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Updated: Aug 17, 2026

Modeling Encephalopathy of Prematurity Using Prenatal Hypoxia-ischemia with Intra-amniotic Lipopolysaccharide in Rats
Published on: November 20, 2015
Neonatal lactic acidosis, complex I/IV deficiency, and fetal cerebral disruption
H L M van Straaten1, J P van Tintelen, J M F Trijbels
1Neonatal Intensive Care Unit, Isala Clinics, Zwolle, The Netherlands.
Insights
This study identifies a rare genetic syndrome causing severe brain malformations and early death in infants. The condition involves disrupted brain development linked to mitochondrial respiratory chain complex deficiencies.
Area of Science:
- Neuroscience
- Biochemistry
- Genetics
Background:
- Cerebral developmental abnormalities are linked to inborn errors of metabolism.
- Respiratory chain abnormalities are rarely associated with these conditions.
Observation:
- Male and female siblings presented with microcephaly and complex neuromigrational disorders.
- Symptoms included ependymal cysts, heterotopia, polymicrogyria, cerebral calcifications, agenesis of the corpus callosum, and spongiform changes.
- Intractable lactic acidosis led to death on the first day of life.
Findings:
- Biochemical analysis revealed severely reduced activities of respiratory chain complex I and complex IV.
- Neuropathological findings were consistent with previously reported cases.
- The study confirms a distinct genetic syndrome affecting brain development and neuronal migration.
Implications:
- This syndrome presents with TORCH-like calcifications and complex neuronal migration defects.
- It highlights a link between respiratory chain multicomplex disorders and disrupted brain development.
- Further research into this genetic syndrome may offer insights into similar neurodevelopmental disorders.
Abstract:
Cerebral developmental abnormalities occur in various inborn errors of metabolism including peroxisomal deficiencies, pyruvate dehydrogenase complex deficiency and others. Associations with abnormalities of the respiratory chain are rare. Here we report male and female siblings with microcephaly, a complex neuromigrational disorder including ependymal cysts, leptomeningeal and subcortical heterotopia, polymicrogyria, multifocal cerebral calcifications, agenesis of the corpus callosum, and spongiform changes in brainstem and cerebellum. Intractable lactic acidosis, causing death on the first day of life, was associated with severely reduced activities of complex I and complex IV. The neuropathological and biochemical findings are closely similar to those reported previously. The findings confirm a distinct genetic syndrome of disrupted brain development with TORCH-like calcifications, and a complex neuronal migration disorder associated with a multicomplex disorder of the respiratory chain.
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