Open AccessDifferent forms of traumatic brain injuries cause different tactile hypersensitivity profiles
Author(s) -
AnneSophie Wattiez,
William C Castonguay,
Olivia J. Gaul,
Jayme S Waite,
Chantel M Schmidt,
Alyssa S. Reis,
Brandon J. Rea,
Levi P. Sowers,
Coral J. Cintrón-Pérez,
Edwin VázquezRosa,
Andrew A. Pieper,
Andrew F. Russo
Publication year - 2020
Publication title -
pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.524
H-Index - 258
eISSN - 1872-6623
pISSN - 0304-3959
DOI - 10.1097/j.pain.0000000000002103
Subject(s) - medicine , calcitonin gene related peptide , traumatic brain injury , anesthesia , allodynia , cortical spreading depression , sensitization , neuroscience , migraine , hyperalgesia , nociception , psychology , immunology , receptor , neuropeptide , psychiatry
Chronic complications of traumatic brain injury represent one of the greatest financial burdens and sources of suffering in the society today. A substantial number of these patients suffer from posttraumatic headache (PTH), which is typically associated with tactile allodynia. Unfortunately, this phenomenon has been understudied, in large part because of the lack of well-characterized laboratory animal models. We have addressed this gap in the field by characterizing the tactile sensory profile of 2 nonpenetrating models of PTH. We show that multimodal traumatic brain injury, administered by a jet-flow overpressure chamber that delivers a severe compressive impulse accompanied by a variable shock front and acceleration-deceleration insult, produces long-term tactile hypersensitivity and widespread sensitization. These are phenotypes reminiscent of PTH in patients, in both cephalic and extracephalic regions. By contrast, closed head injury induces only transient cephalic tactile hypersensitivity, with no extracephalic consequences. Both models show a more severe phenotype with repetitive daily injury for 3 days, compared with either 1 or 3 successive injuries in a single day, providing new insight into patterns of injury that may place patients at a greater risk of developing PTH. After recovery from transient cephalic tactile hypersensitivity, mice subjected to closed head injury demonstrate persistent hypersensitivity to established migraine triggers, including calcitonin gene-related peptide and sodium nitroprusside, a nitric oxide donor. Our results offer the field new tools for studying PTH and preclinical support for a pathophysiologic role of calcitonin gene-related peptide in this condition.