Role of Antioxidants in Neonatal Hypoxic-Ischemic Brain Injury: New Therapeutic Approaches

Autor: Enrique Hilario, Miren Revuelta, Olatz Arteaga, Antonia Alvarez, Francisco Santaolalla, Andoni Urtasun
Rok vydání: 2016
Předmět:
Antioxidant
antioxidant
medicine.medical_treatment
fetal-rat brain
Review
hypoxia–ischemia
Bioinformatics
medicine.disease_cause
Antioxidants
0302 clinical medicine
newborn
Spectroscopy
chemistry.chemical_classification
oxidative mitochondrial damage
General Medicine
Computer Science Applications
alpha-linolenic acid
hypoxia-ischemia
focal cerebral-ischemia
Hypoxia-Ischemia
Brain

newborn piglets
neuroprotection
medicine.symptom
medicine.medical_specialty
Programmed cell death
brain
postresuscitation n-acetylcysteine
Brain damage
Neuroprotection
Catalysis
Inorganic Chemistry
Lesion
03 medical and health sciences
030225 pediatrics
medicine
Humans
Physical and Theoretical Chemistry
Molecular Biology
perinatal asphyxia
melatonin protects
Reactive oxygen species
business.industry
Organic Chemistry
Infant
Newborn

Surgery
Oxidative Stress
chemistry
Apoptosis
augments hypothermic neuroprotection
central-nervous-system
business
030217 neurology & neurosurgery
Oxidative stress
Zdroj: International Journal of Molecular Sciences
Addi. Archivo Digital para la Docencia y la Investigación
instname
ISSN: 1422-0067
Popis: Hypoxic–ischemic brain damage is an alarming health and economic problem in spite of the advances in neonatal care. It can cause mortality or detrimental neurological disorders such as cerebral palsy, motor impairment and cognitive deficits in neonates. When hypoxia–ischemia occurs, a multi-faceted cascade of events starts out, which can eventually cause cell death. Lower levels of oxygen due to reduced blood supply increase the production of reactive oxygen species, which leads to oxidative stress, a higher concentration of free cytosolic calcium and impaired mitochondrial function, triggering the activation of apoptotic pathways, DNA fragmentation and cell death. The high incidence of this type of lesion in newborns can be partly attributed to the fact that the developing brain is particularly vulnerable to oxidative stress. Since antioxidants can safely interact with free radicals and terminate that chain reaction before vital molecules are damaged, exogenous antioxidant therapy may have the potential to diminish cellular damage caused by hypoxia–ischemia. In this review, we focus on the neuroprotective effects of antioxidant treatments against perinatal hypoxic–ischemic brain injury, in the light of the most recent advances.
Databáze: OpenAIRE