Fan Lir-Wan, Chen Ruei-Feng, Mitchell Helen J, Lin Rick C S, Simpson Kimberly L, Rhodes Philip G, Cai Zhengwei
Department of Pediatrics, Division of Newborn Medicine, University of Mississippi Medical Center, Jackson, MS 39216-4505, USA.
J Neurosci Res. 2008 Dec;86(16):3536-47. doi: 10.1002/jnr.21812.
Our previous study showed that treatment with alpha-phenyl-n-tert-butyl-nitrone (PBN) after exposure to lipopolysaccharide (LPS) reduced LPS-induced white matter injury in the neonatal rat brain. The object of the current study was to further examine whether PBN has long-lasting protective effects and ameliorates LPS-induced neurological dysfunction. Intracerebral (i.c.) injection of LPS (1 mg/kg) was performed in postnatal day (P) 5 Sprague Dawley rat pups and PBN (100 mg/kg) or saline was administered intraperitoneally 5 min after LPS injection. The control rats were injected (i.c.) with sterile saline. Neurobehavioral tests were carried out from P3 to P21, and brain injury was examined after these tests. LPS exposure resulted in severe brain damage, including enlargement of ventricles bilaterally, loss of mature oligodendrocytes, impaired myelination as indicated by the decrease in myelin basic protein immunostaining, and alterations in dendritic processes in the cortical gray matter of the parietal cortex. Electron microscopic examination showed that LPS exposure caused impaired myelination as indicated by the disintegrated myelin sheaths in the juvenile rat brain. LPS administration also significantly affected neurobehavioral functions such as performance in righting reflex, wire hanging maneuver, cliff avoidance, negative geotaxis, vibrissa-elicited forelimb-placing test, beam walking, and gait test. Treatment with PBN, a free radical scavenger and antioxidant, provided protection against LPS-induced brain injury and associated neurological dysfunction in juvenile rats, suggesting that antioxidation might be an effective approach for therapeutic treatment of neonatal brain injury induced by infection/inflammation.
我们之前的研究表明,在暴露于脂多糖(LPS)后用α-苯基-N-叔丁基硝酮(PBN)进行治疗,可减轻LPS诱导的新生大鼠脑白质损伤。本研究的目的是进一步检验PBN是否具有长期保护作用,并改善LPS诱导的神经功能障碍。在出生后第5天的斯普拉格-道利大鼠幼崽中进行脑内(i.c.)注射LPS(1 mg/kg),并在LPS注射后5分钟腹腔注射PBN(100 mg/kg)或生理盐水。对照大鼠脑内注射无菌生理盐水。从出生后第3天到第21天进行神经行为测试,并在这些测试后检查脑损伤情况。暴露于LPS导致严重的脑损伤,包括双侧脑室扩大、成熟少突胶质细胞丢失、髓鞘碱性蛋白免疫染色减少表明髓鞘形成受损,以及顶叶皮质灰质树突过程改变。电子显微镜检查显示,暴露于LPS导致幼鼠脑内髓鞘鞘膜崩解,表明髓鞘形成受损。给予LPS还显著影响神经行为功能,如翻正反射、悬线试验、避崖试验、负趋地性、触须诱发前肢放置试验、横梁行走和步态试验的表现。用自由基清除剂和抗氧化剂PBN进行治疗,可保护幼鼠免受LPS诱导的脑损伤及相关神经功能障碍,这表明抗氧化可能是治疗感染/炎症诱导的新生儿脑损伤的有效方法。