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Sepsis: A Silent Threat to Brain Health

Sepsis impacts not just the body but also the brain's function and recovery.

Susan Leemburg, Annu Kala, Athira Nataraj, Patricia Karkusova, Siddharth Baindur, Amritesh Suresh, Karel Blahna, Karel Jezek

― 5 min read


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Sepsis is a serious condition that happens when the body has a severe response to an infection. It can lead to a dangerous state called septic shock, where blood pressure drops and organs start to fail. This can even result in death if not treated quickly. Scary, right? Well, it's true—about 35% of people who are hospitalized for sepsis sadly do not make it.

How Does Sepsis Affect the Brain?

When someone has sepsis, it doesn’t just affect the body; the brain can take a hit, too. Up to 70% of people who get sepsis may experience a condition called sepsis-associated encephalopathy (SAE). This fancy term means that the brain isn't functioning quite right during or after sepsis. Almost a quarter of those who survive sepsis may deal with long-lasting effects like trouble sleeping, cognitive issues, or even mental health problems. So, if you thought you could just bounce back after sepsis, think again!

The Sleep Struggle

One major problem during sepsis is sleep. Many patients in the hospital show signs of disrupted sleep. They might wake up a lot or have trouble staying asleep. This fragmentation can make it even harder for the body to heal and can mess with the immune system. So not only do you feel crummy from being sick, but you can’t even catch some quality Z's!

Brain Waves and What They Mean

When doctors study brain activity during sepsis, they look at something called EEG (electroencephalogram). This test checks the brain's electrical activity. You’d think everything would be normal, but no! Many patients show signs of brain activity problems. Sometimes they have slower brain waves or odd patterns that indicate something is off. In simple terms, sepsis can turn your brain into a less-than-ideal radio station, playing all sorts of static-filled tunes instead of your favorite songs.

Different Effects on the Brain

Research has shown that sepsis isn’t uniform; it affects different areas of the brain in different ways. For example, some animal studies show that sepsis impacts Sleep Patterns in a variety of ways. Some situations even reveal that some brain regions are more out of sync with each other. You might say it’s like an orchestra where some musicians are playing a different tune!

Signs of Sickness

When researchers want to see how sepsis is affecting the brain, they sometimes inject a substance called LPS (a molecule that indicates infection) into rats. These little guys might become more inactive, lose weight, and show signs of sickness. This is a little like when you’re feeling gross and just want to binge-watch TV instead of going out. Rats, just like people, don’t feel their best when they’re sick.

Recording Brain Activity

In studies, scientists implant electrodes into the brains of these rats to record their brain activity. This is like giving the rats their very own DJ setup, allowing researchers to see what tunes their brains are spinning in real time. They then compare the recordings before and after giving the rats LPS to understand how it affects their brains.

The Impact of LPS Injection

After injecting LPS, the rats show severe changes in their sleep patterns. It's almost like someone turned on a blaring alarm clock right in the middle of a good dream. They sleep less, and when they do fall asleep, it’s not the deep, restorative kind that you need to feel better. Instead, their sleep is often disrupted, which can wind up making things even worse.

A Closer Look at Sleep Patterns

The aspect of sleep disturbance is critical. After LPS is introduced, the rats seem to have lost most of their REM Sleep—this is the stage of sleep known for dreaming. So if you thought the rat world was filled with sweet dreams, guess again! When sleep is all jumbled up like this, it can lead to more problems down the road, including poor cognitive function or mood disturbances.

Changes in Brain Activity

Just like how a rapper’s flow can change over a beat, the electrical activity in the rats’ brains changes after they receive LPS. This change also indicates that their brain is functioning poorly. In simpler terms, their brains aren’t firing on all cylinders, which is not what you want when you're trying to recover from an infection.

The Big Idea: Everything is Connected

The brain is a complex network of regions that communicate with one another. When sepsis causes disruptions in sleep and brain activity, it can lead to a cascade of issues. It’s like a domino effect; knock one over and the rest go tumbling down.

Changes in Brain Waves

During these studies, researchers pay attention to specific brain waves—low frequencies and high frequencies. Low-frequency brain activity (like delta waves) is essential during sleep, while higher frequency waves (like gamma waves) play a role when you're awake and moving. After LPS is given, the patterns of these waves change, leading to less overall activity and coordination among brain regions.

Why Is This Important?

Understanding these changes is crucial for devising better treatments for those suffering from sepsis and its effects on the brain. The hope is to find ways to stabilize brain activity and improve sleep patterns, which could lead to better overall recovery.

Final Thoughts: A Wake-Up Call

If there’s one thing we can take away from all of this, it’s that sepsis is not just a battle for the body; it’s a challenge for the brain too. Sleep is vital for recovery, and when sepsis messes with sleep patterns, it complicates healing. Hopefully, as more research is done, we can find better ways to help those affected by this condition. After all, everyone deserves sweet dreams—even rats!

Original Source

Title: LPS-induced sepsis disrupts brain activity in a region- and vigilance-state specific manner

Abstract: Sepsis-associated encephalopathy (SAE) is a common complication of sepsis and the systemic inflammatory response syndrome that leads to lasting consequences in survivors. It manifests as early EEG changes, that are region-, time- and state-specific, possibly reflecting distinct mechanisms of injury. Here, we investigated the effects of 5mg/kg lipopolysaccharide (LPS) on hippocampal and cortical sleep-wake states, oscillatory and non-oscillatory neuronal activity, as well as on within and between state dynamics using state-space analysis. LPS induced rapid-onset severe temporal and spatial vigilance state fragmentation, which preceded all other spectral changes by [~]90 minutes. Thereafter, LPS led to specific destabilization and increased delta oscillatory activity in wakefulness, but not NREM sleep, although state transitions remained largely normal. Instead, reduced NREM delta power resulted from aperiodic spectrum changes. LPS specifically reduced higher frequency hippocampal gamma oscillations (60-80Hz peak) in wakefulness, but not cortical high gamma or lower frequency gamma oscillations. These results suggest that disruption of sleep-wake patterns could serve as an early indicator of sepsis and associated encephalopathy, independent of spectral changes. Moreover, treatment aimed at stabilizing vigilance states in early stages of sepsis might prove to be a novel option preventing the development of further pathological neurophysiology, as well as limiting inflammation-related brain damage.

Authors: Susan Leemburg, Annu Kala, Athira Nataraj, Patricia Karkusova, Siddharth Baindur, Amritesh Suresh, Karel Blahna, Karel Jezek

Last Update: 2024-12-25 00:00:00

Language: English

Source URL: https://www.biorxiv.org/content/10.1101/2024.12.25.630319

Source PDF: https://www.biorxiv.org/content/10.1101/2024.12.25.630319.full.pdf

Licence: https://creativecommons.org/licenses/by/4.0/

Changes: This summary was created with assistance from AI and may have inaccuracies. For accurate information, please refer to the original source documents linked here.

Thank you to biorxiv for use of its open access interoperability.

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