2017
DOI: 10.28920/dhm47.2.110-117
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Ischaemia-reperfusion injury and hyperbaric oxygen pathways: a review of cellular mechanisms

Abstract: Ischaemia-induced tissue injury has wide-ranging clinical implications including myocardial infarction, stroke, compartment syndrome, ischaemic renal failure and replantation and revascularization. However, the restoration of blood flow produces a 'second hit' phenomenon, the effect of which is greater than the initial ischaemic event and characterizes ischaemiareperfusion (IR) injury. Some examples of potential settings of IR injury include: following thrombolytic therapy for stroke, invasive cardiovascular p… Show more

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Cited by 99 publications
(36 citation statements)
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“…Due to multiple pathological mechanisms, cognitive impairments are usually the predominant symptoms localised in multiple brain areas (Kushner, 1998;Levin, 1990;Sohlberg & Mateer, 2001a, b). The use of HBOT for brain injury is based on the hypothesis that injured or inactive neurons would benefit from increased blood flow and oxygen delivery, which would act to metabolically or electrically reactivate the cells (Deng, 2018;Francis & Baynosa, 2017;Neubauer & James, 1998).…”
Section: Hbot and Tbi-related Cognition Disordersmentioning
confidence: 99%
“…Due to multiple pathological mechanisms, cognitive impairments are usually the predominant symptoms localised in multiple brain areas (Kushner, 1998;Levin, 1990;Sohlberg & Mateer, 2001a, b). The use of HBOT for brain injury is based on the hypothesis that injured or inactive neurons would benefit from increased blood flow and oxygen delivery, which would act to metabolically or electrically reactivate the cells (Deng, 2018;Francis & Baynosa, 2017;Neubauer & James, 1998).…”
Section: Hbot and Tbi-related Cognition Disordersmentioning
confidence: 99%
“…This therapeutic modality is based upon administration of 100% molecular oxygen under the increased pressure, most frequently two times greater than the atmospheric pressure at sea level [ 8 ]. HBO preconditioning and therapy provide protective and beneficial effects in I/R injury, especially of brain and heart [ 9 , 10 , 11 ]. On the other hand, there are not much data about the effects of HBO preconditioning applied in experimental models of postischemic AKI, especially accompanied with hypertension [ 12 ].…”
Section: Introductionmentioning
confidence: 99%
“…Necrotic regions and a large number of apoptotic cells were observed in the brains of these fish through transmission electron microscopy. These observations indicate that return to normal temperature at 28 °C (rewarming) augmented the tissue damages, which resembles the phenomenon of ischemia–reperfusion injury [ 45 ]. It is likely that the metabolic burden accumulated during cold exposure was released upon rewarming thus led to extensive molecular damages and cell death.…”
Section: Discussionmentioning
confidence: 99%