Experimental modelling of the consequences of brief late gestation asphyxia on newborn lamb behaviour and brain structure.

Brief but severe asphyxia in late gestation or at the time of birth may lead to neonatal hypoxic ischemic encephalopathy and is associated with long-term neurodevelopmental impairment. We undertook this study to examine the consequences of transient in utero asphyxia in late gestation fetal sheep, o...

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Autores principales: Margie Castillo-Melendez, Ana A Baburamani, Carlos Cabalag, Tamara Yawno, Anissa Witjaksono, Suzie L Miller, David W Walker
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Publicado: Public Library of Science (PLoS) 2013
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spelling oai:doaj.org-article:110f1e9094614b168039a629802cfb2f2021-11-18T08:48:10ZExperimental modelling of the consequences of brief late gestation asphyxia on newborn lamb behaviour and brain structure.1932-620310.1371/journal.pone.0077377https://doaj.org/article/110f1e9094614b168039a629802cfb2f2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24223120/?tool=EBIhttps://doaj.org/toc/1932-6203Brief but severe asphyxia in late gestation or at the time of birth may lead to neonatal hypoxic ischemic encephalopathy and is associated with long-term neurodevelopmental impairment. We undertook this study to examine the consequences of transient in utero asphyxia in late gestation fetal sheep, on the newborn lamb after birth. Surgery was undertaken at 125 days gestation for implantation of fetal catheters and placement of a silastic cuff around the umbilical cord. At 132 days gestation (0.89 term), the cuff was inflated to induce umbilical cord occlusion (UCO), or sham (control). Fetal arterial blood samples were collected for assessment of fetal wellbeing and the pregnancy continued until birth. At birth, behavioral milestones for newborn lambs were recorded over 24 h, after which the lambs were euthanased for brain collection and histopathology assessments. After birth, UCO lambs displayed significant latencies to (i) use all four legs, (ii) attain a standing position, (iii) find the udder, and (iv) successfully suckle--compared to control lambs. Brains of UCO lambs showed widespread pathologies including cell death, white matter disruption, intra-parenchymal hemorrhage and inflammation, which were not observed in full term control brains. UCO resulted in some preterm births, but comparison with age-matched preterm non-UCO control lambs showed that prematurity per se was not responsible for the behavioral delays and brain structural abnormalities resulting from the in utero asphyxia. These results demonstrate that a single, brief fetal asphyxic episode in late gestation results in significant grey and white matter disruption in the developing brain, and causes significant behavioral delay in newborn lambs. These data are consistent with clinical observations that antenatal asphyxia is causal in the development of neonatal encephalopathy and provide an experimental model to advance our understanding of neuroprotective therapies.Margie Castillo-MelendezAna A BaburamaniCarlos CabalagTamara YawnoAnissa WitjaksonoSuzie L MillerDavid W WalkerPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 11, p e77377 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Margie Castillo-Melendez
Ana A Baburamani
Carlos Cabalag
Tamara Yawno
Anissa Witjaksono
Suzie L Miller
David W Walker
Experimental modelling of the consequences of brief late gestation asphyxia on newborn lamb behaviour and brain structure.
description Brief but severe asphyxia in late gestation or at the time of birth may lead to neonatal hypoxic ischemic encephalopathy and is associated with long-term neurodevelopmental impairment. We undertook this study to examine the consequences of transient in utero asphyxia in late gestation fetal sheep, on the newborn lamb after birth. Surgery was undertaken at 125 days gestation for implantation of fetal catheters and placement of a silastic cuff around the umbilical cord. At 132 days gestation (0.89 term), the cuff was inflated to induce umbilical cord occlusion (UCO), or sham (control). Fetal arterial blood samples were collected for assessment of fetal wellbeing and the pregnancy continued until birth. At birth, behavioral milestones for newborn lambs were recorded over 24 h, after which the lambs were euthanased for brain collection and histopathology assessments. After birth, UCO lambs displayed significant latencies to (i) use all four legs, (ii) attain a standing position, (iii) find the udder, and (iv) successfully suckle--compared to control lambs. Brains of UCO lambs showed widespread pathologies including cell death, white matter disruption, intra-parenchymal hemorrhage and inflammation, which were not observed in full term control brains. UCO resulted in some preterm births, but comparison with age-matched preterm non-UCO control lambs showed that prematurity per se was not responsible for the behavioral delays and brain structural abnormalities resulting from the in utero asphyxia. These results demonstrate that a single, brief fetal asphyxic episode in late gestation results in significant grey and white matter disruption in the developing brain, and causes significant behavioral delay in newborn lambs. These data are consistent with clinical observations that antenatal asphyxia is causal in the development of neonatal encephalopathy and provide an experimental model to advance our understanding of neuroprotective therapies.
format article
author Margie Castillo-Melendez
Ana A Baburamani
Carlos Cabalag
Tamara Yawno
Anissa Witjaksono
Suzie L Miller
David W Walker
author_facet Margie Castillo-Melendez
Ana A Baburamani
Carlos Cabalag
Tamara Yawno
Anissa Witjaksono
Suzie L Miller
David W Walker
author_sort Margie Castillo-Melendez
title Experimental modelling of the consequences of brief late gestation asphyxia on newborn lamb behaviour and brain structure.
title_short Experimental modelling of the consequences of brief late gestation asphyxia on newborn lamb behaviour and brain structure.
title_full Experimental modelling of the consequences of brief late gestation asphyxia on newborn lamb behaviour and brain structure.
title_fullStr Experimental modelling of the consequences of brief late gestation asphyxia on newborn lamb behaviour and brain structure.
title_full_unstemmed Experimental modelling of the consequences of brief late gestation asphyxia on newborn lamb behaviour and brain structure.
title_sort experimental modelling of the consequences of brief late gestation asphyxia on newborn lamb behaviour and brain structure.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/110f1e9094614b168039a629802cfb2f
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