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Embracing the Diversity of Perinatal Brain Injury: Molecular Mechanisms and Novel Therapeutics 2022

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Pathology, Diagnostics, and Therapeutics".

Deadline for manuscript submissions: closed (31 December 2022) | Viewed by 4166

Special Issue Editors


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Guest Editor
Division of Neonatal-Perinatal Medicine, Department of Pediatrics and Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA
Interests: perinatal brain injury; chorioamnionitis; posthemorrhagic hydrocephalus; pediatric traumatic brain injury; neuroinflammation; cerebral hypoxia-ischemia
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Guest Editor
Johns Hopkins School of Medicine, Department of Pediatrics, Division of Neonatal-Perinatal Medicine, Baltimore, MD 21205, USA
Interests: focus on the mechanisms of delayed injury and repair/regeneration in the developing brain following injury, specifically following neonatal hypoxic ischemic injury
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Perinatal brain injury (PBI) is one of the most important lifelong causes of epilepsy, cerebral palsy, and deficits in cognition, behavior, and social interaction. The challenges of diagnosing, treating, and managing PBI throughout the lifespan are rapidly evolving, especially as mortality following neonatal insults decreases and the burden of chronic disability increases. PBI includes, but is not limited to, hypoxic–ischemic encephalopathy (HIE), intraventricular hemorrhage, periventricular leukomalacia, and encephalopathy of prematurity. It affects both preterm and term neonates and is a reflection of diverse and complex etiologies as well as initiating insults. The pathophysiology of CNS injury following PBI reflects a combination of multiple insults, including (1) inflammation from prenatal infection and/or hypoxia–ischemia (HI); (2) individualized risk from genetic/congenital disorders; (3) acquired prenatal exposures to drugs and toxins; (4) gut microbiota and nutritional status; and (5) postnatal stresses such as sepsis and surgery. The cumulative effect of PBI results from a cascading impact on neurodevelopment and presents unique challenges to repair that are distinct from the mature CNS. While myelin, synapses, and circuits are plastic and modifiable throughout the lifespan, there remain many distinctive hurdles to the repair of the developing brain. Notably, response to injury within the context of the constantly evolving, incompletely formed platform of the developing CNS demands individualized and precision medicine approaches coupled with rigorous molecular and cellular mechanistic evaluation of the unique pathophysiology and mechanisms of disease.

Dr. Lauren L. Jantzie
Dr. Raul Chavez-Valdez
Guest Editors

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Keywords

  • hypoxia–ischemia
  • chorioamnionitis
  • perinatal opioid exposure
  • perinatal alcohol exposure
  • seizures
  • neuroinflammation
  • excitotoxicity
  • GABAergic inhibition
  • hydrocephalus
  • neurorepair
  • neuroprotection

Published Papers (2 papers)

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21 pages, 8463 KiB  
Article
Dysregulation of ErbB4 Signaling Pathway in the Dorsal Hippocampus after Neonatal Hypoxia-Ischemia and Late Deficits in PV+ Interneurons, Synaptic Plasticity and Working Memory
by Harisa Spahic, Pritika Parmar, Sarah Miller, Paul Casey Emerson, Charles Lechner, Mark St. Pierre, Neetika Rastogi, Michael Nugent, Sarah Ann Duck, Alfredo Kirkwood and Raul Chavez-Valdez
Int. J. Mol. Sci. 2023, 24(1), 508; https://doi.org/10.3390/ijms24010508 - 28 Dec 2022
Cited by 3 | Viewed by 2521
Abstract
Neonatal hypoxic-ischemic (HI) injury leads to deficits in hippocampal parvalbumin (PV)+ interneurons (INs) and working memory. Therapeutic hypothermia (TH) does not prevent these deficits. ErbB4 supports maturation and maintenance of PV+ IN. Thus, we hypothesized that neonatal HI leads to persistent [...] Read more.
Neonatal hypoxic-ischemic (HI) injury leads to deficits in hippocampal parvalbumin (PV)+ interneurons (INs) and working memory. Therapeutic hypothermia (TH) does not prevent these deficits. ErbB4 supports maturation and maintenance of PV+ IN. Thus, we hypothesized that neonatal HI leads to persistent deficits in PV+ INs, working memory and synaptic plasticity associated with ErbB4 dysregulation despite TH. P10 HI-injured mice were randomized to normothermia (NT, 36 °C) or TH (31 °C) for 4 h and compared to sham. Hippocampi were studied for α-fodrin, glial fibrillary acidic protein (GFAP), and neuroregulin (Nrg) 1 levels; erb-b2 receptor tyrosine kinase 4 (ErbB4)/ Ak strain transforming (Akt) activation; and PV, synaptotagmin (Syt) 2, vesicular-glutamate transporter (VGlut) 2, Nrg1, and ErbB4 expression in coronal sections. Extracellular field potentials and behavioral testing were performed. At P40, deficits in PV+ INs correlated with impaired memory and coincided with blunted long-term depression (LTD), heightened long-term potentiation (LTP) and increased Vglut2/Syt2 ratio, supporting excitatory-inhibitory (E/I) imbalance. Hippocampal Nrg1 levels were increased in the hippocampus 24 h after neonatal HI, delaying the decline documented in shams. Paradoxically ErbB4 activation decreased 24 h and again 30 days after HI. Neonatal HI leads to persistent deficits in hippocampal PV+ INs, memory, and synaptic plasticity. While acute decreased ErbB4 activation supports impaired maturation and survival after HI, late deficit reemergence may impair PV+ INs maintenance after HI. Full article
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13 pages, 1682 KiB  
Article
Choline Improves Neonatal Hypoxia-Ischemia Induced Changes in Male but Not Female Rats
by Tayo Adeyemo, Ayodele Jaiyesimi, Jill G. Bumgardner, Charity Lohr, Aditi Banerjee, Mary C. McKenna and Jaylyn Waddell
Int. J. Mol. Sci. 2022, 23(22), 13983; https://doi.org/10.3390/ijms232213983 - 12 Nov 2022
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Abstract
Choline is an essential nutrient with many roles in brain development and function. Supplementation of choline in early development can have long-lasting benefits. Our experiments aimed to determine the efficacy of choline supplementation in a postnatal day (PND) 10 rat model of neonatal [...] Read more.
Choline is an essential nutrient with many roles in brain development and function. Supplementation of choline in early development can have long-lasting benefits. Our experiments aimed to determine the efficacy of choline supplementation in a postnatal day (PND) 10 rat model of neonatal hypoxia ischemia (HI) at term using both male and female rat pups. Choline (100 mg/kg) or saline administration was initiated the day after birth and given daily for 10 or 14 consecutive days. We determined choline’s effects on neurite outgrowth of sex-specific cultured cerebellar granule cells after HI with and without choline. The magnitude of tissue loss in the cerebrum was determined at 72 h after HI and in adult rats. The efficacy of choline supplementation in improving motor ability and learning, tested using eyeblink conditioning, were assessed in young adult male and female rats. Overall, we find that choline improves neurite outgrowth, short-term histological measures and learning ability in males. Surprisingly, choline did not benefit females, and appears to exacerbate HI-induced changes. Full article
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