Perinatal asphyxia can occur in babies and may result in death, or damage to brain and other organs. Sequelae of brain damage are cerebral palsy, mental retardation, and epilepsy. The exact mechanisms that lead to brain damage are not known with certainty, but activated oxygen species, if produced, could be involved. Oxygen free radicals can damage or kill cells via several pathways, which include lipid peroxidation of membranes and inactivation of enzymes and transport proteins and DNA and RNA alterations (1, 2). Generation of oxygen free radicals in brain, such as superoxide anion, have been detected during exposure to arachidonic acid (3), acute hypertension (4), ischemia/reperfusion (1, 5, 6), concussive brain injury (7), extravascular blood (8), and seizures (9). Prostaglandin endoperoxide synthase metabolism of arachidonic acid appears to be the major source of free radicals produced by cortex in cats and piglets (3-5, 8, 9). Whether oxygen free radicals are produced in brain during asphyxia and reventilation is unclear. Rosenberg et al. (10) and Thiringer et al.(1 1) have provided suggestive evidence using pharmacologic probes that oxygen free radicals are produced during asphyxia and reventilation in newborn lambs. However, brain production of oxygen free radicals was not measured.The first purpose of our study was to test the hypothesis that superoxide anion radical is generated in the brain during asphyxia and reventilation in newborn pigs. The second purpose was to investigate the role of prostaglandin endoperoxide synthase in generation of superoxide anion. As an index of superoxide anion generation, we determined the amount of SODinhibitable NBT reduction on the cerebral surface.
MATERIALS AND METHODSThe animal protocols used were reviewed and approved by the Animal Care and Use Committee of the University of Tennessee, Memphis. Twenty-two newborn pigs (680 to 2000 g) of either sex, 1-5 d of age, were anesthetized with ketamine-hydrochloride (33 mg/kg intramuscularly) and acepromazine (3.3 mg/kg intramuscularly). Anesthesia was maintained with a-chloralose, 50 mg/kg i.v. initially and then 10 mg/kg i.v./h. A catheter was inserted into the femoral vein for injection of drugs and another catheter was inserted into the femoral artery to record blood pressure and to draw blood samples. The animals were ventilated with room air using a piston-type ventilator (Harvard Apparatus Co., Inc., S. Natick, MA). Temperature was maintained at 37-38°C by using a water-circulating heating pad. Closed cranial windows, as described previously (5, 8, 9), were implanted over each parietal cortex. To implant the cranial window, the scalp was cut and reflected from the skull. A hole, approximately 2 cm in diameter. was made in the skull. An incision was made through the duia and arachnoid membranes and these membranes then were reflected over the edge of the bone. A stainless steel ring with a premounted glass coverslip was inserted in the hole. The window was cemented in place with dental acrylic. Three needles pierced t...