PMID- 32435185 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240306 IS - 1662-5102 (Print) IS - 1662-5102 (Electronic) IS - 1662-5102 (Linking) VI - 14 DP - 2020 TI - Neuroprotective Effects of Diabetes Drugs for the Treatment of Neonatal Hypoxia-Ischemia Encephalopathy. PG - 112 LID - 10.3389/fncel.2020.00112 [doi] LID - 112 AB - The perinatal period represents a time of great vulnerability for the developing brain. A variety of injuries can result in death or devastating injury causing profound neurocognitive deficits. Hypoxic-ischemic neonatal encephalopathy (HIE) remains the leading cause of brain injury in term infants during the perinatal period with limited options available to aid in recovery. It can result in long-term devastating consequences with neurologic complications varying from mild behavioral deficits to severe seizure, intellectual disability, and/or cerebral palsy in the newborn. Despite medical advances, the only viable option is therapeutic hypothermia which is classified as the gold standard but is not used, or may not be as effective in preterm cases, infection-associated cases or low resource settings. Therefore, alternatives or adjunct therapies are urgently needed. Ongoing research continues to advance our understanding of the mechanisms contributing to perinatal brain injury and identify new targets and treatments. Drugs used for the treatment of patients with type 2 diabetes mellitus (T2DM) have demonstrated neuroprotective properties and therapeutic efficacy from neurological sequelae following HIE insults in preclinical models, both alone, or in combination with induced hypothermia. In this short review, we have focused on recent findings on the use of diabetes drugs that provide a neuroprotective effect using in vitro and in vivo models of HIE that could be considered for clinical translation as a promising treatment. CI - Copyright (c) 2020 Poupon-Bejuit, Rocha-Ferreira, Thornton, Hagberg and Rahim. FAU - Poupon-Bejuit, Laura AU - Poupon-Bejuit L AD - UCL School of Pharmacy, University College London, London, United Kingdom. FAU - Rocha-Ferreira, Eridan AU - Rocha-Ferreira E AD - Centre for Perinatal Medicine and Health, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. FAU - Thornton, Claire AU - Thornton C AD - Department of Comparative Biomedical Sciences, Royal Veterinary College, London, United Kingdom. FAU - Hagberg, Henrik AU - Hagberg H AD - Centre for Perinatal Medicine and Health, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. FAU - Rahim, Ahad A AU - Rahim AA AD - UCL School of Pharmacy, University College London, London, United Kingdom. LA - eng GR - MR/R015325/1/MRC_/Medical Research Council/United Kingdom GR - MR/S036784/1/MRC_/Medical Research Council/United Kingdom GR - MR/R025134/1/MRC_/Medical Research Council/United Kingdom GR - MR/N026101/1/MRC_/Medical Research Council/United Kingdom GR - WT_/Wellcome Trust/United Kingdom PT - Journal Article PT - Review DEP - 20200506 PL - Switzerland TA - Front Cell Neurosci JT - Frontiers in cellular neuroscience JID - 101477935 PMC - PMC7218053 OTO - NOTNLM OT - cerebral palsy OT - diabetes OT - hypothermia OT - hypoxic-ischemic encephalopathy OT - neuroprotection OT - perinatal brain injury EDAT- 2020/05/22 06:00 MHDA- 2020/05/22 06:01 PMCR- 2020/01/01 CRDT- 2020/05/22 06:00 PHST- 2020/02/14 00:00 [received] PHST- 2020/04/08 00:00 [accepted] PHST- 2020/05/22 06:00 [entrez] PHST- 2020/05/22 06:00 [pubmed] PHST- 2020/05/22 06:01 [medline] PHST- 2020/01/01 00:00 [pmc-release] AID - 10.3389/fncel.2020.00112 [doi] PST - epublish SO - Front Cell Neurosci. 2020 May 6;14:112. doi: 10.3389/fncel.2020.00112. eCollection 2020.