PMID- 29738554 OWN - NLM STAT- MEDLINE DCOM- 20180801 LR - 20240314 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 13 IP - 5 DP - 2018 TI - Repeated mild traumatic brain injury can cause acute neurologic impairment without overt structural damage in juvenile rats. PG - e0197187 LID - 10.1371/journal.pone.0197187 [doi] LID - e0197187 AB - Repeated concussion is becoming increasingly recognized as a serious public health concern around the world. Moreover, there is a greater awareness amongst health professionals of the potential for repeated pediatric concussions to detrimentally alter the structure and function of the developing brain. To better study this issue, we developed an awake closed head injury (ACHI) model that enabled repeated concussions to be performed reliably and reproducibly in juvenile rats. A neurological assessment protocol (NAP) score was generated immediately after each ACHI to help quantify the cumulative effects of repeated injury on level of consciousness, and basic motor and reflexive capacity. Here we show that we can produce a repeated ACHI (4 impacts in two days) in both male and female juvenile rats without significant mortality or pain. We show that both single and repeated injuries produce acute neurological deficits resembling clinical concussion symptoms that can be quantified using the NAP score. Behavioural analyses indicate repeated ACHI acutely impaired spatial memory in the Barnes maze, and an interesting sex effect was revealed as memory impairment correlated moderately with poorer NAP score performance in a subset of females. These cognitive impairments occurred in the absence of motor impairments on the Rotarod, or emotional changes in the open field and elevated plus mazes. Cresyl violet histology and structural magnetic resonance imaging (MRI) indicated that repeated ACHI did not produce significant structural damage. MRI also confirmed there was no volumetric loss in the cortex, hippocampus, or corpus callosum of animals at 1 or 7 days post-ACHI. Together these data indicate that the ACHI model can provide a reliable, high throughput means to study the effects of concussions in juvenile rats. FAU - Meconi, Alicia AU - Meconi A AD - Division of Medical Sciences, University of Victoria, Victoria, British Columbia, Canada. FAU - Wortman, Ryan C AU - Wortman RC AD - Division of Medical Sciences, University of Victoria, Victoria, British Columbia, Canada. FAU - Wright, David K AU - Wright DK AD - The Florey Institute of Neuroscience and Mental Health, Parkville, Victoria, Australia. AD - Department of Neuroscience, Monash University, Melbourne, Victoria, Australia. FAU - Neale, Katie J AU - Neale KJ AD - Division of Medical Sciences, University of Victoria, Victoria, British Columbia, Canada. FAU - Clarkson, Melissa AU - Clarkson M AD - Division of Medical Sciences, University of Victoria, Victoria, British Columbia, Canada. FAU - Shultz, Sandy R AU - Shultz SR AD - Division of Medical Sciences, University of Victoria, Victoria, British Columbia, Canada. AD - The Florey Institute of Neuroscience and Mental Health, Parkville, Victoria, Australia. AD - Department of Neuroscience, Monash University, Melbourne, Victoria, Australia. AD - Department of Medicine, University of Melbourne, Parkville, Victoria, Australia. FAU - Christie, Brian R AU - Christie BR AUID- ORCID: 0000-0002-6830-0160 AD - Division of Medical Sciences, University of Victoria, Victoria, British Columbia, Canada. AD - Centre for Brain Health and Program in Neuroscience, University of British Columbia, Vancouver, British Columbia, Canada. AD - Department of Cellular and Physiological Sciences, University of British Columbia, Vancouver, British Columbia, Canada. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180508 PL - United States TA - PLoS One JT - PloS one JID - 101285081 SB - IM MH - Animals MH - Brain Concussion/*physiopathology MH - Brain Injuries, Traumatic/*physiopathology MH - Cerebral Cortex/physiopathology MH - Disease Models, Animal MH - Female MH - Hippocampus/*physiopathology MH - Humans MH - Male MH - Memory Disorders/*physiopathology MH - Neurologic Examination MH - Rats MH - Spatial Memory/physiology PMC - PMC5940222 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2018/05/09 06:00 MHDA- 2018/08/02 06:00 PMCR- 2018/05/08 CRDT- 2018/05/09 06:00 PHST- 2018/02/17 00:00 [received] PHST- 2018/04/27 00:00 [accepted] PHST- 2018/05/09 06:00 [entrez] PHST- 2018/05/09 06:00 [pubmed] PHST- 2018/08/02 06:00 [medline] PHST- 2018/05/08 00:00 [pmc-release] AID - PONE-D-18-05302 [pii] AID - 10.1371/journal.pone.0197187 [doi] PST - epublish SO - PLoS One. 2018 May 8;13(5):e0197187. doi: 10.1371/journal.pone.0197187. eCollection 2018.