Evidence map›Paper›PMID 37684430›Full record

ArticlePediatric research2024

Rectal temperature after hypoxia-ischemia predicts white matter and cortical pathology in the near-term ferret.

Olivia R White, Kylie A Corry, Daniel H Moralejo, Janessa B Law, Jessica M Snyder, Ulrike Mietzsch, Sandra E Juul, Thomas R Wood

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In one paragraph

Article in Pediatric research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Olivia R WhiteDivision of Neonatology, Department of Pediatrics, University of Washington, Seattle, WA, USA.
Kylie A CorryDivision of Neonatology, Department of Pediatrics, University of Washington, Seattle, WA, USA.
Daniel H MoralejoDivision of Neonatology, Department of Pediatrics, University of Washington, Seattle, WA, USA.
Janessa B LawDivision of Neonatology, Department of Pediatrics, University of Washington, Seattle, WA, USA.
Jessica M SnyderDepartment of Comparative Medicine, University of Washington, Seattle, WA, USA.
Ulrike MietzschDivision of Neonatology, Department of Pediatrics, University of Washington, Seattle, WA, USA.
Sandra E JuulDivision of Neonatology, Department of Pediatrics, University of Washington, Seattle, WA, USA.
Thomas R WoodDivision of Neonatology, Department of Pediatrics, University of Washington, Seattle, WA, USA. tommyrw@uw.edu.ORCID 0000-0002-1130-2720
University of Washington · US

Funding

Bill and Melinda Gates Foundation
6 · The paper itself

Abstract

backgroundNeonatal encephalopathy (NE) remains a common cause of infant morbidity and mortality. Neuropathological corollaries of NE associated with acute hypoxia-ischemia include a central injury pattern involving the basal ganglia and thalamus, which may interfere with thermoregulatory circuits. Spontaneous hypothermia (SH) occurs in both preclinical models and clinical hypoxic-ischemic NE and may provide an early biomarker of injury severity. To determine whether SH predicts the degree of injury in a ferret model of hypoxic-ischemic NE, we investigated whether rectal temperature (RT) 1 h after insult correlated with long-term outcomes.

methodsPostnatal day (P)17 ferrets were presensitized with Escherichia coli lipopolysaccharide before undergoing hypoxia-ischemia/hyperoxia (HIH): bilateral carotid artery ligation, hypoxia-hyperoxia-hypoxia, and right ligation reversal. One hour later, nesting RTs were measured.

resultsAnimals exposed to HIH were separated into normothermic (NT; ≥34.4 °C) or spontaneously hypothermic (SH; <34.4 °C) groups. At P42, cortical development, ex vivo MRI, and neuropathology were quantitated. Whole-brain volume and fractional anisotropy in SH brains were significantly decreased compared to control and NT animals. SH brains also had significantly altered gyrification, greater cortical pathology, and increased corpus callosum GFAP staining relative to NT and control brains.

conclusionIn near-term-equivalent ferrets, nesting RT 1 h after HIH may predict long-term neuropathological outcomes. IMPACT: High-throughput methods to determine injury severity prior to treatment in animal studies of neonatal brain injury are lacking. In a gyrified animal model of neonatal inflammation-sensitized hypoxic-ischemic brain injury in the ferret, rectal temperature 1 h after hypoxia predicts animals who will have increased cortical pathology and white matter changes on MRI. These changes parallel similar responses in rodents and humans but have not previously been correlated with long-term neuropathological outcomes in gyrified animal models. Endogenous thermoregulatory responses to injury may provide a translational marker of injury severity to help stratify animals to treatment groups or predict outcome in preclinical studies.

Indexed as

Brain InjuriesHyperoxiaHypothermiaHypothermia, InducedHypoxia-Ischemia, BrainWhite MatterAnimalsAnimals, NewbornBrainFerretsHumansHypoxiaInfant, NewbornIschemiaTemperature

Identifiers

PMID37684430
OpenAlexW4386546769

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.