Periventricular white matter damage in the hypoxic neonatal brain: Role of microglial cells

2009 ◽  
Vol 87 (4) ◽  
pp. 264-280 ◽  
Author(s):  
C. Kaur ◽  
E.A. Ling
Author(s):  
Marc R. Del Bigio ◽  
Marcia C. da Silva ◽  
James M. Drake ◽  
Ursula I. Tuor

Abstract:The neonatal cat model of kaolin-induced hydrocephalus is associated with progressive and severe ventriculomegaly. In this experiment we studied the evolution of the histopathological changes in hydrocephalic (n = 23) cats from 5–168 days after the induction of hydrocephalus along with age-matched controls (n = 10). In the periventricular white matter, extracellular edema and axonal damage were present within days of the onset of hydrocephalus. This was followed by reactive gliosis, white matter atrophy, and in some animals gross cavitation of the white matter. Even in the chronic, apparently compensated state there was ongoing glial cell death. Six cats were shunted an average of 23.6 ± 6.5 days after the induction of hydrocephalus because they were no longer able to feed independently. In spite of clinical improvement the white matter changes persisted. Overt cortical changes were minimal except where areas of white matter destruction encroached upon the deep layers. The white matter changes are very similar to those seen in periventricular leukomalacia and suggest that ischemia plays a role in neonatal brain injury caused by hydrocephalus.


Genomics ◽  
2020 ◽  
Vol 112 (4) ◽  
pp. 2875-2885
Author(s):  
Lixing Qiao ◽  
Sisi Mo ◽  
Yan Zhou ◽  
Yi Zhang ◽  
Bangbang Li ◽  
...  

Maturitas ◽  
2011 ◽  
Vol 70 (2) ◽  
pp. 160-163 ◽  
Author(s):  
Ariadna Besga ◽  
Monica Martinez-Cengotitabengoa ◽  
Itxaso González-Ortega ◽  
Miguel Gutierrez ◽  
Sara Barbeito ◽  
...  

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Lucia M. Marseglia ◽  
Antonio Nicotera ◽  
Vincenzo Salpietro ◽  
Elisa Giaimo ◽  
Giovanna Cardile ◽  
...  

Higher total homocysteine (tHcy) levels, and C677T and A1298C methylenetetrahydrofolate (MTHFR) polymorphisms, have been reported in preterm or full term newborns with neonatal encephalopathy following perinatal hypoxic-ischemic insult. This study investigated the causal role of tHcy and MTHFR polymorphisms together with other acquired risk factors on the occurrence of brain white matter abnormalities (WMA) detected by cranial ultrasound scans (cUS) in a population of late preterm and full term infants. A total of 171 newborns (81 M, 47.4%), 45 (26.3%) born <37 wks, and 126 (73.7%) born ≥37 wks were recruited in the study. cUS detected predominant WMA pattern in 36/171 newborns (21.1%) mainly characterized by abnormal periventricular white matter signal and mild-to-moderate periventricular white matter volume loss with ventricular dilatation (6/36, 16.6%). WMA resulted in being depending on tHcy levels(P<0.014), lower GA(P<0.000), lower Apgar score at 1 minutes(P<0.000)and 5 minutes(P<0.000), and 1298AC and 677CT/1298AC genotypes (P<0.000andP<0.000). In conclusion, both acquired and genetic predisposing antenatal factors were significantly associated with adverse neonatal outcome and WMA. The role of A1298C polymorphism may be taken into account for prenatal assessment and treatment counseling.


Neonatology ◽  
2018 ◽  
Vol 113 (4) ◽  
pp. 339-346 ◽  
Author(s):  
Xiangyun Yin ◽  
Jixiu Zhao ◽  
Hong Jiang ◽  
Liangliang Li ◽  
Jian Jiang ◽  
...  

2011 ◽  
Vol 54 (7) ◽  
pp. e1-e8 ◽  
Author(s):  
JOEL M WEINSTEIN ◽  
RICK O GILMORE ◽  
SUMERA M SHAIKH ◽  
ALLEN R KUNSELMAN ◽  
WILLIAM V TRESCHER ◽  
...  

2000 ◽  
Vol 20 (10) ◽  
pp. 1446-1456 ◽  
Author(s):  
Nicola J. Robertson ◽  
Jacob Kuint ◽  
Serena J. Counsell ◽  
Mary A. Rutherford ◽  
Glyn A. Coutts ◽  
...  

The biochemical characteristics of white matter damage (WMD) in preterm infants were assessed using magnetic resonance spectroscopy (MRS). The authors hypothesized that preterm infants with WMD at term had a persisting cerebral lactic alkalosis and reduced N-acetyl aspartate (NAA)/creatine plus phosphocreatine (Cr), similar to that previously documented in term infants weeks after perinatal hypoxia–ischemia (HI). Thirty infants (gestational age 27.9 ± 3.1 weeks, birth weight 1122 ± 445 g) were studied at postnatal age of 9.8 ± 4.1 weeks (corrected age 40.3 ± 3.9 weeks). Infants were grouped according to the presence or absence of WMD on magnetic resonance (MR) images. The peak area ratios of lactate/Cr, NAA/Cr, myo-inositol/Cr, and choline (Cho)/Cr were measured from an 8-cm3 voxel in the posterior periventricular white matter (WM) using proton MRS. Intracellular pH (pHi) was calculated using phosphorus MRS. Eighteen infants had normal WM on MR imaging; 12 had WMD. For infants with WMD, lactate/Cr and myo-inositol/Cr were related ( P < 0.01); lactate/Cr and pHi were not ( P = 0.8). In the WMD group, mean lactate/Cr and myo-inositol/Cr were higher ( P < 0.001, P < 0.05, respectively) than the normal WM group. There was no difference in the NAA/Cr, Cho/Cr, or pHi between the two groups, although pHi was not measured in all infants. These findings suggest that WMD in the preterm infant at term has a different biochemical profile compared with the term infant after perinatal HI.


Sign in / Sign up

Export Citation Format

Share Document