1. Hypoxia-hyperoxia paradigms in the development of oxygen-induced retinopathy in a rat pup model.
- Author
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Winners-Mendizabal OG, Orge FH, Di Fiore JM, Martin RJ, and Kc P
- Subjects
- Animals, Animals, Newborn, Disease Models, Animal, Fluorescent Antibody Technique, Indirect, Neovascularization, Pathologic, Rats, Rats, Sprague-Dawley, Retinopathy of Prematurity metabolism, Vascular Endothelial Growth Factor A, Hyperoxia pathology, Hypoxia pathology, Oxygen metabolism, Retina pathology, Retinopathy of Prematurity pathology
- Abstract
Background: Retinopathy of prematurity [ROP] continues to be a significant clinical problem in preterm infants. There is a need for animal models to better understand the roles of hypoxia/hyperoxia in the pathogenesis and management of ROP., Objectives: To test the hypothesis that multiple daily cycles of intermittent hypoxia, followed by brief hyperoxia, would provide a clinically relevant protocol for generation of ROP in a rat pup., Methods: Rat pups were exposed for the first 14 days to one of three protocols: room air [RA], sustained cycles of hyperoxia/hypoxia [SHH] as previously employed to produce ROP in rat pups, and intermittent hypoxia/hyperoxia [IHH] in order to more closely simulate clinical conditions in preterm infants. Retinae were obtained at 18 days and imaged for both avascularization and neovascularization., Results: As expected, the SHH group demonstrated significantly increased avascularity [40.9 ± 7.9% of retina] which was minimal in both RA and IHH groups. All SHH exposed pups exhibited neovascularization which occurred in 5/7 IHH exposed retinae versus 0 in the RA group [p = 0.02]. However, mean number of clock hours of neovascularization after IHH was 1.9 ± 2.1 which did not differ from the RA group, and was less than in the SHH group [8.3 ± 1.9, p < 0.001]., Conclusion: A more clinically relevant intermittent hypoxia/hyperoxia [IHH] protocol does not produce the same degree of ROP as the traditional sustained hypoxia/hyperoxia [SHH] paradigm. Nonetheless, further refinement of our model may provide a suitable model for understanding the lesser degrees of ROP which predominate in preterm infants.
- Published
- 2014
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