A Rodent Model of Mild Neonatal Hypoxic Ischemic Encephalopathy

In the brain of full-term newborns, Hypoxic Ischemic Encephalopathy (HIE), a consequence of severe hypoxia and ischemia due to low cardiac output, is frequently observed and results in cerebral injuries with dramatic consequences for life. To investigate the physiopathology of HIE, several animal mo...

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Main Authors: Julien Gotchac, Laura Cardoit, Muriel Thoby-Brisson, Olivier Brissaud
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-05-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2021.637947/full
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author Julien Gotchac
Laura Cardoit
Muriel Thoby-Brisson
Olivier Brissaud
Olivier Brissaud
author_facet Julien Gotchac
Laura Cardoit
Muriel Thoby-Brisson
Olivier Brissaud
Olivier Brissaud
author_sort Julien Gotchac
collection DOAJ
description In the brain of full-term newborns, Hypoxic Ischemic Encephalopathy (HIE), a consequence of severe hypoxia and ischemia due to low cardiac output, is frequently observed and results in cerebral injuries with dramatic consequences for life. To investigate the physiopathology of HIE, several animal models have been developed, but none closely replicate human cases, mostly because they are based on a single carotid ligation protocol. In the present study we aimed to develop a novel and more accurate HIE model in juvenile (post-natal days (PND) 14–16) rats. For this, we induced a 9 min hypoxic cardiac arrest (CA) by stopping mechanical ventilation of intubated, ventilated and curarized rats followed by a cardiopulmonary resuscitation. To evaluate the consequences of the CA we performed radiological (cerebral MRI), behavioral (Open Field, Elevated Plus Maze, Fear Conditioning), and histological (Cresyl Violet and Fluoro-Jade B) testing on treated animals. We found that rats in the CA group developed an anxiolytic-like behavioral profile in adulthood without any locomotor impairment, nor memory deficits. However, MRI investigation performed early after CA failed to reveal any change in apparent diffusion coefficient (ADC) in brain tissue (including the hippocampus, striatum, and thalamus), suggesting no massive anatomical lesion had occurred. In contrast, signs of neurodegeneration were found in the Dentate Gyrus and the CA1 region of the hippocampus at day 1 post-CA, suggesting that the anxiolytic-like phenotype observed in adulthood could be related to an abnormal degeneration of this brain region beginning immediately after CA. Thus, our model, despite not representing a severe condition of HIE, nonetheless constitutes a potential model for studying mild, yet persistent and region-specific cerebral injury resulting from an acute oxygen deprivation.
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spelling doaj.art-009986644e5044b1b625597c0b39cbf92022-12-21T22:45:35ZengFrontiers Media S.A.Frontiers in Neurology1664-22952021-05-011210.3389/fneur.2021.637947637947A Rodent Model of Mild Neonatal Hypoxic Ischemic EncephalopathyJulien Gotchac0Laura Cardoit1Muriel Thoby-Brisson2Olivier Brissaud3Olivier Brissaud4Institut des Neurosciences Cognitives et Intégratives d'Aquitaine, CNRS UMR 5287, University of Bordeaux, Bordeaux, FranceInstitut des Neurosciences Cognitives et Intégratives d'Aquitaine, CNRS UMR 5287, University of Bordeaux, Bordeaux, FranceInstitut des Neurosciences Cognitives et Intégratives d'Aquitaine, CNRS UMR 5287, University of Bordeaux, Bordeaux, FranceInstitut des Neurosciences Cognitives et Intégratives d'Aquitaine, CNRS UMR 5287, University of Bordeaux, Bordeaux, FrancePediatric Intensive Care Unit, Teacher's hospital of Children Pellegrin, Bordeaux, FranceIn the brain of full-term newborns, Hypoxic Ischemic Encephalopathy (HIE), a consequence of severe hypoxia and ischemia due to low cardiac output, is frequently observed and results in cerebral injuries with dramatic consequences for life. To investigate the physiopathology of HIE, several animal models have been developed, but none closely replicate human cases, mostly because they are based on a single carotid ligation protocol. In the present study we aimed to develop a novel and more accurate HIE model in juvenile (post-natal days (PND) 14–16) rats. For this, we induced a 9 min hypoxic cardiac arrest (CA) by stopping mechanical ventilation of intubated, ventilated and curarized rats followed by a cardiopulmonary resuscitation. To evaluate the consequences of the CA we performed radiological (cerebral MRI), behavioral (Open Field, Elevated Plus Maze, Fear Conditioning), and histological (Cresyl Violet and Fluoro-Jade B) testing on treated animals. We found that rats in the CA group developed an anxiolytic-like behavioral profile in adulthood without any locomotor impairment, nor memory deficits. However, MRI investigation performed early after CA failed to reveal any change in apparent diffusion coefficient (ADC) in brain tissue (including the hippocampus, striatum, and thalamus), suggesting no massive anatomical lesion had occurred. In contrast, signs of neurodegeneration were found in the Dentate Gyrus and the CA1 region of the hippocampus at day 1 post-CA, suggesting that the anxiolytic-like phenotype observed in adulthood could be related to an abnormal degeneration of this brain region beginning immediately after CA. Thus, our model, despite not representing a severe condition of HIE, nonetheless constitutes a potential model for studying mild, yet persistent and region-specific cerebral injury resulting from an acute oxygen deprivation.https://www.frontiersin.org/articles/10.3389/fneur.2021.637947/fullhypoxic ischemic encephalopathycardiac arrestcardiopulmonary resuscitationdevelopmentbrain injury
spellingShingle Julien Gotchac
Laura Cardoit
Muriel Thoby-Brisson
Olivier Brissaud
Olivier Brissaud
A Rodent Model of Mild Neonatal Hypoxic Ischemic Encephalopathy
Frontiers in Neurology
hypoxic ischemic encephalopathy
cardiac arrest
cardiopulmonary resuscitation
development
brain injury
title A Rodent Model of Mild Neonatal Hypoxic Ischemic Encephalopathy
title_full A Rodent Model of Mild Neonatal Hypoxic Ischemic Encephalopathy
title_fullStr A Rodent Model of Mild Neonatal Hypoxic Ischemic Encephalopathy
title_full_unstemmed A Rodent Model of Mild Neonatal Hypoxic Ischemic Encephalopathy
title_short A Rodent Model of Mild Neonatal Hypoxic Ischemic Encephalopathy
title_sort rodent model of mild neonatal hypoxic ischemic encephalopathy
topic hypoxic ischemic encephalopathy
cardiac arrest
cardiopulmonary resuscitation
development
brain injury
url https://www.frontiersin.org/articles/10.3389/fneur.2021.637947/full
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