Intensive Care Medicine

, Volume 34, Issue 6, pp 1122–1132

Hyperbaric oxygenation reduces overexpression of c-Fos and oxidative stress in the brain stem of experimental endotoxemic rats

Experimental

DOI: 10.1007/s00134-007-0986-3

Cite this article as:
Lin, HC. & Wan, FJ. Intensive Care Med (2008) 34: 1122. doi:10.1007/s00134-007-0986-3

Abstract

Objective

Septic encephalopathy is associated with an increased mortality rate in septic patients. We have previously shown that a peripheral lipopolysaccharide (LPS) injection induces neuronal activation in the brain-stem nuclei of rats. Nitric oxide (NO) and superoxide are involved in LPS-induced brain damage. Hyperbaric oxygenation (HBO) provides protective effects against systemic oxidative stress and mortality in animals with septic shock. We examined the effects of HBO on neuronal activation and oxidative stress in the brain-stem nuclei of LPS-treated rats.

Design and interventions

Wistar rats were randomly distributed into six groups for the following treatments:(a) normal saline injection (NS); (b) HBO; (c) LPS; (d) LPS–HBO; (e) LPS–aminoguanidine (AG, an inhibitor of inducible nitric oxide synthase); or (f) hydralazine (HYD, a direct vasodilator). The HYD induces prolonged hypotension and was used as a comparison for LPS stimulation. The AG was used as a comparison for HBO treatment. Two HBO sessions were administered, 1 and 4 h after LPS.

Results

HBO and AG significantly reversed the overproduction of c-Fos induced by LPS in the brain stems of rats, with greater reversal in the nucleus tractus solitarii (NTS) by HBO. Although AG did not reduce the superoxide level, HBO significantly abolished superoxide production and NADPH diaphorase expression in the brain stems of LPS-treated rats. The HYD induced much lower c-Fos expression in the brain-stem nuclei than that in LPS-treated animals and caused no significant increase in NADPH diaphorase expression or superoxide formation.

Conclusion

HBO protects against endotoxin-related neuronal activation and oxidative stress in the brain-stem nuclei of rats.

Keywords

Endotoxin Nitricoxide synthase c-Fos Brain stemnuclei Hyperbaric oxygenation Oxidative stress 

Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  1. 1.Department of PharmacologyNational Defense Medical Center, No. 161, Section 6TaipeiTaiwan
  2. 2.Departmentof PsychiatryTri-Service General Hospital, Graduate Institute of Undersea and Hyperbaric Medicine, National Defense Medical Center, No. 161, Section 6TaipeiTaiwan