2013
DOI: 10.3892/etm.2013.1116
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Progesterone attenuates cerebral edema in neonatal rats with hypoxic-ischemic brain damage by inhibiting the expression of matrix metalloproteinase-9 and aquaporin-4

Abstract: The aim of this study was to investigate the effects of progesterone (PROG) on blood-brain barrier (BBB) permeability, cerebral edema and the expression of matrix metalloproteinase-9 (MMP-9) and aquaporin-4 (AQP-4) in neonatal rats with hypoxic-ischemic brain damage (HIBD) and to explore the mechanism of its neuroprotective effect. Sixty 7-day-old Wistar rats were divided into sham surgery, hypoxic ischemia (HI) and drug prophylaxis (PROG) groups. HIBD animal models were established. All the animals were sacri… Show more

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Cited by 44 publications
(40 citation statements)
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“…HIBD, caused either in part or by total cerebral hypoxia, cerebral blood flow reduction and suspensions, is widely regarded as a key factor in central nervous system diseases 5. A progressive increase in the incidence and mortality rate of HIBD has seen the rate increasing from 1 to 8 incidences per 1000 live births 1, 6. At present, treatment options are confined to supportive care due to the complex mechanism and severity of the condition 7.…”
Section: Introductionmentioning
confidence: 99%
“…HIBD, caused either in part or by total cerebral hypoxia, cerebral blood flow reduction and suspensions, is widely regarded as a key factor in central nervous system diseases 5. A progressive increase in the incidence and mortality rate of HIBD has seen the rate increasing from 1 to 8 incidences per 1000 live births 1, 6. At present, treatment options are confined to supportive care due to the complex mechanism and severity of the condition 7.…”
Section: Introductionmentioning
confidence: 99%
“…Physiologically, AQP-4 is the main channel providing water transport into the nervous system water compartments and across the BBB, while in many pathological experiments, it participates in the formation of secondary brain edema in animal models, such as brain trauma after cerebral ischemia/hemorrhage, inflammation, epilepsy, metabolic encephalopathy, and brain tumors (Papadopoulos et al, 2004; Wang et al, 2013). Nevertheless, it also caused lots of controversy about the experimental results and mechanisms.…”
Section: Discussionmentioning
confidence: 99%
“…Cerebral edema is a major complication related to hypoxic-ischemia, as edema might elevate intracranial pressure with enlargement of brain tissue, which finally leads to cell death (Panickar & Anderson, 2011). It has been hypothesized that during HI condition, the blood flow was interrupted and contribute to an electrolytic imbalance that leads to increased movement of water (increases Aquaporin 4 expression) by altering BBB integrity and thus leads to edema (Wang et al, 2013). To validate the above statement, we found a marked increase in edema level (water content) in HI insult group on equivalence with the sham control group.…”
Section: Discussionmentioning
confidence: 99%