PMID- 25424430 OWN - NLM STAT- MEDLINE DCOM- 20150612 LR - 20181113 IS - 1759-0914 (Electronic) IS - 1759-0914 (Linking) VI - 6 IP - 6 DP - 2014 TI - Hypothermia modulates cytokine responses after neonatal rat hypoxic-ischemic injury and reduces brain damage. LID - 10.1177/1759091414558418 [doi] LID - 1759091414558418 AB - While hypothermia (HT) is the standard-of-care for neonates with hypoxic ischemic injury (HII), the mechanisms underlying its neuroprotective effect are poorly understood. We examined ischemic core/penumbra and cytokine/chemokine evolution in a 10-day-old rat pup model of HII. Pups were treated for 24 hr after HII with HT (32℃; n = 18) or normothermia (NT, 35℃; n = 15). Outcomes included magnetic resonance imaging (MRI), neurobehavioral testing, and brain cytokine/chemokine profiling (0, 24, 48, and 72 hr post-HII). Lesion volumes (24 hr) were reduced in HT pups (total 74%, p < .05; penumbra 68%, p < .05; core 85%, p = .19). Lesion volumes rebounded at 72 hr (48 hr post-HT) with no significant differences between NT and HT pups. HT reduced interleukin-1beta (IL-1beta) at all time points (p < .05); monocyte chemoattractant protein-1 (MCP-1) trended toward being decreased in HT pups (p = .09). The stem cell signaling molecule, stromal cell-derived factor-1 (SDF-1) was not altered by HT. Our data demonstrate that HT reduces total and penumbral lesion volumes (at 24 and 48 hr), potentially by decreasing IL-1beta without affecting SDF-1. Disassociation between the increasing trend in HII volumes from 48 to 72 hr post-HII when IL-1beta levels remained low suggests that after rewarming, mechanisms unrelated to IL-1beta expression are likely to contribute to this delayed increase in injury. Additional studies should be considered to determine what these mechanisms might be and also to explore whether extending the duration or degree of HT might ameliorate this delayed increase in injury. CI - (c) The Author(s) 2014. FAU - Yuan, Xiangpeng AU - Yuan X AD - Department of Pediatrics, Loma Linda University, CA, USA. FAU - Ghosh, Nirmalya AU - Ghosh N AD - Department of Pediatrics, Loma Linda University, CA, USA. FAU - McFadden, Brian AU - McFadden B AD - Department of Pediatrics, Loma Linda University, CA, USA Department of Biological Sciences, California State University, Fullerton, CA, USA. FAU - Tone, Beatriz AU - Tone B AD - Department of Pediatrics, Loma Linda University, CA, USA. FAU - Bellinger, Denise L AU - Bellinger DL AD - Department of Pathology and Human Anatomy, Loma Linda University, CA, USA. FAU - Obenaus, Andre AU - Obenaus A AD - Department of Pediatrics, Loma Linda University, CA, USA Cell, Molecular, and Developmental Biology Graduate Program, Neuroscience Graduate Program, University of California, Riverside, CA, USA. FAU - Ashwal, Stephen AU - Ashwal S AD - Department of Pediatrics, Loma Linda University, CA, USA sashwal@llu.edu. LA - eng GR - R01 NS059770/NS/NINDS NIH HHS/United States GR - 1R01NS059770-01A2/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20141124 PL - United States TA - ASN Neuro JT - ASN neuro JID - 101507115 RN - 0 (Cytokines) SB - IM MH - Analysis of Variance MH - Animals MH - Animals, Newborn MH - Cytokines/*metabolism MH - Diffusion Magnetic Resonance Imaging MH - Disease Models, Animal MH - Hypothermia, Induced/*methods MH - Hypoxia-Ischemia, Brain/complications/pathology/*therapy MH - Magnetic Resonance Imaging MH - Movement Disorders/etiology/prevention & control MH - Neurologic Examination MH - Rats MH - Rats, Sprague-Dawley MH - Regression Analysis PMC - PMC4357606 OTO - NOTNLM OT - MRI OT - chemokines OT - cytokines OT - hypothermia OT - inflammation OT - neonatal ischemia EDAT- 2014/11/27 06:00 MHDA- 2015/06/13 06:00 PMCR- 2014/11/21 CRDT- 2014/11/27 06:00 PHST- 2014/11/27 06:00 [entrez] PHST- 2014/11/27 06:00 [pubmed] PHST- 2015/06/13 06:00 [medline] PHST- 2014/11/21 00:00 [pmc-release] AID - 6/6/1759091414558418 [pii] AID - 10.1177_1759091414558418 [pii] AID - 10.1177/1759091414558418 [doi] PST - epublish SO - ASN Neuro. 2014 Nov 24;6(6):1759091414558418. doi: 10.1177/1759091414558418. Print 2014.