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Neurons in the hilus of the dentate gyrus are lost following a lateral fluid percussion injury. Environmental enrichment is known to increase neurogenesis in the dentate in intact rats, suggesting that it might also do so following fluid percussion injury, and potentially provide replacements for lost neurons. We report that 1 hour of daily environmental enrichment for 3 weeks increased the number of progenitor cells in the dentate following fluid percussion injury, but only on the ipsilesional side. In the dentate granule cell layer, but not the hilus, most progenitors had a neuronal phenotype. The rate of on going cell proliferation was similar across groups. Collectively these results suggest that the beneficial effects of environmental enrichment on behavioral recovery following FP injury are not attributable to neuronal replacement in the hilus, but may be related to increased neurogenesis in the granule cell layer.
Of the two million people per year who sustain head injuries in the United States, approximately 100,000 die, and 100,000 are left with lifelong disabilities . A lifelong disability following a traumatic brain injury (TBI) may last more than 50 years because the incidence is greatest in young adults . However, people can and do recover from TBI, but the recovery is often incomplete. Following a severe head injury, outcome studies have shown that peak recovery occurred at 6 months post-trauma in 90% of the cases (Roberts, 1979; Jennett, 1998). Although many of these patients remained significantly disabled, approximately 25% recovered from a severe injury to a level of moderate disability, and another 25% actually recovered to a level of mild disability (Roberts, 1979). Thus, given the number of people who sustain a TBI, the duration of the disability, and the potential for recovery, it is important to determine ways to increase these recovery processes after brain injury.
Among the many consequences of TBI, persistent cognitive deficits, including impairments in memory and learning, are especially common and a major obstacle to functional recovery [40,64,69]. The specific neuropathological causes of the learning and memory impairments following TBI have been difficult to define because of the heterogeneity of the disorder, but damage to the temporal lobes, including the hippocampus is common . Rodent models of TBI, including the lateral fluid percussion (FP) brain injury model also produce persistent impairments in learning and memory , which have been attributed to neuronal injury and dysfunction in the hippocampus [11,27,33,47]. Within the hippocampus, there is a significant loss of neurons in the CA3 pyramidal cell layer and the hilus of the dentate gyrus on theipsilesional side following a FP injury . In addition, in the hilus there is evidence of bilateral injury, which includes damage to neuronal cytoskeletal proteins , activation of injury related signal transduction pathways , and abnormal electrophysiology . It has been suggested that the learning and memory deficits associated with FP injury may be attributable to the bilateral injury to the hilus.
Environmental enrichment (EE) is a well established intervention for attenuating cognitive deficits associated with FP injury [4,28,35,59,76], as well as other experimental brain injury models [13,79]. Although our understanding of how EE mediates functional recovery after brain injury is incomplete, one explanation is that it promotes adaptations of surviving neural networks, enabling them to take over functions of damaged regions of the brain. These adaptations include synaptogenesis, dendritogenesis, axon sprouting, receptor up and down regulation, unmasking of synapses, and remyelination [14,38,55,80].
A second and emerging hypothesis regarding the mechanisms by which EE mediates cognitive recovery is that neural progenitors may replace neurons and restore neural networks damaged by brain injury [1,45,60]. In support of this hypothesis, EE improves spatial learning in intact animals [13,54,81] and increases neurogenesis in the dentate gyrus of the hippocampus [54,81]. Furthermore, antimitotic drugs that block cell proliferation, also block the beneficial effects of EE on hippocampal-dependent learning .
Following FP injury, transplantating embyronic tissue into the hippocampus attenuates cell death  and improves neuromotor and cognitive function . Endogenous neural stem cells may also be capable of replacing lost neurons [1,15,29,48,49,58,66]. Although brain injury by itself produces a rapid and profound increase in neural progenitors, the increase is transient and the majority of cells do not survive [10,12,41,42,46,70,74]. The importance of these transient increases in endogenous neural progenitors following brain injury is unknown, but it has been suggested that it may be an attempt at self repair .
The purpose of this study was to evaluate the effects of environmental enrichment on stem cell proliferation, survival and fate in the dentate gyrus in animals subjected to a FP injury. We used bromodeoxyuridine (BrdU) to label mitotic cells during the subacute periods following a FP injury and then compared their numbers between animals given EE or standard housing conditions. We also used cell specific markers in conjunction with BrdU-labeling to determine if EE altered the phenotype of the progenitor cells following FP injury. Lastly, we used an antibody (Ki67) to label cells currently undergoing mitosis to investigate the effects of environmental enrichment following FP injury on long-term cell proliferation in the dentate.
All animal procedures in this study were approved by the Institutional Animal Care and Use Committee of the University of Washington and were performed in accordance with standards published in the National Institute of Health Guide for the Care and use of Laboratory Animals National Research Council. Adult Sprague-Dawley male rats (n = 57, 325–375 g, approximately 120 days old, Charles River) kept in a 12 h on/12 h off light/dark cycle with free access to food and water, were used for this study. The animals were housed 2 – 3 per cage and adapted to standard laboratory conditions for at least 5 days before being used in any experimental studies. Animals were then randomly assigned to following groups: FP injury, standard housing (FP, n = 17); FP injury, environmental enrichment (FP+EE, n = 18), sham injury, standard housing (SH, n = 15), or naïve, environmental enrichment (naïve, n = 7).
The procedure for the lateral FP injury has previously been described in detail . Briefly, animals were anesthetized with 65 mg/kg sodium pentobarbital (i.p.) and secured in a stereotaxic frame. Animals were given a 5 mm diameter craniotomy, which was centered on the left side, 3 mm lateral to the sagittal suture and 4.5 mm posterior to bregma. A Luer-loc hub was rigidly fixed with dental cement to the craniotomy. A lateral FP injury of moderate severity was induced in animals by attaching the hub to the FP injury device (Scientific Instruments, University of Washington, Seattle, WA), and transmitting a pressure fluid pulse of 3.5 atm to the epidural space. All animals were placed on heating pads while anesthetized, which has been shown to maintain normothermic brain temperature . Age-matched sham-injured animals underwent all of the surgical procedures used for the FP animals, except the actual application of the fluid pulse. Following FP injury or sham injury, animals were returned to their home cages. Animals from the same treatment group (FP, FP+EE, or SH) were housed together.
Animals assigned to the FP+EE group were given EE for one hour/day, beginning the day after injury and lasting for 20 days. We designed our experiment with 1 h/day of EE for several reasons. First, specific pathogen free (SPF) guidelines and space restrictions of our animal vivarium prevented us from housing animals in EE on a continuous basis. Second, whereas most previous studies have used continuous housing in an enriched environment, there have been a few reports demonstrating that short daily periods of EE, ranging from 45 min to 3 hours per day [13,18], could produce alterations in the brain. Third, shorter periods of EE may be more translatable to certain clinical situations than continuous EE.
The enrichment occurred at the end of their light cycle in a dark room. The EE consisted of being placed in a large plastic cage (122 cm L, 61 cm W, 46 cm H) that contained a variety of objects, including climbing ladders, plastic tubing and racks of different dimensions, which allowed the animals to explore and interact with many different objects. The arrangement and types of objects in the cage were varied every day in order to introduce novel stimulation to the animals . Animals were placed in the EE cages in groups of 7 – 8 rats, consisting of 5 FP and 2 – 3 naïve rats. When animals were not in the enriched environment, they were housed in standard cages with 1 or 2 other rats, under identical conditions to animals in the FP and SH groups.
Bromodeoxyuridine (Boehringer-Mannheim, Sigma, St. Louis), a thymidine analog that is incorporated into the DNA during the S phase of the cell cycle, was administered to animals 48 hours after the FP or sham injury (300 mg/kg of a 10 mg/ml in 0.007 N NaOH/0.9% NaCl solution, i.p.). The dose was based on a previous report, which demonstrated that lower doses significantly underestimated the number of mitotic cells, that higher doses did not interfere with uptake of BrdU, and that this dose was not toxic . The time point was selected in order to coincide with peak increases in neural progenitors previously described following rodent TBI [10,12].
Three weeks after FP or SH injury, animals were euthanized by an overdose of pentobarbital (120 mg/kg, i.p.) followed by brain perfusion with 4% paraformaldehyde. Brains were post-fixed overnight, cryoprotected in sucrose, and cut into 40 μm thick coronal sections throughout the level of the hippocampus (n=5/group). Sections were collected and placed in cryoprotectant (30% ethylene glycol, 20% glycerol, 50 mM sodium phosphate buffer, pH 7.4), and stored at −20oC until ready for processing. Alternate sections were mounted onto slides and stained with cresyl violet or Fluoro Jade, or processed with immunocytochemistry as described below.
Detection of BrdU in combination with a marker for neurons (NeuN) or astrocytes (S100β) was performed using a triple-labeling immunofluorescence protocol as previously described . In brief, free-floating sections were rinsed in 0.08 M tris-buffer saline, incubated in 2 N HCl for 1 h, rinsed in 0.1 M boric acid for 10 min, rinsed in TBS 3 x 10 min, incubated in a blocking solution (TBS/5% horse serum/0.1% Triton-X) for 30 min, and then incubated in a primary antibody cocktail of rat anti-BrdU (1:100 Accurate, Westbury, NY), mouse anti-NeuN (1:500 Chemicon, Temecula, CA), rabbit anti-S100β (1:2000 Swant, Bellazona, Switzerland) in blocking solution overnight on a shaker at room temperature. The next day, sections were rinsed in TBS 3 x 10 min, and then incubated in a cocktail of appropriate fluorochrome-labeled secondary antibodies (anti-rat AlexaFluor488 and anti-mouse AlexaFluor594, 1:250, Molecular Probes, Eugene, OR, and anti-rabbit Cy5, 1:250, Jackson ImmunoResearch, West Grove, PA) for 1 h, followed by rinses in TBS 3 x 10 min. Sections were mounted on pre-coated slides, counterstained with DAPI (1 μg/ml TBS, Sigma, St. Louis), and coverslipped using an anti-fade mounting medium (Vectashield, Vector Laboratories, Burlinghame, CA).
A single-label immunocytochemical protocol, based on a modification of the avidin-biotin-peroxidase complex (ABC) method for light microscopy , was used to detect cells undergoing cell cycle activation. Free-floating tissue sections were rinsed in 0.08 M TBS, then incubated in 1% hydrogen peroxide in TBS for 10 minutes to remove endogenous peroxidase, rinsed well in TBS, incubated in an antigen retrieval solution (DAKO Cytomation, Carpenteria, CA) for 30 min at 80o C, rinsed in TBS 3 x 10 min, incubated in a blocking solution (TBS/5% horse serum/0.1% Triton-X) for 30 min, and then incubated in the primary antibody, mouse anti-Ki67 (1:200 Vector, Burlinghame, CA) in the block solution overnight at room temperature. The following day, sections were rinsed in TBS 3 x 10 min, and incubated for 1 hour in a biotinylated secondary antibody (rat adsorbed anti-mouse IgG, 1:200 Vector Labs, Burlinghame, CA,), rinsed well, and then incubated for 1 hour in ABC complex (Vector Labs, 1:100). Sections were rinsed, then pre-incubated in a 0.05% solution of 3,3’diaminiobenzidine (DAB, Sigma, St. Louis, MO) for 10 minutes, followed by incubation in DAB with 0.01% hydrogen peroxide for 2 minutes. Sections were rinsed several times, mounted onto pre-coated slides and air-dried overnight. Sections were dehydrated through a series of graded ethanols, followed by xylene solutions, and then coverslipped with Permount.
Alternate tissue sections were stained with Fluoro-Jade (Chemicon, Temecula, CA) to visualize degenerating neurons, as previously described . Briefly, sections were mounted onto poly-L-lysine coated slides and air-dried overnight. The next day, slides were rehydrated through graded alcohol solutions into water, and then incubated in 0.06% potassium permanganate for 15 min, rinsed with water, and incubated in 0.001% Fluoro-Jade for 30 min, rinsed in water, and air dried overnight in the dark. Slides were coverslipped with DPX mounting medium (Sigma, St. Louis) and stored at 4o C until ready for viewing under a fluorescent microscope with a FITC filter.
Design-based stereological sampling was used to estimate the numbers of BrdU- and Ki67-labeled cells in the granule cell layer and hilar regions of the ipsilesional (left) and contralesional (right) sides of the brain. Sections were collected throughout the rostral-caudal extent of the dentate gyrus and every eighth section (spaced 320 μm apart) was analyzed. This sampling frequency resulted in the analysis of 9 tissue sections/rat. Fluorescent-labeled BrdU cells were visualized using a confocal scanning laser microscope (MRC 2000; Bio-Rad, Hercules, CA) and a 40x oil immersion lens. DAB-labeled Ki67-positive cells were visualized using a brightfield microscope (Axioskope 2000, Zeiss, NY) and a 40x objective. Because BrdU- and Ki67-positive cells were a comparatively rare event, stereological procedures  were modified so as to exclude cells in the bottommost focal plane . Other than this exclusion, all positive neural cells were counted in the right and left granule cell layer (including the subgranular zone) and hilus of the dentate gyrus. Cells that were at least 1 cell away from the subgranular zone layer were classified as being in the hilus of the dentate. Only cells that had a clearly defined nuclear outline and speckled or solid labeling dispersed over the nucleus were counted. Cell counts were conducted by an observer who was blinded to the treatment groups.
Numbers of labeled cells in each region for each tissue section were summed for individual animals. The sum from each animal was then multiplied by 8 (since we used a 1 in 8 series) to obtain an estimate of the total number of labeled cells per region. This data was then used to calculate group means for estimates of total BrdU- and Ki67-labeled cells. We also calculated group means of the actual number of BrdU-labeled cells from tissue sections at each bregma level order to determine if there were differences along a rostral-caudal gradient.
To determine the relative distribution of the phenotypes of the BrdU-labeled cells, a z-series reconstruction with the confocal microscope was used to evaluate co-localization with NeuN- or S100β-labeled cells. We analyzed 10 cells per region (90 BrdU+ cells/region for each animal, or as many cells that were present if less than 10/section) from a 1 in 8 series of sections collected throughout the dentate, as described above. This modification of a previously described method for determining phenotypes of BrdU-labeled cells [16,51] was undertaken to determine if cell fate differed along a rostral-caudal gradient.
In order to validate the effects of 1 h/d of EE on behavior, additional animals were tested with a 2-day Morris Water Maze (MWM) procedure (n=10/group), as previously described (Hicks et al., 1998). Testing began 20 days after FP or sham injury, and consisted of performing two blocks of four acquisition trials per day for 2 days, for a total of 16 trials. The time required for each animal to find the platform (goal latency) was recorded for each trial with a video motion analyzer (HVS Image, Buckingham, UK), and the means were calculated for each trial block. An observer blinded to each animal's treatment performed all testing. Upon completion of the MWM testing, animals were euthanized by an overdose of pentobarbital (120 mg/kg, i.p.), followed by decapitation.
One-way ANOVA followed by Tukey’s post-hoc test was used for comparing results of cell counts. A repeated measures ANOVA followed by the Bonferonni’s post-hoc test was used for comparison of MWM goal latencies across trial blocks and groups, and for a comparison of cell numbers at different rostral-caudal levels of the brain (SYSTAT Software, Inc., Richmond, CA). Differences were accepted as statistically significant at p < 0.05. All errors are given as standard errors of the mean.
FP injury produced a brief period of apnea in all animals, but breathing resumed spontaneously in all but 5 animals that subsequently died. Of the surviving animals, all displayed normal behavior after recovery from anesthesia as determined by visual inspection of posture, grooming, inquisitiveness in the recovery and home cages, and response to handling. Gross motor impairments were not observed in the injured rats. No significant differences were observed in animal weights across injury or intervention groups at the time of injury or at euthanasia. Animals that were exposed to EE following FP injury behaved similarly to the naïve rats. Upon initial placement into the cage they would actively explore the cage, often chasing each other in and out of the tubes, and climbing up ladders and objects in small groups of 2 or 3 rats. Animals also commonly rearranged the objects in the cage.
BrdU-positive cells were brightly labeled and clearly distinguishable from unlabeled cells in the bilateral dentate gyrus for all animals (Fig.1). The labeling of cells though was not uniform, with some cells uniformly dark and almost completely filled, whereas others were lighter and with a speckled distribution of the BrdU (Fig. 1B–D). These differences in labeling may be attributable to differences in their mitotic stage at the time of injection, the number of times they divided since the injection, or their cell fate. Most of the BrdU-positive cells appeared to be in the subgranular zone or the granule cell layer, with fewer cells observed in the hilus (Fig. 2). In addition to single-labeled BrdU, NeuN, and S100β cells (Fig.1B,C,E,F), double-labeled BrdU/NeuN and BrdU/S100β cells were also clearly visible with the confocal microscope (Fig.1).
The total number of BrdU-positive cells was significantly increased following FP+EE compared to FP and SH (p < 0.002 and 0.001, respectively) in the left granule cell layer (Fig. 2). FP+EE also increased BrdU+ cells in the left hilus, although this only reached significance in comparison to SH (p < 0.02). On the right side (contralesional), there were no significant differences in the number of BrdU+ cells in the dentate for any of the groups.
To control for the possibility that BrdU-positive cells might be labeling dying cells rather than neural progenitors, we stained alternate brain sections with Fluoro-Jade [68,75]. Although some on-going neuronal degeneration was still present in the penumbra of the cortical lesion in injured animals, we found no evidence of Fluoro-Jade staining in the dentate gyrus at this time point (data not shown). Nor did we see Fluoro-Jade staining in any of the sham injured animals.
In the left granule cell layer, there was a significant increase in the number of double-labeled BrdU/NeuN cells for FP+EE compared to FP and SH (p < 0.003 and 0.001, respectively) (Fig. 3A). Although the number increased, the percentage of progenitors with a neuronal phenotype following FP+EE actually decreased compared to SH (68 ± 4 % vs. 87 ± 2 %, p < 0.05) (Fig 3B). There was also a decrease in neurogenesis as a percentage of total BrdU+ cells following FP by itself (62 ± 7%) compared to SH (p < 0.02) (Fig. 3B). Although comparatively few BrdU+ cells were co-labeled with S100β, there was a significant increase in the number following FP and FP+EE compared to SH (p < 0.01 and 0.001, respectively) (Fig. 3C). The percentage of BrdU/S100β cells also increased in the left granule cell layer following both FP (24 ± 7%) and FP+EE (19 ± 2%) compared to SH (1 ± 1%) (p < 0.003 for FP and 0.02 for FP+EE) (Fig. 3D). The remainder of the BrdU+ cells in the left granule cell layer were single-labeled and of unknown phenotype. These single-labeled cells were greater in number in the left granule cell layer in FP+EE compared to SH (p < 0.05) (Fig. 3E), but the percentage did not vary by group (Fig. 3F). Nor, were group differences in number or percentage of single- or double-labeled cells observed in the right granule cell layer.
In the left hilus, few of the progenitors were co-labeled with NeuN and there were no differences between groups (means ranged from 4 ± 2% to 9 ± 4%) (Fig. 3A). A majority of the progenitors were double-labeled with S100β (Fig. 3C,D) or single-labeled (Fig. 3, E,F). Although the percentage of double-labeled BrdU/S100β cells was almost twice as large following FP (64 ± 6%) compared to FP+EE (33 ± 15%) (Fig. 3D), and similarly, the percentage of single-labeled cells following FP (29 ± 6%) was half that of FP+EE (58 ± 15%) (Fig. 3F), these differences did not reach significance because of the large variability within groups. In the right hilus, there were no group differences in the number or percentage of single- or double-labeled cells.
Double-labeled BrdU/S100β cells were significantly greater in caudal regions of the left granule cell layer (p < 0.002) and left hilus (p < 0.002) following FP and FP+EE than in more rostral levels (Fig. 4A,C). However, cells double-labeled with BrdU/NeuN, tended to be greater in more rostral regions, although this did not reach significance (p = 0.120) (Fig. 4B). Single-labeled BrdU cells in the left hilus did not show a differential rostral-caudal distribution (p = 0.336) (Fig. 4D).
Ki67-positive cells were used to identify mitotic cells and were clearly labeled with a brown precipitate following incubation in the DAB solution and distinguishable from unlabeled cells in the dentate for all animals (Fig. 5A). As expected, most of the Ki67-positive cells resided in the subgranular zone, with lesser numbers in the hilus and deeper layers of the granule cell layer. Neither FP nor FP+EE produced significant differences in the numbers of Ki67-positive cells for the bilateral granule cell layers and hilus of the dentate gyrus compared to SH (Fig. 5B).
To determine if the experimental manipulations that we used in this study for the EE (1 h/d X 3 weeks) produced improvements in behavior following FP injury similar to those reported in previous studies (24 h/d X 2 weeks) [28,35,59], we added additional animals to the study and evaluated spatial learning and memory in a MWM across groups. In general, performance improved over trial blocks [F(3,36) = 32.75, p <0.001] for all groups (Fig. 6). There was also a significant main effect of group [F(2,27) = 18.93, p < 0.001), but not a group by trial interaction. Post hoc tests indicated that the FP+EE group and the sham group performed significantly better than the FP group (p < 0.001), which is in agreement with previous studies [28,35,59]. Swim speeds did not vary between groups.
The major finding of this study is that EE increased the number of progenitor cells in the ipsilesional granule cell layer and hilus of the dentate gyrus following a FP injury. This finding is in general agreement with several previous studies that have demonstrated that EE can increase neural progenitors in the hippocampus [6,7,16,22,54,79,81]. However, this finding was also novel and somewhat unexpected in comparison to previous studies because 1) in intact animals, EE produced bilateral increases in neural progenitors in the granule cell layer, and no increases in the hilus [6,54,81], and 2) following an ischemic injury, two weeks of EE did not have an additive effect on the number of progenitor cells in the dentate gyrus . There are several possible explanations for the differences between our findings and those of previous studies.
One possibility is that the increases in BrdU labeling that we observed in the ipsilesional dentate reflect cell death rather than proliferation. We believe this is unlikely for the following reasons. First, we observed no Fluoro Jade staining in the dentate gyrus in any of our animals, suggesting that neuronal degeneration is no longer present in this region of the brain 3 weeks post-injury. This observation is in agreement with a previous time course study, which reported an absence of neuronal degeneration (based on both Fluoro Jade and TUNEL labeling) in the hippocampus between 2 and 4 weeks post-FP injury . Second, although we did observe chronic neuronal degeneration in the cortex following FP injury, we have not found any cells that are double-labeled with Fluoro Jade and BrdU, suggesting that at least in the penumbra of the cortical lesion, neural progenitors and degenerating cells are two distinct populations (unpublished data). Third, although following a hypoxic-ischemic injury dying cells appear to re-enter the cell cycle and become positively labeled with BrdU and Ki67, this phenomenon was not observed following TBI . Thus, it appears that reactivation of cell cycling in apoptotic neurons may or may not occur, and depends upon unknown factors that may be associated with specific types of CNS injury. Fourth, if apoptosis and re-entry into the cell cycle pathway was responsible for the unilateral increases in BrdU labeling then one might also expect to see unilateral increases in anti-Ki67 labeling, but that was not the case. Ki67-labeled cells in the dentate were symmetrical between the right and left hemispheres.
Another possible explanation for the lack of a bilateral effect of EE on cell proliferation in the dentate is that we provided animals with just 1 hour of daily EE, whereas most previous studies provided EE for 24 h/d . However, 1 h/d of EE was sufficient to attenuate deficits in spatial learning in the MWM following FP (Fig. 6), and 3 h/d of EE produced increases in neurogenesis and improvements in memory and learning in intact mice  and rats . Even shorter durations, as little as 40 min/d, was sufficient to produce alterations in mRNA and brain weight in developing animals . Thus, it appears that alterations to the brain can be produced with relatively short periods of EE, but whether this confers optimal benefits remains to be determined.
In addition to the daily amount of EE, there are also several other factors that could explain why we did not observe bilateral alterations in the number of progenitor cells. For example, EE has been reported to improve behavior following FP injury in male rats, but not in female rats . Besides gender [54,76], there are numerous other factors, including species, , age , the onset and duration of the EE [20,54], and the type of injury  that may also explain the differential effects of EE among various studies. Furthermore, differences in the number, timing, and dose of BrdU injections [8,54] may also contribute to different study outcomes. Interestingly, in sham injured animals EE did not improve behavior , nor did it increase the number of BrdU+ cells in the dentate (unpublished pilot data). Therefore, the lack of an effect of EE on cell proliferation in the contralesional dentate following FP injury, as well as the lack of an effect following sham injury suggests that numerous factors can interact with EE and modulate its effects on behavior and neurogenesis.
A second important finding of this study is that progenitor cell fate varied by region and by group. In the left granule cell layer following SH injury, approximately 85% of the progenitors had a neuronal phenotype, compared to 62% following FP, and 68% following FP+EE. Our data for FP injury is in close agreement to that reported following an ischemic injury, where approximately 60% of the progenitor cells in the granule cell layer were neurons . The reason for the proportional decrease in neurogenesis in the left granule cell layer following FP is unknown. Although it may be caused by inhibition of neurogenesis, this seems unlikely because the absolute number of new neurons is not decreased after FP, and is actually increased after FP+EE. Rather than inhibition of neurogenesis, it may be the increase in astrogenesis that explains the proportional decrease of newly born neurons following FP injury.
Progenitor cell fate following FP injury was not further modulated by EE. The lack of an effect of EE on cell fate has also been reported following seizures, where the percent of BrdU/NeuN cells in the dentate granule cell layer ranged from 70 – 80% in animals that did and did not receive enrichment . In contrast to the lack of an effect of EE on progenitor fate following FP injury, age did have an effect, with greater neurogenesis in younger animals .
In the left hilar region, EE increased progenitor cells following FP, but neurogenesis was rare. Most of the progenitors in the FP and FP+EE groups were astrocytes or single-labeled BrdU cells. The left hilus was of particular interest because it has a significant loss of neurons following FP injury [23,32,47], and is adjacent to the subgranular zone. Since recent studies suggest that stem cell proliferation, fate and migration are modulated by the extracellular environment [25,30,57], we hypothesized that the neuropathology in the hilus following FP injury, in combination with unknown molecular events associated with EE, would provide a permissive environment for neurogenesis. However, it appears that FP+EE does not enhance neurogenesis in this region, but it does provide a permissive environment for progenitor cells, as single-labeled BrdU cells in the hilus were significantly increased in FP+EE compared to FP. This is important because if these progenitors are undifferentiated, then they could provide a substrate for additional manipulations aimed at driving them to a neuronal fate.
Although we did not see evidence of neuronal replacement following brain injury with our intervention (EE), a recent study suggests that other interventions may be effective. Following an ischemic injury, administration of endothelial growth factor (EGF) and fibroblast growth factor (FGF-2) significantly increased neurogenesis in the CA1 pyramidal cell layer . Interestingly, FGF-2 is increased in the hippocampus by exercise . Since EE includes motor, social, and sensory components, it is possible that the increases in progenitors in the hippocampus following FP+EE may be linked to increases in FGF-2 protein levels, as well. Whether neuronal replacement in CA1 is required for behavioral recovery, though, is unclear. Even without growth factor administration, neurogenesis increased in the dentate gyrus and was correlated with recovery of electrophysiological and behavioral function, despite the loss of cells in the CA1 region . Similarly, the attenuation of cognitive deficits associated with EE following FP injury may be attributable to the increases in newly born neurons in the granule cell layer, rather than neuronal replacement in the hilus.
FP injury increased increase astrogenesis in the left hilus, but EE did not have an additive effect. This data is in agreement with a previous study on intact animals, which demonstrated that wheel-running, but not EE, increased new astrocytes . In comparison to adult rats, juveniles had less astrogenesis in the hilus following FP injury , and we observed a similar trend in the FP+EE group compared to FP. Several previous studies have reported an increase in glial fibrillary acidic protein (GFAP), a marker for astrocytes, in the hippocampus following experimental TBI [3,19,36]. Although one might predict that astrogenesis would account for the increase in GFAP, actually very few GFAP+ cells were found to be co-localized with BrdU . Furthermore, the number of astrocytes in the dentate gyrus was not significantly increased following FP injury . Thus, it appears that number of new astrocytes in the hilus following FP injury is small relative to the total number of astrocytes in the entire dentate gyrus or hippocampus. In addition, it is possible that the number of new astrocytes may be even smaller than our estimates, as a recent report suggests that S100β may also label oligodendrocytes .
Astrogenesis, but not neurogenesis, varied by rostral-caudal levels within the dentate. Astrocytes were more common in the left granule cell layer and hilus in sections collected 4.9 mm posterior to bregma than in more rostral sections following FP and FP+EE. The craniotomy, where the fluid percussive wave is transmitted, is centered approximately at bregma − 4.5 mm. The rostral-caudal variability observed in this study highlights the need for sampling BrdU+ cells at multiple levels of the brain when determining cell phenotypes following brain injury. Although neural stem cell fate may be relatively homogenous in naïve and sham injured animals, it appears that proximity to the injury may be a major factor following injury. This data also suggests that neurogenesis and astrogenesis are differentially regulated following brain injury, as the proximity to the impact site only affected the BrdU/S100β+ cells.
We also evaluated the effect of EE on cell cycle activation at the time of euthanasia. Unlike the BrdU data, which demonstrated increased survival of cells that were proliferating at the time of injury, the ki67 labeling did not differ between groups or sides of the brain. These findings are in agreement with previous studies where EE was demonstrated to increase cell survival, but not ongoing proliferation in control animals [6,9,43,54,73,81]. Interestingly, running increases both cell proliferation and survival of progenitors in the dentate gyrus , which underscores the importance of clarifying how specific components of these behavioral interventions can differentially modulate progenitor cells.
In conclusion, this study suggest that 1 hour of daily EE following a FP injury increases the survival of endogenous neural progenitors in the ipsilesional dentate gyrus, but does not alter their on going rate of proliferation or their fate. Whereas a majority of the progenitors in the granule cell layer of the dentate differentiate into neurons, neurogenesis in the hilus is rare. Thus, the beneficial effects of EE on behavioral recovery following FP injury do not appear to be attributable to neuronal replacement in the hilus, but may be related to increased neurogenesis in the granule cell layer. This study lays the groundwork for further investigations on the regulation of endogenous neural stem cells following brain injury and their role in recovery from FP injury.
This work was supported by the Royalty Research Foundation at the University of Washington, RRF65-4875, and by NIH grant NS46792 from the National Institute of Neurological Disorders. This work was also facilitated by NIH grant P30 HD02274 from the National Institute of Child Health and Human Development. We also thank Leslie Danielson, Melissa Delauo, Silver Denton, Michael Haberspointer, Ted Hansen, Susie Kozawa, Amber Racine, and Erin Simon for all of their preliminary investigations, which contributed to the methodology used in the present study.