Treatment with RNase alleviates brain injury but not neuroinflammation in neonatal hypoxia/ischemia

J Neurosci Res. 2024 Apr;102(4):e25329. doi: 10.1002/jnr.25329.

Abstract

There is a need for new treatments to reduce brain injuries derived from neonatal hypoxia/ischemia. The only viable option used in the clinic today in infants born at term is therapeutic hypothermia, which has a limited efficacy. Treatments with exogenous RNase have shown great promise in a range of different adult animal models including stroke, ischemia/reperfusion injury, or experimental heart transplantation, often by conferring vascular protective and anti-inflammatory effects. However, any neuroprotective function of RNase treatment in the neonate remains unknown. Using a well-established model of neonatal hypoxic/ischemic brain injury, we evaluated the influence of RNase treatment on RNase activity, gray and white matter tissue loss, blood-brain barrier function, as well as levels and expression of inflammatory cytokines in the brain up to 6 h after the injury using multiplex immunoassay and RT-PCR. Intraperitoneal treatment with RNase increased RNase activity in both plasma and cerebropinal fluids. The RNase treatment resulted in a reduction of brain tissue loss but did not affect the blood-brain barrier function and had only a minor modulatory effect on the inflammatory response. It is concluded that RNase treatment may be promising as a neuroprotective regimen, whereas the mechanistic effects of this treatment appear to be different in the neonate compared to the adult and need further investigation.

Keywords: RRID:AB_2616694; RRID:AB_477193; blood–brain barrier; eRNA; encephalopathy; inflammation; neuroprotection; perinatal.

MeSH terms

  • Animals
  • Animals, Newborn
  • Brain / metabolism
  • Brain Injuries* / drug therapy
  • Disease Models, Animal
  • Humans
  • Hypoxia-Ischemia, Brain*
  • Infant
  • Infant, Newborn
  • Ischemia / drug therapy
  • Neuroprotective Agents* / pharmacology
  • Ribonucleases / metabolism
  • Ribonucleases / pharmacology

Substances

  • Ribonucleases
  • Neuroprotective Agents