Oxidative stress and endoplasmic reticulum (ER) stress in the development of neonatal hypoxic-ischaemic brain injury

Biochem Soc Trans. 2017 Oct 15;45(5):1067-1076. doi: 10.1042/BST20170017. Epub 2017 Sep 22.

Abstract

Birth asphyxia in term neonates affects 1-2/1000 live births and results in the development of hypoxic-ischaemic encephalopathy with devastating life-long consequences. The majority of neuronal cell death occurs with a delay, providing the potential of a treatment window within which to act. Currently, treatment options are limited to therapeutic hypothermia which is not universally successful. To identify new interventions, we need to understand the molecular mechanisms underlying the injury. Here, we provide an overview of the contribution of both oxidative stress and endoplasmic reticulum stress in the development of neonatal brain injury and identify current preclinical therapeutic strategies.

Keywords: endoplasmic reticulum stress; hypoxic–ischaemic brain injury; neonatal; reactive nitrogen species.

Publication types

  • Review

MeSH terms

  • Animals
  • Asphyxia Neonatorum / complications*
  • Asphyxia Neonatorum / drug therapy
  • Asphyxia Neonatorum / metabolism
  • Endoplasmic Reticulum Stress / drug effects
  • Humans
  • Hypoxia-Ischemia, Brain / drug therapy
  • Hypoxia-Ischemia, Brain / etiology*
  • Hypoxia-Ischemia, Brain / metabolism
  • Infant, Newborn
  • Neuroprotective Agents / pharmacology
  • Neuroprotective Agents / therapeutic use
  • Oxidative Stress / drug effects
  • Reactive Oxygen Species / metabolism*

Substances

  • Neuroprotective Agents
  • Reactive Oxygen Species