title: The role of glucose in brain injury following the combination of lipopolysaccharide or lipoteichoic acid and hypoxia-ischemia in neonatal rats.
abstract: We have previously shown that lipopolysaccharide (LPS) sensitizes the immature rat brain to subsequent hypoxic-ischemic (HI) injury; however, the underlying mechanisms remain unclear. In this study, we examined the role of glucose in the sensitizing effects of LPS and lipoteichoic acid (LTA) in combination with HI in 7-day-old rats. LPS/HI resulted in hypoglycemia which lasted 24 h and lactate levels were increased from 6 to 10 h after LPS administration. LPS/HI induced severe brain injury, which persisted 2 weeks after LPS/HI. Administration of glucose to LPS-treated animals with HI reduced brain injury in the cerebral cortex and hippocampus, while striatal damage remained. LTA/HI did not affect blood glucose, lactate or brain injury. In conclusion, enhanced blood glucose levels during HI after LPS administration conferred protection in some brain regions but not in the striatum, suggesting that alterations in glucose can only partly explain the sensitizing effect of LPS.
authors.affiliation: Perinatal Center, Department of Obstetrics and Gynecology, Institute for the Health of Women and Children, Göteborg University, Göteborg, Sweden. saskia.eklind@vgregion.se
authors.forename: Saskia
authors.initials: S
authors.lastname: Eklind
authors.forename: Pernilla
authors.initials: P
authors.lastname: Arvidsson
authors.forename: Henrik
authors.initials: H
authors.lastname: Hagberg
authors.forename: Carina
authors.initials: C
authors.lastname: Mallard
mesh_terms: D000818:Animals; D000831:Animals, Newborn; D001786:Blood Glucose / Q000378:metabolism*; D001921:Brain / Q000033:anatomy & histology / Q000378:metabolism / Q000473:pathology; D001930:Brain Injuries / Q000378:metabolism / Q000473:pathology; D020925:Hypoxia-Ischemia, Brain / Q000378:metabolism / Q000473:pathology; D019344:Lactic Acid / Q000097:blood*; D008070:Lipopolysaccharides / Q000378:metabolism*; D011897:Random Allocation; D051381:Rats; D017208:Rats, Wistar; D013682:Teichoic Acids / Q000378:metabolism*
chemical_list: D001786:Blood Glucose; D008070:Lipopolysaccharides; D013682:Teichoic Acids; D019344:Lactic Acid; C009900:lipoteichoic acid