Muscle Injury Induces Postoperative Cognitive Dysfunction

Sci Rep. 2020 Feb 17;10(1):2768. doi: 10.1038/s41598-020-59639-3.

Abstract

Postoperative cognitive dysfunction (POCD) is a major complication affecting patients of any age undergoing surgery. This syndrome impacts everyday life up to months after hospital discharge, and its pathophysiology still remains unclear. Translational research focusing on POCD is based on a wide variety of rodent models, such as the murine tibial fracture, whose severity can limit mouse locomotion and proper behavioral assessment. Besides, influence of skeletal muscle injury, a lesion encountered in a wide range of surgeries, has not been explored in POCD occurrence. We propose a physical model of muscle injury in CX3CR1GFP/+ mice (displaying green fluorescent microglial cells) to study POCD, with morphological, behavioral and molecular approaches. We highlighted: alteration of short- and long-term memory after muscle regeneration, wide microglial reactivity in the brain, including hippocampus area, 24 hours after muscle injury, and an alteration of central brain derived neurotrophic factor (BDNF) and nerve growth factor (NGF) balance, 28 days after muscle injury. Our results suggest for the first time that muscle injury can have early as well as late impacts on the brain. Our CX3CR1GFP/+ model can also facilitate microglial investigation, more specifically their pivotal role in neuroinflammation and synaptic plasticity, in the pathophysiology of POCD.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aging / pathology
  • Animals
  • Brain / pathology
  • Brain / surgery*
  • Brain-Derived Neurotrophic Factor / metabolism
  • CX3C Chemokine Receptor 1 / genetics
  • Cytokines / metabolism
  • Disease Models, Animal
  • Hippocampus / injuries
  • Hippocampus / pathology
  • Hippocampus / surgery
  • Humans
  • Male
  • Mice
  • Microglia / pathology
  • Muscle, Skeletal / injuries
  • Muscle, Skeletal / metabolism
  • Muscle, Skeletal / pathology
  • Muscle, Skeletal / surgery*
  • Nerve Growth Factor / metabolism
  • Postoperative Cognitive Complications / etiology
  • Postoperative Cognitive Complications / metabolism
  • Postoperative Cognitive Complications / pathology*
  • Postoperative Complications / etiology
  • Postoperative Complications / metabolism*
  • Postoperative Complications / pathology

Substances

  • Bdnf protein, mouse
  • Brain-Derived Neurotrophic Factor
  • CX3C Chemokine Receptor 1
  • Cx3cr1 protein, mouse
  • Cytokines
  • Nerve Growth Factor