Elevations in Tumor Necrosis Factor Alpha and Interleukin 6 From Neuronal-Derived Extracellular Vesicles in Repeated Low-Level Blast Exposed Personnel
The purpose of this pilot study was to determine if military service members with histories of hundreds to thousands of low-level blast exposures (i. e., experienced breachers) had different levels of serum and neuronal-derived extracellular vesicle (EV) concentrations of interleukin (IL)-6, IL-10,...
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Published in: | Frontiers in neurology Vol. 13; p. 723923 |
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Abstract | The purpose of this pilot study was to determine if military service members with histories of hundreds to thousands of low-level blast exposures (i. e., experienced breachers) had different levels of serum and neuronal-derived extracellular vesicle (EV) concentrations of interleukin (IL)-6, IL-10, and tumor necrosis factor alpha (TNFα), compared to matched controls, and if these biomarkers related to neurobehavioral symptoms.
Participants were experienced breachers (
= 20) and matched controls without blast exposures (
= 14). Neuronal-derived EVs were isolated from serum and identified with mouse anti-human CD171. Serum and neuronal-derived EVs were analyzed for IL-6, IL-10, and TNFα using an ultra-sensitive assay.
Serum TNFα concentrations were decreased in breachers when compared to control concentrations (
< 0.01). There were no differences in serum concentrations of IL-6, IL-10, or the IL-6/IL-10 ratio between breachers and controls (
's > 0.01). In neuronal-derived EVs, TNFα and IL-6 levels were increased in breachers compared to controls (
's < 0.01), and IL-10 levels were decreased in the breacher group compared to controls (
< 0.01). In breachers the IL-6/IL-10 ratio in neuronal-derived EVs was higher compared to controls, which correlated with higher total Rivermead Post-concussion Questionnaire (RPQ) scores (
's < 0.05).
These findings suggest that exposure of personnel to high numbers of low-level blast over a career may result in enduring central inflammation that is associated with chronic neurological symptoms. The data also suggest that peripheral markers of inflammation are not necessarily adequate surrogates for central neuroinflammation. |
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AbstractList | The purpose of this pilot study was to determine if military service members with histories of hundreds to thousands of low-level blast exposures (i. e., experienced breachers) had different levels of serum and neuronal-derived extracellular vesicle (EV) concentrations of interleukin (IL)-6, IL-10, and tumor necrosis factor alpha (TNFα), compared to matched controls, and if these biomarkers related to neurobehavioral symptoms.
Participants were experienced breachers (
= 20) and matched controls without blast exposures (
= 14). Neuronal-derived EVs were isolated from serum and identified with mouse anti-human CD171. Serum and neuronal-derived EVs were analyzed for IL-6, IL-10, and TNFα using an ultra-sensitive assay.
Serum TNFα concentrations were decreased in breachers when compared to control concentrations (
< 0.01). There were no differences in serum concentrations of IL-6, IL-10, or the IL-6/IL-10 ratio between breachers and controls (
's > 0.01). In neuronal-derived EVs, TNFα and IL-6 levels were increased in breachers compared to controls (
's < 0.01), and IL-10 levels were decreased in the breacher group compared to controls (
< 0.01). In breachers the IL-6/IL-10 ratio in neuronal-derived EVs was higher compared to controls, which correlated with higher total Rivermead Post-concussion Questionnaire (RPQ) scores (
's < 0.05).
These findings suggest that exposure of personnel to high numbers of low-level blast over a career may result in enduring central inflammation that is associated with chronic neurological symptoms. The data also suggest that peripheral markers of inflammation are not necessarily adequate surrogates for central neuroinflammation. ObjectiveThe purpose of this pilot study was to determine if military service members with histories of hundreds to thousands of low-level blast exposures (i. e., experienced breachers) had different levels of serum and neuronal-derived extracellular vesicle (EV) concentrations of interleukin (IL)-6, IL-10, and tumor necrosis factor alpha (TNFα), compared to matched controls, and if these biomarkers related to neurobehavioral symptoms.MethodsParticipants were experienced breachers (n = 20) and matched controls without blast exposures (n = 14). Neuronal-derived EVs were isolated from serum and identified with mouse anti-human CD171. Serum and neuronal-derived EVs were analyzed for IL-6, IL-10, and TNFα using an ultra-sensitive assay.ResultsSerum TNFα concentrations were decreased in breachers when compared to control concentrations (p < 0.01). There were no differences in serum concentrations of IL-6, IL-10, or the IL-6/IL-10 ratio between breachers and controls (p's > 0.01). In neuronal-derived EVs, TNFα and IL-6 levels were increased in breachers compared to controls (p's < 0.01), and IL-10 levels were decreased in the breacher group compared to controls (p < 0.01). In breachers the IL-6/IL-10 ratio in neuronal-derived EVs was higher compared to controls, which correlated with higher total Rivermead Post-concussion Questionnaire (RPQ) scores (p's < 0.05).ConclusionsThese findings suggest that exposure of personnel to high numbers of low-level blast over a career may result in enduring central inflammation that is associated with chronic neurological symptoms. The data also suggest that peripheral markers of inflammation are not necessarily adequate surrogates for central neuroinflammation. The purpose of this pilot study was to determine if military service members with histories of hundreds to thousands of low-level blast exposures (i. e., experienced breachers) had different levels of serum and neuronal-derived extracellular vesicle (EV) concentrations of interleukin (IL)-6, IL-10, and tumor necrosis factor alpha (TNFα), compared to matched controls, and if these biomarkers related to neurobehavioral symptoms. Participants were experienced breachers (n = 20) and matched controls without blast exposures (n = 14). Neuronal-derived EVs were isolated from serum and identified with mouse anti-human CD171. Serum and neuronal-derived EVs were analyzed for IL-6, IL-10, and TNFα using an ultra-sensitive assay. Serum TNFα concentrations were decreased in breachers when compared to control concentrations (p < 0.01). There were no differences in serum concentrations of IL-6, IL-10, or the IL-6/IL-10 ratio between breachers and controls (p's > 0.01). In neuronal-derived EVs, TNFα and IL-6 levels were increased in breachers compared to controls (p's < 0.01), and IL-10 levels were decreased in the breacher group compared to controls (p < 0.01). In breachers the IL-6/IL-10 ratio in neuronal-derived EVs was higher compared to controls, which correlated with higher total Rivermead Post-concussion Questionnaire (RPQ) scores (p's < 0.05). These findings suggest that exposure of personnel to high numbers of low-level blast over a career may result in enduring central inflammation that is associated with chronic neurological symptoms. The data also suggest that peripheral markers of inflammation are not necessarily adequate surrogates for central neuroinflammation. |
Author | Smith, Ethan G LoPresti, Matthew Gill, Jessica M Edwards, Katie A Wassermann, Eric M Polejaeva, Elena Ahlers, Stephen T Quick, Alycia Devoto, Christina Stone, James R Dell, Kristine C Walker, Peter Qu, Bao-Xi Modica, Claire M O'Brien, Meghan Leete, Jacqueline J Lai, Chen Carr, Walter |
AuthorAffiliation | 10 Department of Radiology and Medical Imaging, University of Virginia , Charlottesville, VA , United States 8 Center for Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research , Silver Spring, MD , United States 7 Department of Psychology, Pennsylvania State University , University Park, PA , United States 12 Naval Medical Research Center, Operational and Undersea Medicine Directorate , Silver Spring, MD , United States 5 National Institute of Neurological Disorders and Stroke, National Institutes of Health , Bethesda, MD , United States 3 School of Psychology, University of Glasgow , Glasgow , United Kingdom 6 VA San Diego Healthcare System , San Diego, CA , United States 11 Oak Ridge Institute for Science and Education , Oak Ridge, TN , United States 9 Joint Artificial Intelligence Center , Arlington, VA , United States 13 Center for Neuroscience and Regenerative Medicine, Uniformed Services of the Health Sciences , Bethesda, MD , United States 1 Biomarkers of Trauma, Na |
AuthorAffiliation_xml | – name: 4 Naval Medical Research Center , Silver Spring, MD , United States – name: 9 Joint Artificial Intelligence Center , Arlington, VA , United States – name: 7 Department of Psychology, Pennsylvania State University , University Park, PA , United States – name: 10 Department of Radiology and Medical Imaging, University of Virginia , Charlottesville, VA , United States – name: 3 School of Psychology, University of Glasgow , Glasgow , United Kingdom – name: 12 Naval Medical Research Center, Operational and Undersea Medicine Directorate , Silver Spring, MD , United States – name: 6 VA San Diego Healthcare System , San Diego, CA , United States – name: 11 Oak Ridge Institute for Science and Education , Oak Ridge, TN , United States – name: 1 Biomarkers of Trauma, National Institute of Nursing Research, National Institutes of Health , Bethesda, MD , United States – name: 8 Center for Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research , Silver Spring, MD , United States – name: 2 Henry M. Jackson Foundation for the Advancement of Military Medicine , Bethesda, MD , United States – name: 13 Center for Neuroscience and Regenerative Medicine, Uniformed Services of the Health Sciences , Bethesda, MD , United States – name: 5 National Institute of Neurological Disorders and Stroke, National Institutes of Health , Bethesda, MD , United States |
Author_xml | – sequence: 1 givenname: Katie A surname: Edwards fullname: Edwards, Katie A organization: Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, United States – sequence: 2 givenname: Jacqueline J surname: Leete fullname: Leete, Jacqueline J organization: Biomarkers of Trauma, National Institute of Nursing Research, National Institutes of Health, Bethesda, MD, United States – sequence: 3 givenname: Ethan G surname: Smith fullname: Smith, Ethan G organization: Biomarkers of Trauma, National Institute of Nursing Research, National Institutes of Health, Bethesda, MD, United States – sequence: 4 givenname: Alycia surname: Quick fullname: Quick, Alycia organization: School of Psychology, University of Glasgow, Glasgow, United Kingdom – sequence: 5 givenname: Claire M surname: Modica fullname: Modica, Claire M organization: Naval Medical Research Center, Silver Spring, MD, United States – sequence: 6 givenname: Eric M surname: Wassermann fullname: Wassermann, Eric M organization: National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD, United States – sequence: 7 givenname: Elena surname: Polejaeva fullname: Polejaeva, Elena organization: VA San Diego Healthcare System, San Diego, CA, United States – sequence: 8 givenname: Kristine C surname: Dell fullname: Dell, Kristine C organization: Department of Psychology, Pennsylvania State University, University Park, PA, United States – sequence: 9 givenname: Matthew surname: LoPresti fullname: LoPresti, Matthew organization: Center for Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research, Silver Spring, MD, United States – sequence: 10 givenname: Peter surname: Walker fullname: Walker, Peter organization: Joint Artificial Intelligence Center, Arlington, VA, United States – sequence: 11 givenname: Meghan surname: O'Brien fullname: O'Brien, Meghan organization: Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, VA, United States – sequence: 12 givenname: Chen surname: Lai fullname: Lai, Chen organization: Biomarkers of Trauma, National Institute of Nursing Research, National Institutes of Health, Bethesda, MD, United States – sequence: 13 givenname: Bao-Xi surname: Qu fullname: Qu, Bao-Xi organization: Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, United States – sequence: 14 givenname: Christina surname: Devoto fullname: Devoto, Christina organization: Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, United States – sequence: 15 givenname: Walter surname: Carr fullname: Carr, Walter organization: Oak Ridge Institute for Science and Education, Oak Ridge, TN, United States – sequence: 16 givenname: James R surname: Stone fullname: Stone, James R organization: Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, VA, United States – sequence: 17 givenname: Stephen T surname: Ahlers fullname: Ahlers, Stephen T organization: Naval Medical Research Center, Operational and Undersea Medicine Directorate, Silver Spring, MD, United States – sequence: 18 givenname: Jessica M surname: Gill fullname: Gill, Jessica M organization: Center for Neuroscience and Regenerative Medicine, Uniformed Services of the Health Sciences, Bethesda, MD, United States |
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CitedBy_id | crossref_primary_10_3390_ijms25063549 crossref_primary_10_1089_neu_2022_0282 crossref_primary_10_1093_milmed_usae268 crossref_primary_10_3390_ijms25021150 crossref_primary_10_1089_neu_2023_0284 crossref_primary_10_1080_02699052_2024_2371975 crossref_primary_10_1089_neu_2023_0309 |
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Copyright | Copyright © 2022 Edwards, Leete, Smith, Quick, Modica, Wassermann, Polejaeva, Dell, LoPresti, Walker, O'Brien, Lai, Qu, Devoto, Carr, Stone, Ahlers and Gill. Copyright © 2022 Edwards, Leete, Smith, Quick, Modica, Wassermann, Polejaeva, Dell, LoPresti, Walker, O'Brien, Lai, Qu, Devoto, Carr, Stone, Ahlers and Gill. 2022 Edwards, Leete, Smith, Quick, Modica, Wassermann, Polejaeva, Dell, LoPresti, Walker, O'Brien, Lai, Qu, Devoto, Carr, Stone, Ahlers and Gill |
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CorporateAuthor | Oak Ridge Institute for Science and Education (ORISE), Oak Ridge, TN (United States) |
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Keywords | military extracellular vesicles neuroinflammation breacher blast |
Language | English |
License | Copyright © 2022 Edwards, Leete, Smith, Quick, Modica, Wassermann, Polejaeva, Dell, LoPresti, Walker, O'Brien, Lai, Qu, Devoto, Carr, Stone, Ahlers and Gill. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
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Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 SC0014664 USDOE Office of Science (SC) Edited by: Elham Rostami, Uppsala University Hospital, Sweden This article was submitted to Neurotrauma, a section of the journal Frontiers in Neurology Reviewed by: Keisuke Kawata, Indiana University Bloomington, United States; Maja Mustapic, Laboratory of Clinical Investigation, National Institute on Aging (NIH), United States |
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Title | Elevations in Tumor Necrosis Factor Alpha and Interleukin 6 From Neuronal-Derived Extracellular Vesicles in Repeated Low-Level Blast Exposed Personnel |
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