Neuroprotective strategies for the neonatal brain

被引:53
作者
Degos, Vincent [1 ,2 ,3 ]
Loron, Gauthier [1 ,2 ,3 ]
Mantz, Jean [1 ,2 ,3 ,4 ]
Gressens, Pierre [1 ,2 ,3 ,5 ]
机构
[1] Hop Robert Debre, INSERM, U676, F-75019 Paris, France
[2] Univ Paris 07, Fac Med Denis Diderot, IFR02, Paris, France
[3] Univ Paris 07, Fac Med Denis Diderot, IFR25, Paris, France
[4] Hop Beaujon, AP HP, Dept Anesthesie Reanimat, Clichy, France
[5] Hop Robert Debre, AP HP, Serv Neurol Pediat, F-75019 Paris, France
关键词
D O I
10.1213/ane.0b013e3181733f6f
中图分类号
R614 [麻醉学];
学科分类号
100217 [麻醉学];
摘要
Injury to the perinatal brain is a leading cause of childhood mortality and lifelong disability. Cerebral palsy and cognitive impairment are usually related to periventricular white matter damage, which is seen chiefly in babies born before 32 wk gestational age, and to corticosubcortical lesions, which occur mainly in full-term infants. Despite recent improvements in neonatal care, no effective treatment for perinatal brain lesions is available. Several interventions, such as magnesium sulfate in preterm newborns and hypothermia in term newborns, are the focus of completed or continuing clinical trials. Improved understanding of the pathophysiological mechanisms involved in perinatal brain lesions helps to identify potential targets for neuroprotective interventions, as discussed in this review.
引用
收藏
页码:1670 / 1680
页数:11
相关论文
共 135 条
[1]
Akobeng A K, 2004, Cochrane Database Syst Rev, pCD003574
[2]
Anesthetic agents and the immature brain: Are these toxic or therapeutic? [J].
Anand, KJS ;
Phil, D ;
Soriano, SG .
ANESTHESIOLOGY, 2004, 101 (02) :527-530
[3]
Glucocorticoid exposure at the dose used clinically alters cytoskeletal proteins and presynaptic terminals in the fetal baboon brain [J].
Antonow-Schlorke, I ;
Schwab, M ;
Li, C ;
Nathanielsz, PW .
JOURNAL OF PHYSIOLOGY-LONDON, 2003, 547 (01) :117-123
[4]
Minocycline markedly protects the neonatal brain against hypoxic-ischemic injury [J].
Arvin, KL ;
Han, BH ;
Du, YS ;
Lin, SZ ;
Paul, SM ;
Holtzman, DM .
ANNALS OF NEUROLOGY, 2002, 52 (01) :54-61
[5]
The effect of chronic or intermittent hypoxia on cognition in childhood: A review of the evidence [J].
Bass, JL ;
Corwin, M ;
Gozal, D ;
Moore, C ;
Nishida, H ;
Parker, S ;
Schonwald, A ;
Wilker, RE ;
Stehle, S ;
Kinane, TB .
PEDIATRICS, 2004, 114 (03) :805-816
[6]
Injectable dexamethasone administration enhances cortical GABAergic neuronal differentiation in a novel model of postnatal steroid therapy in mice [J].
Baud, O ;
Verney, C ;
Evrard, P ;
Gressens, P .
PEDIATRIC RESEARCH, 2005, 57 (01) :149-156
[7]
Antenatal corticosteroid therapy: benefits and risks [J].
Baud, O .
ACTA PAEDIATRICA, 2004, 93 :6-10
[8]
Neurotoxic, effects of fluorinated glucocorticoid preparations on the developing mouse brain: Role of preservatives [J].
Baud, O ;
Laudenbach, V ;
Evrard, P ;
Gressens, P .
PEDIATRIC RESEARCH, 2001, 50 (06) :706-711
[9]
Early postnatal allopurinol does not improve short term outcome after severe birth asphyxia [J].
Benders, MJNL ;
Bos, AF ;
Radernaker, CMA ;
Rijken, M ;
Torrance, HL ;
Groenendaal, F ;
van Bel, F .
ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION, 2006, 91 (03) :F163-F165
[10]
Erythropoietin concentrations and neurodevelopmental outcome in preterm infants [J].
Bierer, Ryann ;
Peceny, M. Connie ;
Hartenberger, Carol H. ;
Ohls, Robin K. .
PEDIATRICS, 2006, 118 (03) :E635-E640