Abstract
Background: White matter damage is a leading cause of acute mortality and chronic morbidity in preterm birth. Xenon is a general anesthetic with neuroprotective effects. We aimed to reveal the molecular basis and neuroprotective mechanism of Xe intervention in treating white matter damage by detecting the expression level of miR-210 and HIF-1α in brain tissues of 3-day-old neonatal rats.
Methods: Three-day-old SD rats were randomly divided into sham group (Group A, n=24), LPS +HI group (Group B, n=24) and LPS+HI+Xe group (n=72). LPS+HI+Xe group was given Xenon gas inhalation for three hours after treatment of HI at 0h,2h,and 5h,and divided into three subgroups C,D,and E randomly. We investigated the WMD by performing TUNEL and hematoxylin and eosin (HE) staining and examining the expression of miR-210and HIF-1α in brain tissues via RT-PCR and western blot.
Results: Our study shows that the brain tissues of neonatal rat which stained by HE were pale, structure loosen, and psychosis along with apoptosis in group B, Xe treatment improved histological alterations and decreased the number of apoptotic cells in group C . The expression level of miR-210 increased significantly at all time points in group B compared to group A (p<0.05),While that was significantly lower at 0h and 48h than that of group C(p<0.05).Compared with group C,the expression of miR-210 in group D and group E decreased significantly at 0h, 24h and 48h (p<0.05).The level of HIF-1α protein in group B was significantly higher than that of group A at each time point, while significantly lower than that of group C at each time point and that of group D and E at 0h, 24h and 72h (p<0.05).Compared with group C and group D,the expression level of HIF-1α protein decreased significantly at 24h in group E (p<0.05).
Conclusions: These results demonstrate that the expression of HIF-1α and miR-210 increased in periventricular tissues and Xe could relieve the white matter damage by up-regulating the expression of HIF-1α and its target gene miR-210.The Xe therapeutic time window was within 5 hours after intervention, the sooner the better.
Keywords: premature birth, Xenon, microRNA-210, HIF-1α, white matter damage