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光刺激爆发抑制脑电图反应——缺氧缺血性脑损伤的转化生物标志物。

Burst-Suppression EEG Reactivity to Photic Stimulation-A Translational Biomarker in Hypoxic-Ischemic Brain Injury.

机构信息

Division of Physiology-Neuroscience, Department of Functional Sciences, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.

Department of Clinical Neurophysiology, King's College Hospital NHS Foundation Trust, London SE59RS, UK.

出版信息

Biomolecules. 2024 Aug 6;14(8):953. doi: 10.3390/biom14080953.

Abstract

The reactivity of an electroencephalogram (EEG) to external stimuli is impaired in comatose patients showing burst-suppression (BS) patterns following hypoxic-ischemic brain injury (HIBI). We explored the reactivity of BS induced by isoflurane in rat models of HIBI and controls using intermittent photic stimulation (IPS) delivered to one eye. The relative time spent in suppression referred to as the suppression ratio (SR) was measured on the contralateral fronto-occipital cortical EEG channel. The BS reactivity (BSR) was defined as the decrease in the SR during IPS from the baseline before stimulation (SR). We found that BSR increased with SR. To standardize by anesthetic depth, we derived the BSR index (BSRi) as BSR divided by SR. We found that the BSRi was decreased at 3 days after transient global cerebral ischemia in rats, which is a model of brain injury after cardiac arrest. The BSRi was also reduced 2 months after experimental perinatal asphyxia in rats, a model of birth asphyxia, which is a frequent neonatal complication in humans. Furthermore, Oxytocin attenuated BSRi impairment, consistent with a neuroprotective effect in this model. Our data suggest that the BSRi is a promising translational marker in HIBI which should be considered in future neuroprotection studies.

摘要

脑电图(EEG)对外部刺激的反应性在表现出缺氧缺血性脑损伤(HIBI)后呈现爆发抑制(BS)模式的昏迷患者中受损。我们使用间歇性光刺激(IPS)刺激一只眼睛,探索了 HIBI 大鼠模型和对照中异氟醚诱导的 BS 的反应性。在对侧额枕皮质 EEG 通道上测量称为抑制比(SR)的抑制时间的相对百分比。BS 反应性(BSR)定义为刺激前基线(SR)期间 IPS 期间 SR 的降低。我们发现 BSR 随 SR 增加而增加。为了通过麻醉深度进行标准化,我们将 BSR 除以 SR 得出 BSR 指数(BSRi)。我们发现,在大鼠短暂全脑缺血后 3 天,即心脏骤停后脑损伤的模型中,BSRi 降低,在大鼠实验性围产期窒息后 2 个月,即人类常见的新生儿并发症出生窒息的模型中,BSRi 也降低。此外,催产素减轻了 BSRi 损伤,与该模型中的神经保护作用一致。我们的数据表明,BSRi 是 HIBI 中一种有前途的转化标志物,在未来的神经保护研究中应加以考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d73/11352952/3a33aad0f6ff/biomolecules-14-00953-g001.jpg

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