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
Main Authors: Edwards, Katie A, Leete, Jacqueline J, Smith, Ethan G, Quick, Alycia, Modica, Claire M, Wassermann, Eric M, Polejaeva, Elena, Dell, Kristine C, LoPresti, Matthew, Walker, Peter, O'Brien, Meghan, Lai, Chen, Qu, Bao-Xi, Devoto, Christina, Carr, Walter, Stone, James R, Ahlers, Stephen T, Gill, Jessica M
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Language:English
Published: Switzerland Frontiers Media S.A 21-04-2022
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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.
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
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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
Copyright_xml – notice: Copyright © 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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Keywords military
extracellular vesicles
neuroinflammation
breacher
blast
Language English
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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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Snippet 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.,...
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....
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SubjectTerms BASIC BIOLOGICAL SCIENCES
blast
breacher
extracellular vesicles
military
neuroinflammation
Neurology
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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
URI https://www.ncbi.nlm.nih.gov/pubmed/35528741
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