Table 3.
Acute MRS (DOL 5) | Convalescent MRS | |||
CNS metabolite (mM) |
Pre-NVD
Trough (n = 24) |
Post-NVD
Peak (n = 24) |
Post-NVD
Post-Peak (n = 10) |
DOL 11–40
(n = 18) |
GSH | 1.61 ± 0.28 * | 1.93 ± 0.31 * | 1.77 ± 0.32 | 2.05 ± 0.37 |
Total Creatine | 6.49 ± 0.7 * | 7.06 ± 0.53 *,† | 6.98 ± 0.81 † | 6.93 ± 0.55 |
Total Choline | 2.43 ± 0.3 ‡ | 2.67 ± 0.3 *,‡ | 2.46 ± 0.30 * | 2.63 ± 0.33 |
NAA | 4.62 ± 0.5 | 4.84 ± 0.46 | 4.55 ± 0.71 | 5.11 ± 0.81 |
Glutamate + glutamine | 6.59 ± 0.94 | 6.37 ± 0.57 | 7.04 ± 0.74 | 7.35 ± 1.08 |
MyoInositol | 7.12 ± 0.95 † | 7.65 ± 0.91 † | 7.13 ± 0.70 | 7.83 ± 0.97 |
Comparing MRS metabolites over 3 scans during the acute HIE phase, before and after NVD infusion on DOL5, intent to treat analysis: overall ANOVAs are significant for GSH (p = 0.012), tCr (p = 0.005), tCho (p = 0.001); mIns (p = 0.009). Specific groups that were significantly different by pairwise comparisons are noted by * p < 0.05, † p < 0.005, ‡ p< 0.0005.