Abstract:OBJECTIVE: Xenon provides neuroprotection in multiple animal models however little is known about the other noble gases. The aim of the current study was to compare xenon, argon and helium neuroprotection in a neonatal asphyxia model in
MEASUREMENTS AND MAIN RESULTS: Control animals undergoing moderatehypoxic-ischemia endured reduced neuronal survival at 7 days with impaired neurological function at the juvenile age compared with naïve animals. Severe hypoxic-ischemic damage produced a large cerebral infarction in controls. Following moderate hypoxic-ischemia, all three noble gases improved cell survival, brain structural integrity and neurological function on post-natal day 40 compared to nitrogen. Interestingly argon improved cell survival to naïve levels while xenon and helium did not. When tested against more severe hypoxic-ischemic injury only, argon and xenon reduced infarct volume. Furthermore post-injury body weight in moderate insult was lower in the helium treated group compared to the naïve, control and other noble gas treatment groups while in severe injurious setting it is lower in both control and helium treated group than other groups. In the non-directly injured hemisphere argon, helium and xenon increased the expression of Bcl-2 while helium 4 and xenon increased Bcl-xL. In addition, Bax expression was enhanced in the control and helium groups.CONCLUSIONS: These studies indicate that argon and xenon provide neuroprotection against both moderate and severe hypoxia-ischemic brain injury likely via prosurvival proteins synthesis.