Severity of delayed ('secondary') cerebral energy failure after acute hypoxia-ischemia is related to the time integral of acute ATP depletion

Autor: Simon Roth, A. David Edwards, Marzena Wylezinska, Vincent Kirkbride, Chris E. Cooper, Juliet Penrice, Guy C. Brown, Donald Peebles, A Lorek, John S. Wyatt, Ernest B. Cady, E. Osmund R. Reynolds, Yakito Takei, H Owen-Reece, RF Aldridge, David T. Delpy
Rok vydání: 1994
Předmět:
Zdroj: Magma: Magnetic Resonance Materials in Physics, Biology, and Medicine. 2:437-439
ISSN: 1352-8661
DOI: 10.1007/bf01705292
Popis: The aim of this study was to reproduce the delayed (“secondary”) cerebral energy failure previously described in birth-asphyxiated newborn infants and to investigate relationships between primary insult severity and the extent of the delayed energy failure. Phosphorus (31P) magnetic resonance spectroscopy (MRS) at 7 T was used to study the brains of 12 newborn piglets during an acute, reversible, cerebral hypoxic-ischemic episode which continued until nucleotide triphosphates (NTP) were depleted. After reperfusion and reoxygenation, spectroscopy was continued for 48 h. High-energy metabolite concentrations returned to near normal levels after the insult, but later they fell as delayed energy failure developed. The time integral of NTP depletion in the primary insult correlated strongly with the minimum [phosphocreatine (PCr)]/[inorganic orthophosphate (Pi)] observed 24–48 h after the insult. (Linear regression analysis gave slope −8.04 h−1; ordinate intercept=1.23;r=0.92;P
Databáze: OpenAIRE