Early diffusion-weighted MRI as a predictor of caspase-3 activation after hypoxic-ischemic insult in neonatal rodents

Michael F Wendland1, Joel Faustino, Tim West

  • 1University California-San Francisco, Department of Neurology, Box 0663, 521 Parnassus Ave, San Francisco, CA 94143-0663, USA.

Stroke
|April 19, 2008
PubMed
Abstract

Insights

Diffusion-weighted MRI (DWI) at 24 hours post-hypoxia-ischemia (H-I) predicts caspase-3 activation, a marker of apoptotic brain injury in neonatal rats. DWI findings indicate the presence and extent of cellular damage.

Area of Science:

  • Neuroscience
  • Radiology
  • Cellular Biology

Background:

  • Neonatal encephalopathy can cause permanent neurological deficits.
  • Diffusion-weighted MRI (DWI) aids in early diagnosis of neonatal brain injury.
  • The link between DWI abnormalities and cellular injury, like apoptosis, needs further understanding.

Purpose of the Study:

  • To determine if DWI findings can predict caspase-3 activation, a marker of apoptotic injury, after hypoxia-ischemia (H-I) in neonatal rats.
  • To investigate the relationship between the extent of injury on DWI and cellular apoptotic markers.

Main Methods:

  • Hypoxia-ischemia (H-I) was induced in postnatal day 7 rats.
  • Injury volume was assessed using DWI at 2, 24 hours, and 7 days post-H-I.
  • Caspase-3 activation and microgliosis were measured at 24 hours post-H-I.

Main Results:

  • DWI lesions at 24 hours post-H-I correlated with increased caspase-3 activity in the injured hemisphere.
  • A modest increase in caspase-3 activity was observed in rats with specific DWI patterns (enlarged high ADC regions) without cortical diffusion changes.
  • No significant difference in caspase-3 activity was found between hemispheres in rats with unchanged DWI.

Conclusions:

  • Abnormal DWI signals at 24 hours post-H-I are predictive of caspase-3 activation, indicating apoptotic-like injury.
  • DWI can serve as an indicator of injury involving apoptotic mechanisms in neonatal brain injury models.
  • Specific DWI findings, such as enlarged unilateral high ADC regions, may indicate modest caspase-3 activation post-H-I.

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