scholarly journals Increased allopregnanolone levels in the fetal sheep brain following umbilical cord occlusion

2004 ◽  
Vol 560 (2) ◽  
pp. 593-602 ◽  
Author(s):  
Phuong N. Nguyen ◽  
Edwin B. Yan ◽  
Margie Castillo-Melendez ◽  
David W. Walker ◽  
Jonathan J. Hirst
2005 ◽  
Vol 27 (2-4) ◽  
pp. 200-210 ◽  
Author(s):  
Suzanne L. Miller ◽  
Edwin B. Yan ◽  
Margie Castillo-Meléndez ◽  
Graham Jenkin ◽  
David W. Walker

2020 ◽  
Vol 598 (20) ◽  
pp. 4523-4536 ◽  
Author(s):  
Christopher A. Lear ◽  
Michi Kasai ◽  
Lindsea C. Booth ◽  
Paul P. Drury ◽  
Joanne O. Davidson ◽  
...  

2007 ◽  
Vol 292 (4) ◽  
pp. R1569-R1576 ◽  
Author(s):  
Laura Bennet ◽  
Vincent Roelfsema ◽  
Justin M. Dean ◽  
Guido Wassink ◽  
Gordon G. Power ◽  
...  

The preterm fetus is capable of surviving prolonged periods of severe hypoxia without neural injury for much longer than at term. To evaluate the hypothesis that regulated suppression of brain metabolism contributes to this remarkable tolerance, we assessed changes in the redox state of cytochrome oxidase (CytOx) relative to cerebral heat production, and cytotoxic edema measured using cerebral impedance, during 25 min of complete umbilical cord occlusion or sham occlusion in fetal sheep at 0.7 gestation. Occlusion was followed by rapid, profound reduction in relative cerebral oxygenation and EEG intensity and an immediate increase in oxidized CytOx, indicating a reduction in electron flow down the mitochondrial electron transfer chain. Confirming rapid suppression of cerebral metabolism there was a loss of the temperature difference between parietal cortex and body at a time when carotid blood flow was maintained at control values. As occlusion continued, severe hypotension/hypoperfusion developed, with a further increase in CytOx levels to a plateau between 8 and 13 min and a progressive rise in cerebral impedance. In conclusion, these data strongly suggest active regulation of cerebral metabolism during the initial response to severe hypoxia, which may help to protect the immature brain from injury.


1997 ◽  
Vol 195 (3) ◽  
pp. 229-236 ◽  
Author(s):  
Y. Balslev ◽  
K. M. Dziegielewska ◽  
K. Møllgård ◽  
N. R. Saunders
Keyword(s):  

Author(s):  
Christopher A. Lear ◽  
Laura Bennet ◽  
Benjamin S. A. Lear ◽  
Jenny A. Westgate ◽  
Alistair Jan Gunn

Impaired cardiac preload secondary to umbilical cord occlusion (UCO) has been hypothesized to contribute to intrapartum decelerations, brief falls in fetal heart rate (FHR), through the activation of the Bezold-Jarisch reflex. This cardioprotective reflex increases parasympathetic and inhibits sympathetic outflows triggering hypotension, bradycardia and peripheral vasodilation but its potential to contribute to intrapartum decelerations has never been systematically examined. In this study we performed bilateral cervical vagotomy to remove the afferent arm and the efferent parasympathetic arm of the Bezold-Jarisch reflex. 22 chronically instrumented fetal sheep at 0.85 of gestation received vagotomy (n=7) or sham-vagotomy (control, n=15), followed by three 1-min complete UCOs separated by 4-min reperfusion periods. UCOs in control fetuses were associated with a rapid fall in FHR and reduced femoral blood flow mediated by intense femoral vasoconstriction, leading to hypertension. Vagotomy abolished the rapid fall in FHR (p<0.001), and despite reduced diastolic filling time, increased both carotid (p<0.001) and femoral (p<0.05) blood flow during UCOs, secondary to carotid vasodilation (p<0.01) and delayed femoral vasoconstriction (p<0.05). Finally, vagotomy was associated with an attenuated rise in cortical impedance during UCOs (p<0.05), consistent with improved cerebral substrate supply. In conclusion, increased carotid and femoral blood flows after vagotomy are consistent with increased left and right ventricular output, which is incompatible with the hypothesis that labor-like UCOs impair ventricular filling. Overall, the cardiovascular responses to vagotomy do not support the hypothesis that the Bezold-Jarisch reflex is activated by UCO. The Bezold-Jarisch reflex is therefore mechanistically unable to contribute to intrapartum decelerations.


2016 ◽  
Vol 214 (4) ◽  
pp. 542.e1-542.e8 ◽  
Author(s):  
Olutoyin A. Olutoye ◽  
Fariha Sheikh ◽  
Irving J. Zamora ◽  
Ling Yu ◽  
Adesola C. Akinkuotu ◽  
...  
Keyword(s):  

1998 ◽  
Vol 111 (2) ◽  
pp. 271-277 ◽  
Author(s):  
Kripamoy Aguan ◽  
Jun Murotsuki ◽  
Robert Gagnon ◽  
Loren P Thompson ◽  
Carl P Weiner

1977 ◽  
Vol 43 (4) ◽  
pp. 747-749 ◽  
Author(s):  
R. M. Abrams ◽  
J. F. Clapp ◽  
M. Notelovitz ◽  
T. Tyler ◽  
S. Cassin

Thermojunctions were implanted in the brains of 10 near term fetal sheep in utero under halothane anesthesia. Brief total occlusion of fetal brachiocephalic artery was followed immediately by an increase in brain temperature (mean +/- SE) of 0.130 +/- 0.014 degrees C-min-1. Occlusion of main pulmonary artery and ascending aorta, simultaneously, led to a brain temperature increase of 0.144 +/- 0.018 degrees C-min-1. Specific heat of three fetal brains was determined to be 0.898 +/- 0.014 cal-g-1. degrees C-1 or 3.76 +/- 0.059 J-g-1. Rate of fetal brain heat production, computed as the product of the higher rate of temperature change and brain specific heat, was 0.129 +/- 0.014 cal-g-1-min-1 or 9.00 +/- 0.98 mW-g-1.


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