Fondazione Santa Lucia, Neurobiology Unit, CNR/Fondazione Santa Lucia, 65 Via del Fosso di Fiorano, 00143 Rome, Italy.
Cell Mol Neurobiol. 2010 Jul;30(5):683-92. doi: 10.1007/s10571-009-9492-1. Epub 2010 Jan 23.
In the present work, we have used a rat animal model to study the early effects of intrauterine asphyxia occurring no later than 60 min following the cesarean-delivery procedure. Transitory hypertonia accompanied by altered posture was observed in asphyxiated pups, which also showed appreciably increased lactate values in plasma and hippocampal tissues. Despite this, there was no difference in terms of either cell viability or metabolic activities such as oxidation of lactate, glucose, and glycine in the hippocampus of those fetuses submitted to perinatal asphyxia with respect to normoxic animals. Moreover, a significant decrease in glutamate, but not GABA uptake was observed in the hippocampus of asphyctic pups. Since intense ATP signaling especially through P2X(7) purinergic receptors can lead to excitotoxicity, a feature which initiates neurotransmission failure in experimental paradigms relevant to ischemia, here we assessed the expression level of the P2X(7) receptor in the paradigm of perinatal asphyxia. A three-fold increase in P2X(7) protein was transiently observed in hippocampus immediately following asphyxia. Nevertheless, further studies are needed to delineate whether the P2X(7) receptor subtype is involved in the pathogenesis, contributing to ongoing brain injury after intrapartum asphyxia. In that case, new pharmacologic intervention strategies providing neuroprotection during the reperfusion phase of injury might be identified.
在本研究中,我们使用了一种大鼠动物模型来研究剖宫产术后 60 分钟内发生的宫内窒息的早期影响。窒息的幼鼠表现出短暂的高张力和姿势改变,同时血浆和海马组织中的乳酸值明显升高。尽管如此,与正常氧合动物相比,经历围产期窒息的胎鼠的海马组织中细胞活力或代谢活性(如乳酸、葡萄糖和甘氨酸的氧化)并没有差异。此外,在窒息幼鼠的海马体中,谷氨酸的摄取明显减少,但 GABA 的摄取没有减少。由于强烈的 ATP 信号,特别是通过 P2X(7)嘌呤能受体,可能导致兴奋性毒性,这是一种在与缺血相关的实验模型中引发神经传递失败的特征,在这里,我们评估了 P2X(7)受体在围产期窒息模型中的表达水平。在窒息后即刻,海马体中 P2X(7)蛋白的表达水平短暂增加了三倍。然而,仍需要进一步研究以确定 P2X(7)受体亚型是否参与了发病机制,导致分娩时窒息后的持续脑损伤。在这种情况下,可能会确定在损伤的再灌注阶段提供神经保护的新的药物干预策略。