PMID- 24848795 OWN - NLM STAT- MEDLINE DCOM- 20150115 LR - 20220330 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 9 IP - 5 DP - 2014 TI - Repetitive long-term hyperbaric oxygen treatment (HBOT) administered after experimental traumatic brain injury in rats induces significant remyelination and a recovery of sensorimotor function. PG - e97750 LID - 10.1371/journal.pone.0097750 [doi] LID - e97750 AB - Cells in the central nervous system rely almost exclusively on aerobic metabolism. Oxygen deprivation, such as injury-associated ischemia, results in detrimental apoptotic and necrotic cell loss. There is evidence that repetitive hyperbaric oxygen therapy (HBOT) improves outcomes in traumatic brain-injured patients. However, there are no experimental studies investigating the mechanism of repetitive long-term HBOT treatment-associated protective effects. We have therefore analysed the effect of long-term repetitive HBOT treatment on brain trauma-associated cerebral modulations using the lateral fluid percussion model for rats. Trauma-associated neurological impairment regressed significantly in the group of HBO-treated animals within three weeks post trauma. Evaluation of somatosensory-evoked potentials indicated a possible remyelination of neurons in the injured hemisphere following HBOT. This presumption was confirmed by a pronounced increase in myelin basic protein isoforms, PLP expression as well as an increase in myelin following three weeks of repetitive HBO treatment. Our results indicate that protective long-term HBOT effects following brain injury is mediated by a pronounced remyelination in the ipsilateral injured cortex as substantiated by the associated recovery of sensorimotor function. FAU - Kraitsy, Klaus AU - Kraitsy K AD - Research Unit for Experimental Neurotraumatology, Medical University of Graz, Graz, Austria. FAU - Uecal, Muammer AU - Uecal M AD - Research Unit for Experimental Neurotraumatology, Medical University of Graz, Graz, Austria. FAU - Grossauer, Stefan AU - Grossauer S AD - Department of Neurosurgery, Medical University of Graz, Graz, Austria. FAU - Bruckmann, Lukas AU - Bruckmann L AD - Department of Neurosurgery, Medical University of Graz, Graz, Austria. FAU - Pfleger, Florentina AU - Pfleger F AD - Research Unit for Experimental Neurotraumatology, Medical University of Graz, Graz, Austria. FAU - Ropele, Stefan AU - Ropele S AD - Clinical Division of General Neurology, Medical University of Graz, Graz, Austria. FAU - Fazekas, Franz AU - Fazekas F AD - Clinical Division of General Neurology, Medical University of Graz, Graz, Austria. FAU - Gruenbacher, Gerda AU - Gruenbacher G AD - Research Unit for Experimental Neurotraumatology, Medical University of Graz, Graz, Austria. FAU - Patz, Silke AU - Patz S AD - Research Unit for Experimental Neurotraumatology, Medical University of Graz, Graz, Austria. FAU - Absenger, Markus AU - Absenger M AD - Core Facility Microscopy, Centre for Medical Research, Medical University of Graz, Graz, Austria. FAU - Porubsky, Christian AU - Porubsky C AD - Division of Thoracic and Hyperbaric Surgery, Department of Surgery, Medical University of Graz, Graz, Austria. FAU - Smolle-Juettner, Freyja AU - Smolle-Juettner F AD - Division of Thoracic and Hyperbaric Surgery, Department of Surgery, Medical University of Graz, Graz, Austria. FAU - Tezer, Irem AU - Tezer I AD - Division of Thoracic and Hyperbaric Surgery, Department of Surgery, Medical University of Graz, Graz, Austria. FAU - Molcanyi, Marek AU - Molcanyi M AD - Department of Neurosurgery, University of Cologne, Cologne, Germany; Institute of Neurophysiology, University of Cologne, Cologne, Germany. FAU - Fasching, Ulrike AU - Fasching U AD - Research Unit for Experimental Neurotraumatology, Medical University of Graz, Graz, Austria. FAU - Schaefer, Ute AU - Schaefer U AD - Research Unit for Experimental Neurotraumatology, Medical University of Graz, Graz, Austria. LA - eng PT - Journal Article DEP - 20140521 PL - United States TA - PLoS One JT - PloS one JID - 101285081 SB - IM MH - Animals MH - Brain/pathology/physiopathology MH - Brain Injuries/pathology/*physiopathology/*therapy MH - Evoked Potentials MH - *Hyperbaric Oxygenation MH - Male MH - Myelin Sheath/*physiology MH - *Psychomotor Performance MH - Rats MH - Rats, Sprague-Dawley MH - *Recovery of Function MH - Time Factors PMC - PMC4029808 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2014/05/23 06:00 MHDA- 2015/01/16 06:00 PMCR- 2014/05/21 CRDT- 2014/05/23 06:00 PHST- 2014/01/13 00:00 [received] PHST- 2014/04/24 00:00 [accepted] PHST- 2014/05/23 06:00 [entrez] PHST- 2014/05/23 06:00 [pubmed] PHST- 2015/01/16 06:00 [medline] PHST- 2014/05/21 00:00 [pmc-release] AID - PONE-D-14-01427 [pii] AID - 10.1371/journal.pone.0097750 [doi] PST - epublish SO - PLoS One. 2014 May 21;9(5):e97750. doi: 10.1371/journal.pone.0097750. eCollection 2014.