“…The initiation of the apoptotic pathway in injured cells is dependent on intracellular ATP concentration (Raghupathi et al, 2000). Previous studies have reported that mitochondrial damage occurs following a TBI event, corresponding with impaired ATP production, increased generation of ROS, and apoptosis (Fischer et al, 2016;Gajavelli et al, 2015;Gilmer, Roberts, Joy, Sullivan, & Scheff, 2009). Rapid mitochondrial ROS formation has been demonstrated in rat brain cells (Jou, Jou, Chen, Lin, & Peng, 2002;Sullivan, Rabchevsky, Waldmeier, & Springer, 2005) and may lead to apoptosis within several minutes to hours (Jou et al, 2004;Nowak et al, 2006).…”