The protective effect of glibenclamide in a model of hemorrhagic encephalopathy of prematurity
We studied a model of hemorrhagic encephalopathy of prematurity (EP) that closely recapitulates findings in humans with hemorrhagic EP. This model involves tandem insults of 20 min intrauterine ischemia (IUI) plus an episode of elevated venous pressure induced by intraperitoneal glycerol on post-nat...
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Published in | Brain sciences Vol. 3; no. 1; pp. 215 - 238 |
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Format | Journal Article |
Language | English |
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Abstract | We studied a model of hemorrhagic encephalopathy of prematurity (EP) that closely recapitulates findings in humans with hemorrhagic EP. This model involves tandem insults of 20 min intrauterine ischemia (IUI) plus an episode of elevated venous pressure induced by intraperitoneal glycerol on post-natal day (P) 0. We examined Sur1 expression, which is upregulated after focal ischemia but has not been studied after brief global ischemia including IUI. We found that 20 min IUI resulted in robust upregulation of Sur1 in periventricular microvessels and tissues. We studied tandem insult pups from untreated or vehicle-treated dams (TI-CTR), and tandem insult pups from dams administered a low-dose, non-hypoglycemogenic infusion of the Sur1 blocker, glibenclamide, for 1 week after IUI (TI-GLIB). Compared to pups from the TI-CTR group, pups from the TI-GLIB group had significantly fewer and less severe hemorrhages on P1, performed significantly better on the beam walk and accelerating Rotarod on P35 and in tests of thigmotaxis and rapid learning on P35-49, and had significantly greater body and brain weights at P52. We conclude that low-dose glibenclamide administered to the mother at the end of pregnancy protects pups subjected to IUI from post-natal events of elevated venous pressure and its consequences. |
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AbstractList | We studied a model of hemorrhagic encephalopathy of prematurity (EP) that closely recapitulates findings in humans with hemorrhagic EP. This model involves tandem insults of 20 min intrauterine ischemia (IUI) plus an episode of elevated venous pressure induced by intraperitoneal glycerol on post-natal day (P) 0. We examined Sur1 expression, which is upregulated after focal ischemia but has not been studied after brief global ischemia including IUI. We found that 20 min IUI resulted in robust upregulation of Sur1 in periventricular microvessels and tissues. We studied tandem insult pups from untreated or vehicle-treated dams (TI-CTR), and tandem insult pups from dams administered a low-dose, non-hypoglycemogenic infusion of the Sur1 blocker, glibenclamide, for 1 week after IUI (TI-GLIB). Compared to pups from the TI-CTR group, pups from the TI-GLIB group had significantly fewer and less severe hemorrhages on P1, performed significantly better on the beam walk and accelerating Rotarod on P35 and in tests of thigmotaxis and rapid learning on P35–49, and had significantly greater body and brain weights at P52. We conclude that low-dose glibenclamide administered to the mother at the end of pregnancy protects pups subjected to IUI from post-natal events of elevated venous pressure and its consequences. |
Author | Tosun, Cigdem Simard, J Marc Gerzanich, Volodymyr Koltz, Michael T Kurland, David B Gurakar, Melda Schwartzbauer, Gary Ijaz, Hina Ivanova, Svetlana Coksaygan, Turhan |
AuthorAffiliation | 1 Department of Neurosurgery, University of Maryland School of Medicine, Baltimore, MD 21201, USA; E-Mails: cigdemtosun@gmail.com (C.T.); mtkoltz@gmail.com (M.T.K.); kurland.davidb@gmail.com (D.B.K.); hinaijaz92@gmail.com (H.I.); meldagurakar@hotmail.com (M.G.); gschwartzbauer@smail.umaryland.edu (G.S.); sveta0652@yahoo.com (S.I.); vgerzanich@smail.umaryland.edu (V.G.) 2 Department of Pathology, University of Maryland School of Medicine, Baltimore, MD 21201, USA; E-Mail: tcoksaygan@vetmed.umaryland.edu 3 Department of Physiology, University of Maryland School of Medicine, Baltimore, MD 21201, USA |
AuthorAffiliation_xml | – name: 1 Department of Neurosurgery, University of Maryland School of Medicine, Baltimore, MD 21201, USA; E-Mails: cigdemtosun@gmail.com (C.T.); mtkoltz@gmail.com (M.T.K.); kurland.davidb@gmail.com (D.B.K.); hinaijaz92@gmail.com (H.I.); meldagurakar@hotmail.com (M.G.); gschwartzbauer@smail.umaryland.edu (G.S.); sveta0652@yahoo.com (S.I.); vgerzanich@smail.umaryland.edu (V.G.) – name: 2 Department of Pathology, University of Maryland School of Medicine, Baltimore, MD 21201, USA; E-Mail: tcoksaygan@vetmed.umaryland.edu – name: 3 Department of Physiology, University of Maryland School of Medicine, Baltimore, MD 21201, USA |
Author_xml | – sequence: 1 givenname: Cigdem surname: Tosun fullname: Tosun, Cigdem organization: Department of Neurosurgery, University of Maryland School of Medicine, Baltimore, MD 21201, USA – sequence: 2 givenname: Michael T surname: Koltz fullname: Koltz, Michael T – sequence: 3 givenname: David B surname: Kurland fullname: Kurland, David B – sequence: 4 givenname: Hina surname: Ijaz fullname: Ijaz, Hina – sequence: 5 givenname: Melda surname: Gurakar fullname: Gurakar, Melda – sequence: 6 givenname: Gary surname: Schwartzbauer fullname: Schwartzbauer, Gary – sequence: 7 givenname: Turhan surname: Coksaygan fullname: Coksaygan, Turhan – sequence: 8 givenname: Svetlana surname: Ivanova fullname: Ivanova, Svetlana – sequence: 9 givenname: Volodymyr surname: Gerzanich fullname: Gerzanich, Volodymyr – sequence: 10 givenname: J Marc surname: Simard fullname: Simard, J Marc |
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Keywords | germinal matrix hemorrhage intraventricular hemorrhage sulfonylurea receptor 1 encephalopathy of prematurity glibenclamide choroid plexus hemorrhage |
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Snippet | We studied a model of hemorrhagic encephalopathy of prematurity (EP) that closely recapitulates findings in humans with hemorrhagic EP. This model involves... |
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StartPage | 215 |
SubjectTerms | choroid plexus hemorrhage Encephalitis encephalopathy of prematurity germinal matrix hemorrhage glibenclamide Hemorrhage intraventricular hemorrhage Ischemia Neurology sulfonylurea receptor 1 |
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Title | The protective effect of glibenclamide in a model of hemorrhagic encephalopathy of prematurity |
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