Literature DB >> 25188549

Xenon improves neurologic outcome and reduces secondary injury following trauma in an in vivo model of traumatic brain injury.

Rita Campos-Pires1, Scott P Armstrong1, Anne Sebastiani2, Clara Luh2, Marco Gruss3, Konstantin Radyushkin4, Tobias Hirnet2, Christian Werner2, Kristin Engelhard2, Nicholas P Franks5, Serge C Thal2, Robert Dickinson1.   

Abstract

OBJECTIVES: To determine the neuroprotective efficacy of the inert gas xenon following traumatic brain injury and to determine whether application of xenon has a clinically relevant therapeutic time window.
DESIGN: Controlled animal study.
SETTING: University research laboratory.
SUBJECTS: Male C57BL/6N mice (n = 196).
INTERVENTIONS: Seventy-five percent xenon, 50% xenon, or 30% xenon, with 25% oxygen (balance nitrogen) treatment following mechanical brain lesion by controlled cortical impact.
MEASUREMENTS AND MAIN RESULTS: Outcome following trauma was measured using 1) functional neurologic outcome score, 2) histological measurement of contusion volume, and 3) analysis of locomotor function and gait. Our study shows that xenon treatment improves outcome following traumatic brain injury. Neurologic outcome scores were significantly (p < 0.05) better in xenon-treated groups in the early phase (24 hr) and up to 4 days after injury. Contusion volume was significantly (p < 0.05) reduced in the xenon-treated groups. Xenon treatment significantly (p < 0.05) reduced contusion volume when xenon was given 15 minutes after injury or when treatment was delayed 1 or 3 hours after injury. Neurologic outcome was significantly (p < 0.05) improved when xenon treatment was given 15 minutes or 1 hour after injury. Improvements in locomotor function (p < 0.05) were observed in the xenon-treated group, 1 month after trauma.
CONCLUSIONS: These results show for the first time that xenon improves neurologic outcome and reduces contusion volume following traumatic brain injury in mice. In this model, xenon application has a therapeutic time window of up to at least 3 hours. These findings support the idea that xenon may be of benefit as a neuroprotective treatment in patients with brain trauma.

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Year:  2015        PMID: 25188549      PMCID: PMC4617607          DOI: 10.1097/CCM.0000000000000624

Source DB:  PubMed          Journal:  Crit Care Med        ISSN: 0090-3493            Impact factor:   7.598


  71 in total

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Authors:  S I Anderson; C L Wilson; I P McDowell; B Pentland; J M Gray; I H Robertson
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Review 2.  Medical management of severe traumatic brain injury.

Authors:  Daniel Martin; Martin Smith
Journal:  Hosp Med       Date:  2004-11

3.  The anesthetic properties of xenon in animals and human beings, with additional observations on krypton.

Authors:  S C CULLEN; E G GROSS
Journal:  Science       Date:  1951-05-18       Impact factor: 47.728

4.  Neuroprotective and nootropic actions of a novel cyclized dipeptide after controlled cortical impact injury in mice.

Authors:  Alan I Faden; Gerard B Fox; Xiao Di; Susan M Knoblach; Ibolja Cernak; Paul Mullins; Maria Nikolaeva; Alan P Kozikowski
Journal:  J Cereb Blood Flow Metab       Date:  2003-03       Impact factor: 6.200

5.  An experimental model of closed head injury in mice: pathophysiology, histopathology, and cognitive deficits.

Authors:  Y Chen; S Constantini; V Trembovler; M Weinstock; E Shohami
Journal:  J Neurotrauma       Date:  1996-10       Impact factor: 5.269

Review 6.  Bench-to-bedside review: Molecular pharmacology and clinical use of inert gases in anesthesia and neuroprotection.

Authors:  Robert Dickinson; Nicholas P Franks
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7.  Changes in gait variability during different challenges to mobility in patients with traumatic brain injury.

Authors:  E Niechwiej-Szwedo; E L Inness; J A Howe; S Jaglal; W E McIlroy; M C Verrier
Journal:  Gait Posture       Date:  2006-02-21       Impact factor: 2.840

8.  Feasibility and cardiac safety of inhaled xenon in combination with therapeutic hypothermia following out-of-hospital cardiac arrest.

Authors:  Olli J Arola; Ruut M Laitio; Risto O Roine; Juha Grönlund; Antti Saraste; Mikko Pietilä; Juhani Airaksinen; Juha Perttilä; Harry Scheinin; Klaus T Olkkola; Mervyn Maze; Timo T Laitio
Journal:  Crit Care Med       Date:  2013-09       Impact factor: 7.598

9.  Biochemical, cellular, and molecular mechanisms in the evolution of secondary damage after severe traumatic brain injury in infants and children: Lessons learned from the bedside.

Authors:  Patrick M. Kochanek; Robert S.B. Clark; Randall A. Ruppel; P. David Adelson; Michael J. Bell; Michael J. Whalen; Courtney L. Robertson; Margaret A. Satchell; Neal A. Seidberg; Donald W. Marion; Larry W. Jenkins
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10.  An assessment of gait and balance deficits after traumatic brain injury.

Authors:  Jeffrey R Basford; Li-Shan Chou; Kenton R Kaufman; Robert H Brey; Ann Walker; James F Malec; Anne M Moessner; Allen W Brown
Journal:  Arch Phys Med Rehabil       Date:  2003-03       Impact factor: 3.966

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2.  Inhalational Gases for Neuroprotection in Traumatic Brain Injury.

Authors:  Samuel S Shin; Misun Hwang; Ramon Diaz-Arrastia; Todd J Kilbaugh
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3.  Xenon-mediated neuroprotection in response to sustained, low-level excitotoxic stress.

Authors:  J Lavaur; M Lemaire; J Pype; D Le Nogue; E C Hirsch; P P Michel
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4.  The noble gas xenon provides protection and trophic stimulation to midbrain dopamine neurons.

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5.  Xenon Protects against Blast-Induced Traumatic Brain Injury in an In Vitro Model.

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6.  The Effect of Oral Administration of Amantadine on Neurological Outcome of Patients With Diffuse Axonal Injury in ICU.

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Journal:  J Exp Neurosci       Date:  2019-01-27

Review 7.  The Importance of Therapeutic Time Window in the Treatment of Traumatic Brain Injury.

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Journal:  Front Neurosci       Date:  2019-01-23       Impact factor: 4.677

8.  Xenon improves long-term cognitive function, reduces neuronal loss and chronic neuroinflammation, and improves survival after traumatic brain injury in mice.

Authors:  Rita Campos-Pires; Tobias Hirnet; Flavia Valeo; Bee Eng Ong; Konstantin Radyushkin; Jitka Aldhoun; Joanna Saville; Christopher J Edge; Nicholas P Franks; Serge C Thal; Robert Dickinson
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9.  Xenon-helium gas mixture at equimolar concentration of 37.5% protects against oxygen and glucose deprivation-induced injury and inhibits tissue plasminogen activator.

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Journal:  Med Gas Res       Date:  2017-10-17

10.  A method for calculating the gas volume proportions and inhalation temperature of inert gas mixtures allowing reaching normothermic or hypothermic target body temperature in the awake rat.

Authors:  Jacques H Abraini; Hélène N David; Jean-Éric Blatteau; Jean Jacques Risso; Nicolas Vallée
Journal:  Med Gas Res       Date:  2017-10-17
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