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低体温可预防严重围产期窒息引起的缺血性增殖性视网膜病变。

Hypothermia prevents the development of ischemic proliferative retinopathy induced by severe perinatal asphyxia.

机构信息

Laboratorio de Neuropatología Experimental, Instituto de Biología Celular y Neurociencia Prof. E. De Robertis, Facultad de Medicina, Universidad de Buenos Aires, CONICET, Paraguay 2155 3 degrees Piso, (C1121ABG) Ciudad Autónoma de Buenos Aires, Argentina.

出版信息

Exp Eye Res. 2010 Jan;90(1):113-20. doi: 10.1016/j.exer.2009.09.019. Epub 2009 Sep 26.

Abstract

Obstetric complications, such as perinatal asphyxia, may cause retinal injuries as retinopathy of prematurity (ROP), a type of ischemic proliferative retinopathy. Up to date there are no appropriate experimental models for studying the long-term sequels of this disease. In the present work, we present an experimental model of perinatal asphyxia which shows structural and ultrastructural retinal alterations at the most inner layers of the retina, such as neurodegeneration, development of neoformed vessels and glial reaction, which are compatible with the histopathological description of ROP. Besides, the application of hypothermia during perinatal asphyxia showed effective results preventing cellular and morphological alterations. This study may contribute to the development of therapies in order to either ameliorate or prevent retinal damage. In this manner, hypothermia may improve life quality and decrease medical, family and social costs of these avoidable causes of blindness.

摘要

产科并发症,如围产期窒息,可能导致视网膜损伤,如早产儿视网膜病变(ROP),一种缺血性增生性视网膜病变。迄今为止,尚无合适的实验模型来研究这种疾病的长期后果。在本工作中,我们提出了一种围产期窒息的实验模型,该模型显示了视网膜最内层的结构和超微结构改变,如神经退行性变、新生血管形成和胶质反应,与 ROP 的组织病理学描述一致。此外,围产期窒息时应用低温显示出有效预防细胞和形态改变的效果。这项研究可能有助于开发治疗方法,以改善或预防视网膜损伤。通过这种方式,低温可能会提高生活质量,并降低这些可避免的失明原因的医疗、家庭和社会成本。

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