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Reduced postnatal cerebral glucose metabolism measured by PET after asphyxia in near term fetal lambs.

Abstract：

:The effects of fetal asphyxia on cerebral function and development, involve the transition from fetal to neonatal life. Changes in cerebral glucose metabolism may be an early postnatal indicator of fetal asphyxia. The objective is to develop an experimental lamb model involving the transition from fetal to neonatal life and to examine the effect of fetal asphyxia with cerebral hypoxic ischemia on early postnatal cerebral glucose metabolism. Fetal asphyxia was induced by total umbilical cord occlusion in eight near-term fetal lambs (134-138 days) with the ewe under isoflurane-opiate anesthesia. The mean occlusion time until cardiac arrest was 14.5 (4.2) min (SD). Lambs were immediately delivered and standardized resuscitation was instituted after 2 min asystole. At 4 hr postnatal age, [18-F]Fluoro-2-deoxy-glucose (18-FDG) was injected intravenously in eight asphyxiated lambs and in eight controls. Cerebral glucose metabolism was examined by positron emission tomography (PET). As a result the mean arterial blood pressure, acid-base values, blood glucose and serum lactate at 4 hr postnatal age did not differ significantly between lambs subjected to umbilical cord occlusion and controls. EEG was abnormal in all lambs subjected to cord occlusion and normal in the controls at 4 hr postnatal age. Global cerebral metabolic rate (CMRgl) as determined by PET was significantly lower in lambs subjected to cord occlusion mean/median (SD) 22.2/19.6 (8.4) micromol/min/100 g) than in controls mean/median (SD) 37.8/35.9 (6.1); P < 0.01). Global CMRgl is significantly reduced in newborn lambs 4 hr after fetal asphyxia induced by umbilical cord occlusion. A reduction in CMRgl is an early indicator of global hypoxic cerebral ischemia.

journal_name

J Neurosci Res

journal_title

Journal of neuroscience research

authors

Thorngren-Jerneck K,Ley D,Hellström-Westas L,Hernandez-Andrade E,Lingman G,Ohlsson T,Oskarsson G,Pesonen E,Sandell A,Strand SE,Werner O,Marsal K

doi

10.1002/jnr.10051

keywords:

subject

Has Abstract

pub_date

2001-12-01 00:00:00

pages

844-50

issue

eissn

0360-4012

issn

1097-4547

pii

10.1002/jnr.10051

journal_volume

pub_type

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Reduced postnatal cerebral glucose metabolism measured by PET after asphyxia in near term fetal lambs.