Restraint stress during neonatal hypoxia‐ischemia alters brain injury following normothermia and hypothermia

Abstract Rodent models of neonatal hypoxic–ischemic (HI) injury require a subset of animals to be immobilized for continuous temperature monitoring during the insult and subsequent treatment. Restrained animals are discarded from the analysis due to the effect of restraint on the brain injury as fir...

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Main Authors: Julia K. Gundersen, Hemmen Sabir, Thomas R. Wood, Damjan Osredkar, Mari Falck, Else M. Loeberg, Lars Walloe, David A. Menassa, Marianne Thoresen
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Physiological Reports
Subjects:
Online Access:https://doi.org/10.14814/phy2.15562
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author Julia K. Gundersen
Hemmen Sabir
Thomas R. Wood
Damjan Osredkar
Mari Falck
Else M. Loeberg
Lars Walloe
David A. Menassa
Marianne Thoresen
author_facet Julia K. Gundersen
Hemmen Sabir
Thomas R. Wood
Damjan Osredkar
Mari Falck
Else M. Loeberg
Lars Walloe
David A. Menassa
Marianne Thoresen
author_sort Julia K. Gundersen
collection DOAJ
description Abstract Rodent models of neonatal hypoxic–ischemic (HI) injury require a subset of animals to be immobilized for continuous temperature monitoring during the insult and subsequent treatment. Restrained animals are discarded from the analysis due to the effect of restraint on the brain injury as first demonstrated by Thoresen et al 1996. However, the effects of restraint on responses to hypothermic (HT) post‐insult therapy are not well described. We examine the effects of restraint associated with different probe placements on HI brain injury. We have conducted a meta‐analysis of 23 experiments comparing probe rats (skin n = 42, rectal n = 35) and free‐moving matched non‐probe controls (n = 80) that underwent HI injury (left common carotid artery ligation and 90 min 8% O2) at postnatal day 7 (P7), followed by 5 h of NT (37°C) or HT (32°C). On P14, brain regions were analyzed for injury (by neuropathology and area loss), microglial reactivity and brain‐derived neurotrophic factor (BDNF). HI injury was mitigated in NT skin and rectal probe rats, with greater neuroprotection among the rectal probe rats. Following HT, the skin probe rats maintained the restraint‐associated neuroprotection, while brain injury was significantly exacerbated among the rectal probe rats. Microglial reactivity strongly correlated with the acquired injury, with no detectable difference between the groups. Likewise, we observed no differences in BDNF signal intensity. Our findings suggest a biphasic neuroprotection from restraint stress, which becomes detrimental in combination with HT and the presumed discomfort from the rectal probe. This finding is useful in highlighting unforeseen effects of common experimental designs or routine clinical management.
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spelling doaj.art-24f6b6bb6a18488ea63b7c2e48920c802023-12-11T10:10:45ZengWileyPhysiological Reports2051-817X2023-01-01111n/an/a10.14814/phy2.15562Restraint stress during neonatal hypoxia‐ischemia alters brain injury following normothermia and hypothermiaJulia K. Gundersen0Hemmen Sabir1Thomas R. Wood2Damjan Osredkar3Mari Falck4Else M. Loeberg5Lars Walloe6David A. Menassa7Marianne Thoresen8Department of Physiology Institute of Basic Medical Sciences, University of Oslo Oslo NorwayDepartment of Physiology Institute of Basic Medical Sciences, University of Oslo Oslo NorwayDepartment of Physiology Institute of Basic Medical Sciences, University of Oslo Oslo NorwayDepartment of Physiology Institute of Basic Medical Sciences, University of Oslo Oslo NorwayDepartment of Physiology Institute of Basic Medical Sciences, University of Oslo Oslo NorwayDepartment of Pathology Oslo University Hospital Oslo NorwayDepartment of Physiology Institute of Basic Medical Sciences, University of Oslo Oslo NorwayDepartment of Physiology Institute of Basic Medical Sciences, University of Oslo Oslo NorwayDepartment of Physiology Institute of Basic Medical Sciences, University of Oslo Oslo NorwayAbstract Rodent models of neonatal hypoxic–ischemic (HI) injury require a subset of animals to be immobilized for continuous temperature monitoring during the insult and subsequent treatment. Restrained animals are discarded from the analysis due to the effect of restraint on the brain injury as first demonstrated by Thoresen et al 1996. However, the effects of restraint on responses to hypothermic (HT) post‐insult therapy are not well described. We examine the effects of restraint associated with different probe placements on HI brain injury. We have conducted a meta‐analysis of 23 experiments comparing probe rats (skin n = 42, rectal n = 35) and free‐moving matched non‐probe controls (n = 80) that underwent HI injury (left common carotid artery ligation and 90 min 8% O2) at postnatal day 7 (P7), followed by 5 h of NT (37°C) or HT (32°C). On P14, brain regions were analyzed for injury (by neuropathology and area loss), microglial reactivity and brain‐derived neurotrophic factor (BDNF). HI injury was mitigated in NT skin and rectal probe rats, with greater neuroprotection among the rectal probe rats. Following HT, the skin probe rats maintained the restraint‐associated neuroprotection, while brain injury was significantly exacerbated among the rectal probe rats. Microglial reactivity strongly correlated with the acquired injury, with no detectable difference between the groups. Likewise, we observed no differences in BDNF signal intensity. Our findings suggest a biphasic neuroprotection from restraint stress, which becomes detrimental in combination with HT and the presumed discomfort from the rectal probe. This finding is useful in highlighting unforeseen effects of common experimental designs or routine clinical management.https://doi.org/10.14814/phy2.15562hypothermiahypoxia‐ischemianeuroprotectionstressVannucci‐model
spellingShingle Julia K. Gundersen
Hemmen Sabir
Thomas R. Wood
Damjan Osredkar
Mari Falck
Else M. Loeberg
Lars Walloe
David A. Menassa
Marianne Thoresen
Restraint stress during neonatal hypoxia‐ischemia alters brain injury following normothermia and hypothermia
Physiological Reports
hypothermia
hypoxia‐ischemia
neuroprotection
stress
Vannucci‐model
title Restraint stress during neonatal hypoxia‐ischemia alters brain injury following normothermia and hypothermia
title_full Restraint stress during neonatal hypoxia‐ischemia alters brain injury following normothermia and hypothermia
title_fullStr Restraint stress during neonatal hypoxia‐ischemia alters brain injury following normothermia and hypothermia
title_full_unstemmed Restraint stress during neonatal hypoxia‐ischemia alters brain injury following normothermia and hypothermia
title_short Restraint stress during neonatal hypoxia‐ischemia alters brain injury following normothermia and hypothermia
title_sort restraint stress during neonatal hypoxia ischemia alters brain injury following normothermia and hypothermia
topic hypothermia
hypoxia‐ischemia
neuroprotection
stress
Vannucci‐model
url https://doi.org/10.14814/phy2.15562
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