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Journal Article

Citation

Xing P, Ma K, Li L, Wang D, Hu G, Long W. Acta Cir. Bras. 2018; 33(4): 341-353.

Affiliation

MD, Physician, Department of Geriatrics, Shanghai Sixth People's Hospital East, China. Technical procedures.

Copyright

(Copyright © 2018, Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia)

DOI

10.1590/s0102-865020180040000006

PMID

29768537

Abstract

PURPOSE: To investigate the effect of hyperbaric oxygen therapy (HBOT) on traumatic brain injury (TBI) outcome.

METHODS: The modified Marmarou's weight drop device was used to generate non-lethal moderate TBI rat model, and further developed in vitro astrocytes culturing system. Then, we analyzed the expression changes of interested genes and protein by quantitative PCR and western blot.

RESULTS: Multiple HBO treatments significantly reduced the expression of apoptosis promoting genes, such as c-fos, c-jun, Bax and weakened the activation of Caspase-3 in model rats. On the contrary, HBOT alleviated the decrease of anti-apoptosis gene Bcl-2 and promoted the expression of neurotrophic factors (NTFs), such as NGF, BDNF, GDNF and NT-3 in vivo. As a consequent, the neuropathogenesis was remarkably relied with HBOT. Astrocytes from TBI brain or those cultured with 21% O2 density expressed higher NTFs than that of corresponding controls, from sham brain and cultured with 7% O2, respectively. The NTFs expression was the highest in astrocytes form TBI brain and cultured with 21% O2, suggesting a synergistic effect existed between TBI and the following HBO treatment in astrocytes.

CONCLUSION: Our findings provided evidence for the clinical usage of HBO treating brain damages.


Language: en

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