PMID- 29987690 OWN - NLM STAT- MEDLINE DCOM- 20200109 LR - 20221223 IS - 1556-0961 (Electronic) IS - 1541-6933 (Linking) VI - 30 IP - 1 DP - 2019 Feb TI - Hyperbaric Oxygen Protects Against Cerebral Damage in Permanent Middle Cerebral Artery Occlusion Rats and Inhibits Autophagy Activity. PG - 98-105 LID - 10.1007/s12028-018-0577-x [doi] AB - BACKGROUND: To investigate the effects of hyperbaric oxygen (HBO) on brain damage and autophagy levels in a rat model of middle cerebral artery occlusion. METHODS: Neurologic injury and infarcted areas were evaluated according to the modified neurological severity score and 2,3,5-triphenyltetrazolium chloride staining. Western blots were used to determine beclin1, caspase-3 and fodrin1 protein expression. Beclin1 protein expression (an autophagy marker), positive terminal dUTP nick-end labeling (TUNEL) staining (an apoptosis marker) and positive propidium iodide (PI) staining (a necrosis marker) were detected by immunofluorescence. RESULTS: Our results indicated that HBO could decrease the infarct volume and speed up the recovery of the neurological deficit scores in ischemic rats. Beclin1 was down-regulated after HBO treatment. HBO treatment inhibited fodrin1 protein expression and decreased the number of PI-positive cells. HBO also down-regulated caspase-3 and decreased the number of TUNEL-positive cells. CONCLUSION: Cerebral ischemia caused early neuronal death due to necrosis, followed by delayed neuronal death due to apoptosis. Consequently, autophagy might be involved in all processes of ischemia. HBO could protect the brain against ischemic injury, and the possible mechanisms might be correlated with decreased autophagy activity and decreased apoptosis and necrosis levels. FAU - Lu, KongMiao AU - Lu K AD - Department of Emergency, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, China. AD - General ICU, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310052, China. FAU - Wang, HaiRong AU - Wang H AD - Department of Emergency, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, China. FAU - Ge, XiaoLi AU - Ge X AD - Department of Emergency, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, China. FAU - Liu, QingHua AU - Liu Q AD - Department of Emergency, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, China. FAU - Chen, Miao AU - Chen M AD - Department of Emergency, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, China. FAU - Shen, Yong AU - Shen Y AD - Department of Emergency, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, China. FAU - Liu, Xuan AU - Liu X AD - Department of Emergency, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, China. FAU - Pan, ShuMing AU - Pan S AUID- ORCID: 0000-0002-2658-7589 AD - Department of Emergency, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, China. panshuming@xinhuamed.com.cn. LA - eng GR - GWDTR201219/Public Health Talent Training Plan of Shanghai/International GR - BXJ201726/post the outstanding young medical talent plan of Xinhua hospital. the Doctorial Innovation Fund of Shanghai Jiao Tong University School of Medicine/International PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Neurocrit Care JT - Neurocritical care JID - 101156086 SB - IM MH - Animals MH - Apoptosis/physiology MH - *Autophagy/physiology MH - Brain Ischemia/pathology/physiopathology/*therapy MH - Cell Death/physiology MH - Disease Models, Animal MH - *Hyperbaric Oxygenation MH - Infarction, Middle Cerebral Artery/pathology/physiopathology/*therapy MH - Male MH - Necrosis/pathology MH - Rats MH - Rats, Sprague-Dawley OTO - NOTNLM OT - Apoptosis OT - Autophagy OT - Cerebral infarction OT - Hyperbaric oxygen OT - Necrosis EDAT- 2018/07/11 06:00 MHDA- 2020/01/10 06:00 CRDT- 2018/07/11 06:00 PHST- 2018/07/11 06:00 [pubmed] PHST- 2020/01/10 06:00 [medline] PHST- 2018/07/11 06:00 [entrez] AID - 10.1007/s12028-018-0577-x [pii] AID - 10.1007/s12028-018-0577-x [doi] PST - ppublish SO - Neurocrit Care. 2019 Feb;30(1):98-105. doi: 10.1007/s12028-018-0577-x.