2009
DOI: 10.1097/01.jpn.0000346221.48202.7e
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The Chilling Details

Abstract: Hypoxic-ischemic encephalopathy (HIE) is one of the most important complications found in the newborn period. It is the result of a deprivation of oxygen and glucose to the neural tissue, which may be the result of either hypoxemia or ischemia. Experimental animal research and clinical observations in humans have noted that the pattern of injury occurs in 2 phases. The first phase is a primary energy failure related to the insult, and then a second energy failure occurs some hours later. The combined effects o… Show more

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Cited by 58 publications
(17 citation statements)
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“…Hypoxia induced direct brain injury which occurs in the acute hypoxic phase, and indirect brain injury appears after reoxygenation which is mainly attributed to inflammatory response induced by neuro-immunological activation under hypoxic conditions [25], [26]. Neuroinflammatory response in the CNS is a complicated process which involves numerous damage signals, cellular responses and alterations in the microenvironment [27], [28].…”
Section: Discussionmentioning
confidence: 99%
“…Hypoxia induced direct brain injury which occurs in the acute hypoxic phase, and indirect brain injury appears after reoxygenation which is mainly attributed to inflammatory response induced by neuro-immunological activation under hypoxic conditions [25], [26]. Neuroinflammatory response in the CNS is a complicated process which involves numerous damage signals, cellular responses and alterations in the microenvironment [27], [28].…”
Section: Discussionmentioning
confidence: 99%
“…In this phase, the crucial event triggering a cascade of chain reactions is represented by ATP depletion secondary to anaerobic glycolysis and metabolic acidosis induced by hypoxia [8]. Reduced ATP availability determines the dysfunction of ATPase systems, in particular Na + , K + -ATPase and glial-ATPase.…”
Section: Mechanisms Of Cerebral Injurymentioning
confidence: 99%
“…Protease degrades neurofilaments and can determine cytoskeleton rupture with disintegration of the cellular body; phospholipase hydrolyzes phospholipids and can damage cellular membrane and induce the release of arachidonic acid with consequent production of vasodilator prostaglandins that give rise to reperfusion of ischemia (Figure 1). Furthermore, excessive amounts of glutamate can cause excitotoxicity leading to the death of neurons and glial cells [8]. …”
Section: Mechanisms Of Cerebral Injurymentioning
confidence: 99%
“…Perinatal hypoxic-ischemic encephalopathy (HIE) is associated with high neonatal mortality and severe long-term neurologic morbidity (Fernandez-Lopez et al, 2014; Li et al, 2012; Ma and Zhang, 2015; Verklan, 2009; Yager and Ashwal, 2009). The molecular mechanisms and the pathway of brain injury in infants with HIE remain largely elusive.…”
Section: Introductionmentioning
confidence: 99%