Skip to main content
Brain Pathology logoLink to Brain Pathology
. 2006 Apr 5;14(1):1–10. doi: 10.1111/j.1750-3639.2004.tb00492.x

Gestational Hypoxia Induces White Matter Damage in Neonatal Rats: A New Model of Periventricular Leukomalacia

Olivier Baud 1, Jean‐Luc Daire 2, Yvette Dalmaz 3, Romain H Fontaine 1, Richard C Krueger 4, Guy Sebag 2, Philippe Evrard 1, Pierre Gressens 1, Catherine Verney 1,
PMCID: PMC8095946  PMID: 14997932

Abstract

In the premature infant, periventricular leukomalacia, usually related to hypoxic‐ischemic white matter damage, is the main cause of neurological impairment. We hypothesized that protracted prenatal hypoxia might induce white matter damage during the perinatal period. Pregnant Sparague‐Dawley rats were placed in a chamber supplied with hypoxic gas (10% O2 ‐90% N2) from embryonic day 5(E5) to E20. Neonatal rat brains were investigated by histology, immunocytochemistry, western blotting, in situ hybridization, DNA fragmentation analysis, and in vivo magnetic resonance imaging (MRI).

Body weight of pups subjected to prenatal hypoxia was 10 to 30% lower from p0 to P14 than in controls. Specific white matter cysts wear detected between p0 and p7 in pups subjected to prenatal hypoxia, in addition to abnormal extra‐cellular matrix, increased lipid peroxidation, white matter cell death detected by TUNEL and increased activated macrophage counts in white matter. Subsequently, gliotic scars and delayed myelination primarily involving immature oligodendrocytes were seen In vivo MRI with T1, T2, and diffusion sequences disclosed similar findings immediately after birth, showing strong correlations with histological abnormalities. We speculate that protracted prenatal hypoxia in rat induces abnormalities. We speculate that protracted prenatal hypoxia in rat induces white matter damage occurring through local inflammatory response and oxidative stress linked to re‐oxygenation during the perinatal period.

Full Text

The Full Text of this article is available as a PDF (885.1 KB).

References

  • 1. Back SA , Gan X , Li Y , Rosenberg PA , Volpe JJ ( 1998. ) Maturation‐dependent vulnerability of oligodendrocytes to oxidative stress‐induced death caused by glutathione depletion J Neurosci 18 : 6241 – 6253 . [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 2. Back SA , Han BH , Luo NL , Chricton CA , Xanthoudakis S , Tam J , Arvin KL , Holtzman DM ( 2002. ) Selective vulnerability of late oligodendrocyte progenitors to hypoxia ischemia J Neurosci 22 : 455 – 463 . [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 3. Baud O , Fayol L , Gressens P , Pellerin L , Magistretti P , Evrard P , Verney C ( 2003. ) Perinatal and early postnatal changes in the expression of monocarboxylate transporters MCT1 and MCT2 in the rat forebrain . J Comp Neurol 465 : 445 – 454 . [DOI] [PubMed] [Google Scholar]
  • 4. De Grauw TJ , Myers RE , Scott WJ ( 1986. ) Fetal growth retardation in rats from different levels of hypoxia . Biol Neonate 49 : 85 – 89 . [DOI] [PubMed] [Google Scholar]
  • 5. Dobbing J ( 1974. ) The later development of the brain and its vulnerability In : Scientific Foundation of Paediatrics , edited by Davis JA and Dobbing J London : Heinemann; , p 565 – 77 . [Google Scholar]
  • 6. Follett PL , Rosenberg PA Volpe JJ Jensen FE ( 2000. ) NBQX attenuates excitotoxic injury in developing white matter . J Neurosci 20 : 9235 – 9241 . [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 7. Gleed RD , Mortola JP ( 1991. ) Ventilation in newborn rats after gestation at simulated high altitude . J Appl Physiol 70 : 1146 – 1151 . [DOI] [PubMed] [Google Scholar]
  • 8. Hagberg H , Peebles D Mallard C ( 2002. ) models of white matter injury: comparison of infectious hypoxic‐ischemic, and excitotoxic insults . Ment Retard Dev Disabil Res Rev 8 : 30 – 38 . [DOI] [PubMed] [Google Scholar]
  • 9. Hoehn M , Nicolay K , Franke C , van der Sanden B ( 2001. ) Application of magnetic resonance to animal models of cerebral ischemia . J Magn Reson Imaging 14 : 491 – 509 . [DOI] [PubMed] [Google Scholar]
  • 10. Huppi PS , Maier SE , Peled S Zientara GP , Barnes PD , Jolesz FA , Volpe JJ ( 1998. ) Microstructural development of human newborn cerebral white matter assessed in vivo by diffusion tensor magnetic resonance imaging . Pediatr Res 44 : 584 – 590 . [DOI] [PubMed] [Google Scholar]
  • 11. Joseph V , Mamet J , Lee F , Dalmaz Y , Van Reeth O ( 2002. ) Prenatal hypoxia impairs circadian synchronisation and response of the biological clock to light in adult rats J Physiol 543 : 387 – 395 . [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 12. Kok JH , den Ouden AL , Verloove‐Vanhorick SP , Brand R ( 1998. ) Outcome of very preterm small for gestational age infants: the first nine years of life . Br J Obstet Gynaecol 105 : 162 – 168 . [DOI] [PubMed] [Google Scholar]
  • 13. Kong GY , Kristensson K , Bentivoglio M ( 2002. ) Reaction of mouse brain oligodendrocytes and their precursors, astrocytes and microglia, to proinflammatory mediators circulating in the cerebrospinal fluid . Glia 37 : 191 – 205 . [DOI] [PubMed] [Google Scholar]
  • 14. Kuban KC , Leviton A ( 1994. ) Cerebral palsy N Engl J Med 330 : 188 – 195 . [DOI] [PubMed] [Google Scholar]
  • 15. Lehnardt S , Lachance C , Patrizi S , Lefebvre S , Follett PL , Jensen FE , Rosenberg PA Volpe JJ , Vartanian T ( 2002. ) the toll‐like receptor TLR4 is necessary for lipopolysaccharide‐induced oligodendrocyte injury in the CNS J Neurosci 22 : 2478 – 2486 . [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 16. Mamet J , Peyronnet J , Roux JC , Perrin D , Cottet‐Emard JM , Pequignot JM , Lagecrantz H , Dalmaz Y ( 2002. ) Long‐term prenatal hypoxia alters maturation of adrenal medulla in rat Pediatr Res 51 : 207 – 214 . [DOI] [PubMed] [Google Scholar]
  • 17. Marret S , Gressens P , ( 1996. ) Arrest of neuronal migration by excitatory amino acids in hamster developing brain Proc Natl Acad Sci U S A 93 : 15463 – 15468 . [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 18. Milligan CE , Cunningham TJ , Levitt P ( 1991. ) Differential immunochemical markers reveal the normal distribution of brain macrophages and microglia in the developing rat brain . J Comp Neurol 314 : 125 – 135 . [DOI] [PubMed] [Google Scholar]
  • 19. Neil JJ , Shiran SI , McKinstry RC , Schefft GL , Snyder AZ , Almli CR , Akbudak E , Aronovitz JA , Miller JP , Lee BC , Conturo TE , ( 1998. ) Normal brain in human newborns: apparent diffusion coefficient and diffusion anisotropy measured by using diffusion tensor MR imaging Radiology 209 : 57 – 66 . [DOI] [PubMed] [Google Scholar]
  • 20. Nyakas C , Buwalda B , Luiten PG ( 1996. ) Hypoxia and brain development . Progress in Neurobiology 49 : 1 – 51 . [DOI] [PubMed] [Google Scholar]
  • 21. Okoshi Y , Itoh M and Takashima S ( 2001. ) Characteristic neuropathology and plasticity in periventricular leukomalacia . Pediatr Neurol 25 : 221 – 226 . [DOI] [PubMed] [Google Scholar]
  • 22. Paxinos G , Watson C ( 1998. ) The rat brain in stereotaxic coordinates , fourth edition . Academic press; , San Diego , CA , USA . [Google Scholar]
  • 23. Peyronnet J , Roux JC , Geloen A , Tang LQ , Pequignot JM , Lagercrantz H , Dalmaz Y ( 2000. ) Prenatal hypoxia impairs the postnatal development of neural and functional chemoafferent pathway in rat J Physiol 524 : 525 – 537 . [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 24. Qiao M , Malisza KL , Del Bigio MR , Tuor UI ( 2002. ) Transient hypoxia‐ischemia in rats: changes in diffusion‐sensitive MR imaging findings, extracellular space, and Na+K+adenosine triphosphatase and cytochrome oxidase activity . Radiology 223 : 65 – 75 . [DOI] [PubMed] [Google Scholar]
  • 25. Robertson RL , Ben‐Sira L , Barnes PD , Mulkern RV , Robson CD , Maier SE , Rivkin MJ , du Plessis A ( 1999. ) MR line‐scan diffusion‐weighted imaging of term neonates with perinatal brain ischemia . AJNR Am J Neuroradiol 20 : 1658 – 1670 . [PMC free article] [PubMed] [Google Scholar]
  • 26. Royer C , Lachuer J , Crouzoulon G , Roux J , Peyronnet J , Mamet J , Pequignot J , Dalmaz Y ( 2000. ) Effects of gestational hypoxia on mRNA levels of Glut3 and Glut4 transporters, hypoxia inducible factor‐1 and thyroid hormone receptors in developing rat brain . Brain Res 856 : 119 – 128 . [DOI] [PubMed] [Google Scholar]
  • 27. Schwartz NB , Domowicz M , Krueger RC , Jr. , Li H , Mangoura D ( 1996. ) Brain aggrecan . Perspect Dev Neurobiol 3 : 291 – 306 . [PubMed] [Google Scholar]
  • 28. Tahraoui SL , Marret S , Bodenant C , Leroux P , Dommergues MA , Evrard P , Gressens P ( 2001. ) Central role of microglia in neonatal excitotoxic lesions of the murine periventricular white matter . Brain Pathol 11 : 56 – 71 . [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 29. Vassault A , Bonnefont JP , Specola N , Saudubray JM ( 1991. ) Lactate, pyruvate and ketone bodies . In : Techniques in diagnostic human biochemical genetics. A laboratory manual . Homme FA ( ed ), pp 285 – 308 , Wiley‐Liss; : New York . [Google Scholar]
  • 30. Verheul HB , Balazs R , Berkelbach van der Sprenkel JW , Tulleken CA , Nicoly K , Tamminga KS , van Lookeren Campagne M ( 1994. ) Comparison of diffusion‐weighted MRI with changes in cell volume in a rat model of brain injury . NMR Biomed 7 : 96 – 100 . [DOI] [PubMed] [Google Scholar]
  • 31. Verney C , Takahashi T , Bhide PG , Nowakowski RS , Caviness VS , Jr ( 2000. ) Independent controls for neocortical neuron production and histogenetic cell death Dev Neurosci. 22 : 125 – 138 . [DOI] [PubMed] [Google Scholar]
  • 32. Volpe JJ ( 2001. ) Neurobiology of periventricular leukomalacia in the premature infant . Pediatr Res 50 : 553 – 562 . [DOI] [PubMed] [Google Scholar]
  • 33. White LD , Lawson EE ( 1997. ) Effects of chronic prenatal hypoxia on tyrosine hydroxylase and phenylethanolamine‐N‐methyltransferase messenger RNA and protein levels in medulla oblongata of postnatal rat Pediatr Res 42 : 455 – 462 . [DOI] [PubMed] [Google Scholar]
  • 34. Whitelaw A , Thoresen M ( 2000. ) Antenatal steroids and the developing brain . Arch Dis Child Fetal Ed 83 : F154 – 7 . [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 35. Wolf RL , Zimmerman RA , Clancy R , Hasel‐grove JH ( 2001. ) Quantitative apparent diffusion coefficient measurements in term neonates for early detection of hypoxic‐ischemic brain injury: initial experience . Radiology 218 : 825 – 833 . [DOI] [PubMed] [Google Scholar]
  • 36. Wu YW , Colford JM , Jr ( 2000. ) Chorioamnionitis as a risk factor for cerebral palsy:A meta‐analysis . JAMA 284 : 1417 – 1424 . [DOI] [PubMed] [Google Scholar]
  • 37. Yoon BH , Jun JK , Romero R , Park KH , Gomez R , Choi JH , Kim IO ( 1997. ) Amniotic fluid inflammatory cytokines (interleukin‐6, interleukin‐1 beta, and tumor necrosis factor‐alpha), neonatal brain white matter lesions, and cerebral palsy . Am J Obstet Gynecol 177 : 19 – 26 . [DOI] [PubMed] [Google Scholar]
  • 38. Zarkovic N ( 2003. ) 4‐Hydroxynonenal as a bioactive marker of pathological processes . Mol Aspects Med 24 : 281 – 291 . [DOI] [PubMed] [Google Scholar]

Articles from Brain Pathology are provided here courtesy of Wiley

RESOURCES