PMID- 29611441 OWN - NLM STAT- MEDLINE DCOM- 20190805 LR - 20191201 IS - 1559-7016 (Electronic) IS - 0271-678X (Print) IS - 0271-678X (Linking) VI - 38 IP - 12 DP - 2018 Dec TI - Juvenile cerebral ischemia reveals age-dependent BDNF-TrkB signaling changes: Novel mechanism of recovery and therapeutic intervention. PG - 2223-2235 LID - 10.1177/0271678X18766421 [doi] AB - Global ischemia in childhood often leads to poor neurologic outcomes, including learning and memory deficits. Using our novel model of childhood cardiac arrest/cardiopulmonary resuscitation (CA/CPR), we investigate the mechanism of ischemia-induced cognitive deficits and recovery. Memory is impaired seven days after juvenile CA/CPR and completely recovers by 30 days. Consistent with this remarkable recovery not observed in adults, hippocampal long-term potentiation (LTP) is impaired 7-14 days after CA/CPR, recovering by 30 days. This recovery is not due to the replacement of dead neurons (neurogenesis), but rather correlates with brain-derived neurotrophic factor (BDNF) expression, implicating BDNF as the molecular mechanism underlying impairment and recovery. Importantly, delayed activation of TrkB receptor signaling reverses CA/CPR-induced LTP deficits and memory impairments. These data provide two new insights (1) endogenous recovery of memory and LTP through development may contribute to improved neurological outcome in children compared to adults and (2) BDNF-enhancing drugs speed recovery from pediatric cardiac arrest during the critical school ages. FAU - Dietz, Robert M AU - Dietz RM AD - 1 Department of Pediatrics, 129263 University of Colorado School of Medicine, Aurora, CO, USA. AD - 2 Neuronal Injury Program, 129263 University of Colorado School of Medicine, Aurora, CO, USA. FAU - Orfila, James E AU - Orfila JE AD - 2 Neuronal Injury Program, 129263 University of Colorado School of Medicine, Aurora, CO, USA. AD - 3 Department of Anesthesiology, 129263 University of Colorado School of Medicine, Aurora, CO, USA. FAU - Rodgers, Krista M AU - Rodgers KM AD - 2 Neuronal Injury Program, 129263 University of Colorado School of Medicine, Aurora, CO, USA. AD - 3 Department of Anesthesiology, 129263 University of Colorado School of Medicine, Aurora, CO, USA. FAU - Patsos, Olivia P AU - Patsos OP AD - 2 Neuronal Injury Program, 129263 University of Colorado School of Medicine, Aurora, CO, USA. AD - 3 Department of Anesthesiology, 129263 University of Colorado School of Medicine, Aurora, CO, USA. FAU - Deng, Guiying AU - Deng G AD - 2 Neuronal Injury Program, 129263 University of Colorado School of Medicine, Aurora, CO, USA. AD - 3 Department of Anesthesiology, 129263 University of Colorado School of Medicine, Aurora, CO, USA. FAU - Chalmers, Nicholas AU - Chalmers N AD - 2 Neuronal Injury Program, 129263 University of Colorado School of Medicine, Aurora, CO, USA. AD - 3 Department of Anesthesiology, 129263 University of Colorado School of Medicine, Aurora, CO, USA. FAU - Quillinan, Nidia AU - Quillinan N AD - 2 Neuronal Injury Program, 129263 University of Colorado School of Medicine, Aurora, CO, USA. AD - 3 Department of Anesthesiology, 129263 University of Colorado School of Medicine, Aurora, CO, USA. AD - 4 Department of Pharmacology, 129263 University of Colorado School of Medicine, Aurora, CO, USA. FAU - Traystman, Richard J AU - Traystman RJ AD - 2 Neuronal Injury Program, 129263 University of Colorado School of Medicine, Aurora, CO, USA. AD - 3 Department of Anesthesiology, 129263 University of Colorado School of Medicine, Aurora, CO, USA. AD - 4 Department of Pharmacology, 129263 University of Colorado School of Medicine, Aurora, CO, USA. FAU - Herson, Paco S AU - Herson PS AD - 2 Neuronal Injury Program, 129263 University of Colorado School of Medicine, Aurora, CO, USA. AD - 3 Department of Anesthesiology, 129263 University of Colorado School of Medicine, Aurora, CO, USA. AD - 4 Department of Pharmacology, 129263 University of Colorado School of Medicine, Aurora, CO, USA. LA - eng GR - K08 NS097586/NS/NINDS NIH HHS/United States GR - R01 GM125095/GM/NIGMS NIH HHS/United States GR - R01 NS092645/NS/NINDS NIH HHS/United States GR - R01 NS046072/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20180403 PL - United States TA - J Cereb Blood Flow Metab JT - Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism JID - 8112566 RN - 0 (Bdnf protein, mouse) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Membrane Glycoproteins) RN - EC 2.7.10.1 (Ntrk2 protein, mouse) RN - EC 2.7.10.1 (Protein-Tyrosine Kinases) MH - Animals MH - Brain Ischemia/*metabolism/physiopathology MH - Brain-Derived Neurotrophic Factor/*metabolism MH - Male MH - Membrane Glycoproteins/*metabolism MH - Mice MH - Mice, Inbred C57BL MH - Neuronal Plasticity/physiology MH - Protein-Tyrosine Kinases/*metabolism MH - Recovery of Function/*physiology MH - Signal Transduction/physiology PMC - PMC6282214 OTO - NOTNLM OT - Global ischemia OT - brain-derived neurotrophic factor OT - hippocampus OT - memory and cognition OT - synaptic plasticity EDAT- 2018/04/04 06:00 MHDA- 2019/08/06 06:00 PMCR- 2019/12/01 CRDT- 2018/04/04 06:00 PHST- 2018/04/04 06:00 [pubmed] PHST- 2019/08/06 06:00 [medline] PHST- 2018/04/04 06:00 [entrez] PHST- 2019/12/01 00:00 [pmc-release] AID - 10.1177_0271678X18766421 [pii] AID - 10.1177/0271678X18766421 [doi] PST - ppublish SO - J Cereb Blood Flow Metab. 2018 Dec;38(12):2223-2235. doi: 10.1177/0271678X18766421. Epub 2018 Apr 3.