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Related Experiment Videos

Antenatal steroids decrease blood-brain barrier permeability in the ovine fetus

B S Stonestreet1, K H Petersson, G B Sadowska

  • 1Department of Pediatrics, Women and Infants Hospital of Rhode Island, Brown University School of Medicine, Providence, Rhode Island 02905, USA.

The American Journal of Physiology
|February 10, 1999
PubMed
Summary
This summary is machine-generated.

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Antenatal corticosteroid therapy, given to pregnant ewes, reduced blood-brain barrier permeability in preterm lambs. This finding suggests a mechanism for protecting vulnerable fetal brains from injury.

Area of Science:

  • Perinatal medicine
  • Neuroscience
  • Pharmacology

Background:

  • Antenatal corticosteroid therapy is known to reduce intraventricular hemorrhage in premature infants.
  • Enhanced microvascular integrity may protect against intraventricular hemorrhage.
  • Hormonal control of the blood-brain barrier is suggested by adult studies.

Purpose of the Study:

  • To investigate if antenatal corticosteroids decrease blood-brain barrier permeability in preterm fetuses.
  • To test the hypothesis that corticosteroids enhance fetal blood-brain barrier integrity.

Main Methods:

  • Chronically instrumented 120-day-gestation ovine fetuses were used.
  • Ewes received four 6-mg dexamethasone injections or placebo over 48 hours.
  • Blood-brain barrier function was measured using the blood-to-brain transfer constant (Ki) for alpha-aminoisobutyric acid (AIB).

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Main Results:

  • The blood-to-brain transfer constant (Ki) for AIB was significantly lower in fetuses exposed to antenatal dexamethasone compared to placebo.
  • This reduction in Ki was observed across multiple brain regions, including the cortex, cerebellum, and medulla.
  • Specific Ki values (microliter . g brain wt-1. min-1) in the cortex were 2.43 ± 0.27 for dexamethasone vs. 3.41 ± 0.74 for placebo.

Conclusions:

  • Antenatal corticosteroid treatment demonstrably reduces blood-brain barrier permeability in the ovine fetus.
  • This suggests a potential mechanism by which corticosteroids protect the developing brain against injury, such as intraventricular hemorrhage.