Resuscitation of hypoxic newborn piglets with supplementary oxygen induces dose-dependent increase in matrix metalloproteinase-activity and down-regulates vital genes

Pediatr Res. 2010 Mar;67(3):250-6. doi: 10.1203/PDR.0b013e3181cde843.

Abstract

The optimal oxygen concentration for newborn resuscitation is still discussed. Oxygen administration during reoxygenation may induce short- and long-term pathologic changes via oxidative stress and has been associated to later childhood cancer. The aim was to study changes in oxidative stress-associated markers in liver and lung tissue of newborn pigs after acute hypoxia followed by reoxygenation for 30 min with 21, 40, or 100% oxygen compared with room air or to ventilation with 100% oxygen without preceding hypoxia. Nine hours after resuscitation, we found a dose-dependent increase in the matrix metalloproteinase gelatinase activity in liver tissue related to percentage oxygen supply by resuscitation (100% versus 21%; p = 0.002) pointing at more extensive tissue damage. Receiving 100% oxygen for 30 min without preceding hypoxia decreased the expression of VEGFR2 and TGFBR3 mRNA in liver tissue, but not in lung tissue. MMP-, VEGF-, and TGFbeta-superfamily are vital for the development, growth, and functional integrity of most tissues and our data rise concern about both short- and long-term consequences of even a brief hyperoxic exposure.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Animals, Newborn
  • Disease Models, Animal
  • Dose-Response Relationship, Drug
  • Down-Regulation
  • Gene Expression Regulation, Enzymologic / drug effects
  • Hypoxia / enzymology
  • Hypoxia / genetics
  • Hypoxia / pathology
  • Hypoxia / therapy*
  • Liver / drug effects*
  • Liver / enzymology
  • Liver / pathology
  • Lung / drug effects*
  • Lung / enzymology
  • Lung / pathology
  • Matrix Metalloproteinase 2 / genetics
  • Matrix Metalloproteinase 2 / metabolism*
  • Matrix Metalloproteinase 9 / genetics
  • Matrix Metalloproteinase 9 / metabolism*
  • Oxidative Stress / drug effects
  • Oxygen Inhalation Therapy* / adverse effects
  • Proteoglycans / genetics
  • RNA, Messenger / metabolism
  • Receptors, Transforming Growth Factor beta / genetics
  • Respiration, Artificial* / adverse effects
  • Resuscitation / methods*
  • Swine
  • Time Factors
  • Vascular Endothelial Growth Factor Receptor-2 / genetics

Substances

  • Proteoglycans
  • RNA, Messenger
  • Receptors, Transforming Growth Factor beta
  • betaglycan
  • Vascular Endothelial Growth Factor Receptor-2
  • Matrix Metalloproteinase 2
  • Matrix Metalloproteinase 9