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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Neonatology
2009 ; 96
(1
): 23-32
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gab.com Text
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English Wikipedia
High dose magnesium sulfate exposure induces apoptotic cell death in the
developing neonatal mouse brain
#MMPMID19204407
Dribben WH
; Creeley CE
; Wang HH
; Smith DJ
; Farber NB
; Olney JW
Neonatology
2009[]; 96
(1
): 23-32
PMID19204407
show ga
BACKGROUND: Magnesium sulfate (MgSO4) is often used as a treatment for
pre-eclampsia/eclampsia and preterm labor, resulting in the exposure of a
significant number of neonates to this drug despite a lack of evidence suggesting
that it is safe, or effective as a tocolytic. While there is evidence that MgSO4
may be neuroprotective in perinatal brain injury, recent reviews have suggested
that the effects are dependent upon dose, and that higher doses may actually
increase neonatal morbidity and mortality. There is a lack of evidence
investigating the neurotoxic effects of neonatal magnesium (Mg) exposure on the
developing brain, specifically in terms of neurodevelopmental apoptosis, a
cell-killing phenomenon known to be potentiated by other drugs with mechanisms of
action at Mg-binding sites (i.e. NMDA receptor antagonists such as MK-801,
ketamine, and PCP). OBJECTIVE: To investigate the effects of Mg exposure on the
neonatal mouse brain at different postnatal ages to determine whether MgSO4
treatment causes significant cell death in the developing mouse brain. METHODS:
C57Bl/6 mice were treated with four doses of MgSO4 (250 mg/kg) on postnatal days
3 (P3), 7 (P7) or 14 (P14). Caspase-3 immunohistochemistry, cupric silver
staining, and electron microscopy techniques were used to examine Mg-treated
brains for neurotoxic effects. RESULTS: Qualitative evaluation using cupric
silver staining revealed widespread damage throughout the brain in P7 animals.
Results of electron microscopy confirmed that the cell death process was
apoptotic in nature. Quantitative evaluation of damage to the cortex,
caudate-putamen, hippocampus, thalamus, and cerebellum showed that Mg treatment
caused significant brain damage in animals treated on P3 and P7, but not P14.
CONCLUSIONS: Administration of high doses of Mg may be detrimental to the fetal
brain, particularly if exposure occurs during critical periods of
neurodevelopment.
|*Animals, Newborn
[MESH]
|Aging
[MESH]
|Animals
[MESH]
|Apoptosis/*drug effects
[MESH]
|Brain/cytology/*drug effects/*growth & development
[MESH]