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Modeling Encephalopathy of Prematurity Using Prenatal Hypoxia-ischemia with Intra-amniotic Lipopolysaccharide in Rats
Published on: November 20, 2015
A critical postnatal period of heightened vulnerability to lipopolysaccharide
Kyle S Rourke1, Catherine A Mayer1, Peter M MacFarlane1
1Department of Pediatrics, Case Western Reserve University, Rainbow Babies & Children's Hospital, Cleveland, OH, 44106, USA.
Insights
Young rats show increased vulnerability to endotoxin exposure during a critical developmental period. This endotoxin exposure impairs the acute hypoxic ventilatory response (HVR) and elevates mortality rates, mirroring SIDS risk factors.
Area of Science:
- Neuroscience
- Developmental Biology
- Immunology
Background:
- Sudden Infant Death Syndrome (SIDS) is linked to respiratory issues and infection vulnerability during development.
- The acute hypoxic ventilatory response (HVR) is crucial for maintaining breathing during low oxygen.
- Lipopolysaccharide (LPS) is a bacterial endotoxin that can trigger inflammatory responses.
Purpose of the Study:
- To investigate if the HVR is more vulnerable to LPS during a specific developmental window.
- To determine the effects of LPS on HVR and mortality in developing rats.
Main Methods:
- Rats at postnatal days 5, 10, and 20 received LPS or saline injections.
- Acute HVR was measured 2 hours post-injection.
- Brainstem TNFα and iNOS mRNA expression were analyzed.
- Mortality rates were recorded for each age group.
Main Results:
- LPS significantly attenuated both early and late phases of HVR in P10 rats, but not P5 or P20 rats.
- P10 rats showed the highest increase in brainstem TNFα and iNOS mRNA expression after LPS exposure.
- LPS administration resulted in a 48% mortality rate in P10 rats, compared to 12% in P5 and 0% in P20 rats.
- Non-survivors among LPS-treated P10 rats exhibited an attenuated early phase HVR.
Conclusions:
- A critical developmental period (P10) exists where rats exhibit heightened vulnerability to endotoxin.
- This vulnerability is characterized by suppressed HVR and increased mortality, associated with elevated brainstem inflammatory markers.
- Findings suggest a potential link between endotoxin-induced respiratory dysfunction during development and SIDS-like scenarios.
Abstract:
Evidence of respiratory abnormalities and vulnerability to infection during a critical period of development have been implicated in Sudden Infant Death Syndrome (SIDS). Here we investigated whether the acute hypoxic ventilatory response (HVR) exhibits a heightened vulnerability to the endotoxin lipopolysaccharide (LPS) during a critical period of development. The acute HVR was measured 2h after an i.p. injection of saline or LPS (0.1mg/kg) at various postnatal (P) ages (P5, P10, or P20days). LPS attenuated the early (1-2min) and late (4-6min) phase of the acute HVR in P10 but not P5 or P20 rats. The P10 age group exhibited the largest increase in brainstem TNFα and iNOS mRNA expression following LPS. LPS also caused a higher mortality rate in P10 rats (48%) compared to P5 (12%) and P20 (0%) age groups. After stratifying LPS treated P10 rats into survivors vs non-survivors, only the latter exhibited an attenuated HVR (specifically the early phase). Thus, the heightened vulnerability to endotoxin exposure during this critical period of development is characterized by a depression of the ventilatory response to acute hypoxia in association with an increased incidence of mortality. These data share similarities with some of the circumstances surrounding a SIDS scenario, including evidence of infection, increased brainstem cytokine expression, a disturbance in respiratory control, and a peak incidence of mortality during a critical period of development.
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