EFFECTS OF CANNABIDIOL PLUS HYPOTHERMIA ON SHORT-TERM NEWBORN PIG BRAIN DAMAGE AFTER ACUTE HYPOXIA-ISCHEMIA

Background: Hypothermia is standard treatment for neonatal encephalopathy, but near 50% of treated infants have adverse outcomes. Pharmacological therapies can act through complementary mechanisms to hypothermia and would improve neuroprotection. Cannabidiol could be a good candidate.Objective: To t...

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Main Authors: Hector Lafuente, Maria Ruth Pazos, Antonia de los Angeles Alvarez, Nagat Mohammed, Martin Santos, Maialen Arizti, Francisco Jose Alvarez, Jose A Martinez Orgado
Format: Article
Language:English
Published: Frontiers Media S.A. 2016-07-01
Series:Frontiers in Neuroscience
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fnins.2016.00323/full
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author Hector Lafuente
Maria Ruth Pazos
Antonia de los Angeles Alvarez
Nagat Mohammed
Martin Santos
Maialen Arizti
Francisco Jose Alvarez
Jose A Martinez Orgado
author_facet Hector Lafuente
Maria Ruth Pazos
Antonia de los Angeles Alvarez
Nagat Mohammed
Martin Santos
Maialen Arizti
Francisco Jose Alvarez
Jose A Martinez Orgado
author_sort Hector Lafuente
collection DOAJ
description Background: Hypothermia is standard treatment for neonatal encephalopathy, but near 50% of treated infants have adverse outcomes. Pharmacological therapies can act through complementary mechanisms to hypothermia and would improve neuroprotection. Cannabidiol could be a good candidate.Objective: To test whether immediate treatment with cannabidiol and hypothermia act through complementary brain pathways in hypoxic-ischemic newborn piglets.Methods: Hypoxic-ischemic animals were randomized to receive 30 min after the insult: 1) normothermia- and vehicle-treated group; 2) normothermia- and cannabidiol-treated group; 3) hypothermia- and vehicle-treated group; and 4) hypothermia- and cannabidiol-treated group. Six hours after treatment, brains were processed to qualify the number of neurons by Nissl staining. Proton nuclear magnetic resonance spectra were obtained and analyzed for lactate, N-acetyl-aspartate and glutamate. Metabolite ratios were calculated to assess neuronal damage (lactate/N-acetyl-aspartate) and excitotoxicity (glutamate/Nacetyl-aspartate). Western blot studies were performed to quantify protein nitrosylation (oxidative stress) and expression of caspase-3 (apoptosis) and TNFα (inflammation).Results: Individually, the hypothermia and the cannabidiol treatments reduced the glutamate/Nacetyl-aspartate ratio, as well as TNFα and oxidized protein levels. Also, both therapies reduced the number of necrotic neurons and prevented an increase in lactate/N-acetyl-aspartate ratio. The combined effect of hypothermia and cannabidiol on excitotoxicity, inflammation and oxidative stress, and on histological damage, was greater than either hypothermia or cannabidiol alone.Conclusion: Cannabidiol and hypothermia act complementarily and show additive effects on the main factors leading to hypoxic-ischemic brain damage.
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spelling doaj.art-2fb13313b80b4001bb134625f415e64c2022-12-22T02:01:19ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2016-07-011010.3389/fnins.2016.00323190356EFFECTS OF CANNABIDIOL PLUS HYPOTHERMIA ON SHORT-TERM NEWBORN PIG BRAIN DAMAGE AFTER ACUTE HYPOXIA-ISCHEMIAHector Lafuente0Maria Ruth Pazos1Antonia de los Angeles Alvarez2Nagat Mohammed3Martin Santos4Maialen Arizti5Francisco Jose Alvarez6Jose A Martinez Orgado7Cruces University HospitalResearch Institute Puerta de HierroUniversity of the Basque CountryResearch Institute Puerta de HierroResearch Institute Puerta de HierroCruces University HospitalCruces University HospitalResearch Institute Puerta de HierroBackground: Hypothermia is standard treatment for neonatal encephalopathy, but near 50% of treated infants have adverse outcomes. Pharmacological therapies can act through complementary mechanisms to hypothermia and would improve neuroprotection. Cannabidiol could be a good candidate.Objective: To test whether immediate treatment with cannabidiol and hypothermia act through complementary brain pathways in hypoxic-ischemic newborn piglets.Methods: Hypoxic-ischemic animals were randomized to receive 30 min after the insult: 1) normothermia- and vehicle-treated group; 2) normothermia- and cannabidiol-treated group; 3) hypothermia- and vehicle-treated group; and 4) hypothermia- and cannabidiol-treated group. Six hours after treatment, brains were processed to qualify the number of neurons by Nissl staining. Proton nuclear magnetic resonance spectra were obtained and analyzed for lactate, N-acetyl-aspartate and glutamate. Metabolite ratios were calculated to assess neuronal damage (lactate/N-acetyl-aspartate) and excitotoxicity (glutamate/Nacetyl-aspartate). Western blot studies were performed to quantify protein nitrosylation (oxidative stress) and expression of caspase-3 (apoptosis) and TNFα (inflammation).Results: Individually, the hypothermia and the cannabidiol treatments reduced the glutamate/Nacetyl-aspartate ratio, as well as TNFα and oxidized protein levels. Also, both therapies reduced the number of necrotic neurons and prevented an increase in lactate/N-acetyl-aspartate ratio. The combined effect of hypothermia and cannabidiol on excitotoxicity, inflammation and oxidative stress, and on histological damage, was greater than either hypothermia or cannabidiol alone.Conclusion: Cannabidiol and hypothermia act complementarily and show additive effects on the main factors leading to hypoxic-ischemic brain damage.http://journal.frontiersin.org/Journal/10.3389/fnins.2016.00323/fullCannabidiolHypothermiaNeuroprotectionneurodevelopmentneonatal brainhypoxic-ischemic encephalopathy
spellingShingle Hector Lafuente
Maria Ruth Pazos
Antonia de los Angeles Alvarez
Nagat Mohammed
Martin Santos
Maialen Arizti
Francisco Jose Alvarez
Jose A Martinez Orgado
EFFECTS OF CANNABIDIOL PLUS HYPOTHERMIA ON SHORT-TERM NEWBORN PIG BRAIN DAMAGE AFTER ACUTE HYPOXIA-ISCHEMIA
Frontiers in Neuroscience
Cannabidiol
Hypothermia
Neuroprotection
neurodevelopment
neonatal brain
hypoxic-ischemic encephalopathy
title EFFECTS OF CANNABIDIOL PLUS HYPOTHERMIA ON SHORT-TERM NEWBORN PIG BRAIN DAMAGE AFTER ACUTE HYPOXIA-ISCHEMIA
title_full EFFECTS OF CANNABIDIOL PLUS HYPOTHERMIA ON SHORT-TERM NEWBORN PIG BRAIN DAMAGE AFTER ACUTE HYPOXIA-ISCHEMIA
title_fullStr EFFECTS OF CANNABIDIOL PLUS HYPOTHERMIA ON SHORT-TERM NEWBORN PIG BRAIN DAMAGE AFTER ACUTE HYPOXIA-ISCHEMIA
title_full_unstemmed EFFECTS OF CANNABIDIOL PLUS HYPOTHERMIA ON SHORT-TERM NEWBORN PIG BRAIN DAMAGE AFTER ACUTE HYPOXIA-ISCHEMIA
title_short EFFECTS OF CANNABIDIOL PLUS HYPOTHERMIA ON SHORT-TERM NEWBORN PIG BRAIN DAMAGE AFTER ACUTE HYPOXIA-ISCHEMIA
title_sort effects of cannabidiol plus hypothermia on short term newborn pig brain damage after acute hypoxia ischemia
topic Cannabidiol
Hypothermia
Neuroprotection
neurodevelopment
neonatal brain
hypoxic-ischemic encephalopathy
url http://journal.frontiersin.org/Journal/10.3389/fnins.2016.00323/full
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