Abstract

Hypoxia-ischemia (H-I) at the time of birth may cause neonatal death or lead to persistent brain damage. The search for an effective treatment of asphyxiated infants has not resulted in an effective therapy, and hypothermia remains the only available therapeutic strategy. Among possible experimental therapies, the induction of ischemic tolerance is promising. Recent investigations have shown that activation of group II metabotropic glutamate receptors (mGluR2/3) can provide neuroprotection against H-I, but the mechanism of this effect is not clear. The aim of this study was to investigate whether an mGluR2/3 agonist applied before H-I reduces brain damage in an experimental model of birth asphyxia and whether a decrease in oxidative stress plays a role in neuroprotection. Neonatal H-I on seven-day-old rats was used as an experimental model of birth asphyxia. Rats were injected intraperitoneally with the mGluR2/3 agonist LY379268 24 or 1 h before H-I (5 mg/kg). LY379268 reduced the infarct area in the ischemic hemisphere. Application of the agonist at both times also reduced the elevated levels of reactive oxygen species (ROS) in the ipsilateral hemisphere observed after H-I and prevented the increase in antioxidant enzyme activity in the injured hemisphere. The decrease in glutathione (GSH) level was also restored after agonist application. The results suggest that the neuroprotective mechanisms triggered by the activation of mGluR2/3 before H-I act through the decrease of glutamate release and its extracellular concentration resulting in the inhibition of ROS production and reduction of oxidative stress. This, rather than induction of ischemic tolerance, is probably the main mechanism involved in the observed neuroprotection.

Highlights

  • Birth asphyxia or hypoxia-ischemia (H-I) at birth resulting in brain damage is still an important problem in modern obstetrics, even in developed countries

  • The aim of our study was to investigate whether the activation of Metabotropic glutamate receptor 2 (mGluR2)/3 before experimental birth asphyxia on seven-day-old rats will result in the induction of defence mechanisms resulting in neuroprotection and if the antioxidant enzymes are engaged in this process

  • The results presented in this paper show that the neuroprotective effect of LY379268 occurred when the agonist was applied before the H-I

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Summary

Introduction

Birth asphyxia or hypoxia-ischemia (H-I) at birth resulting in brain damage is still an important problem in modern obstetrics, even in developed countries. The encephalopathy that follows a hypoxic-ischemic insult reflects an evolving process characterized by an initial primary injury followed by a self-sustaining cascade of harmful biochemical events that lead to further brain damage. The accumulation of ROS initiates oxidative stress, shifting the balance between oxidants. Brain Sci. 2018, 8, 48 and antioxidants in favour of oxidants. This shift leads to the oxidation of cell lipids, proteins, and other constituents, resulting in cell injury and death [1,2]. In hypoxic-ischemic conditions, even increased activity of superoxide dismutase (SOD), catalase (CAT), and glutathione peroxidase (GPx) supported by glutathione cannot eliminate the overloading concentrations of ROS [3]

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