这挑战了人们普遍持有的观念 关于辐射引起的认知功能障碍的分子和细胞机制。 这些发现有可能解释辐射引起的认知能力下降的基本方面。到 确定这些机制，我们将使用独特的资源，包括同步成像， 电生理记录的突触活动与辐射以及在体内评估的持久性 在转基因动物中突触可塑性和树突结构的改变。在本提案中，我们将 研究辐射后急性谷氨酸毒性的作用，探索突触功能如何变化， 额叶皮层，并确定导致长期突触功能障碍的机制。我们将 进行以下目的：（1）确定谷氨酸毒性和氧化应激在前额叶皮层中的作用， （2）建立放射性注意和执行功能障碍动物模型 并将这些与突触功能的改变相关联，（3）确定表观遗传机制在 辐射后突触结构和功能的长期变化。早期和晚期的知识 所涉及的机制将允许开发更有效的预防性治疗，甚至 逆转先前存在的辐射引起的缺陷。