1999
DOI: 10.1203/00006450-199904020-02013
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Effect of Graded Hypoxia on Cerebral Cortical Genomic DNA Fragmentation in Newborn Piglets

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Cited by 12 publications
(17 citation statements)
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“…Upon reventilation/reoxygenation, the high energy phosphate levels and the transmembrane ionic gradients are gradually restored, but the initially still increased intracellular and intramitochondrial Ca 2 + levels will activate a host of intracellular proteases and nucleases, as well as enzymatic and non-enzymatic synthesis of reactive oxygen species (ROS). These alterations will trigger mitochondrial dysfunction [17] and DNA fragmentation [22] setting the stage for further delayed and programmed neuronal cell death during the secondary energy failure stage. Based on the above delineated sequence of events, rational neuroprotective therapies aimed to mitigate neuronal injury of HIE should focus on (1) shortening the duration of asphyxia, (2) administration of cytoprotective/antioxidant agents simultaneously with the resuscitation to limit reoxygenation/reperfusion injury, and (3) to implement neuroprotective interventions before the neuronal injury related to secondary energy failure occurs.…”
Section: Discussionmentioning
confidence: 99%
“…Upon reventilation/reoxygenation, the high energy phosphate levels and the transmembrane ionic gradients are gradually restored, but the initially still increased intracellular and intramitochondrial Ca 2 + levels will activate a host of intracellular proteases and nucleases, as well as enzymatic and non-enzymatic synthesis of reactive oxygen species (ROS). These alterations will trigger mitochondrial dysfunction [17] and DNA fragmentation [22] setting the stage for further delayed and programmed neuronal cell death during the secondary energy failure stage. Based on the above delineated sequence of events, rational neuroprotective therapies aimed to mitigate neuronal injury of HIE should focus on (1) shortening the duration of asphyxia, (2) administration of cytoprotective/antioxidant agents simultaneously with the resuscitation to limit reoxygenation/reperfusion injury, and (3) to implement neuroprotective interventions before the neuronal injury related to secondary energy failure occurs.…”
Section: Discussionmentioning
confidence: 99%
“…Programmed cell death is also assessed by cleavage of genomic DNA and has been shown to occur in the brain following ischemia and oxygen deprivation [54,58,59]. In the newborn piglet, fragmentation of neuronal genomic DNA occurs following 1 h of hypoxia, and the degree of fragmentation correlates with the severity of cerebral hypoxia [60]. Two distinct patterns of DNA degradation during hypoxic-ischemic brain cell death have been observed [61].…”
Section: Discussionmentioning
confidence: 98%
“…Programmed cell death is also assessed by cleavage of genomic DNA and has been shown to occur in the brain following ischemia and oxygen deprivation [57,61,62]. In the newborn piglet, fragmentation of neuronal genomic DNA occurs following 1 h of hypoxia, and the degree of fragmentation correlates with the severity of cerebral hypoxia [63]. Two distinct patterns of DNA degradation during hypoxic-ischemic brain cell death have been observed [64].…”
Section: Discussionmentioning
confidence: 98%