7 results on '"Ryan P. Sixtus"'
Search Results
2. Examining Neurosteroid-Analogue Therapy in the Preterm Neonate For Promoting Hippocampal Neurodevelopment
- Author
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Julia C. Shaw, Rebecca M. Dyson, Hannah K. Palliser, Ryan P. Sixtus, Heather Barnes, Carlton L. Pavy, Gabrielle K. Crombie, Mary J. Berry, and Jonathan J. Hirst
- Subjects
neurosteroids ,preterm neonatal brain ,oligodendrocyte ,GABA ,glutamate ,neuron ,Physiology ,QP1-981 - Abstract
Background: Preterm birth can lead to brain injury and currently there are no targeted therapies to promote postnatal brain development and protect these vulnerable neonates. We have previously shown that the neurosteroid-analogue ganaxolone promotes white matter development and improves behavioural outcomes in male juvenile guinea pigs born preterm. Adverse side effects in this previous study necessitated this current follow-up dosing study, where a focus was placed upon physical wellbeing during the treatment administration and markers of neurodevelopment at the completion of the treatment period.Methods: Time-mated guinea pigs delivered preterm (d62) by induction of labour or spontaneously at term (d69). Preterm pups were randomized to receive no treatment (Prem-CON) or ganaxolone at one of three doses [0.5 mg/kg ganaxolone (low dose; LOW-GNX), 1.0 mg/kg ganaxolone (mid dose; MID-GNX), or 2.5 mg/kg ganaxolone (high dose; HIGH-GNX) in vehicle (45% β-cyclodextrin)] daily until term equivalence age. Physical parameters including weight gain, ponderal index, supplemental feeding, and wellbeing (a score based on respiration, activity, and posture) were recorded throughout the preterm period. At term equivalence, brain tissue was collected, and analysis of hippocampal neurodevelopment was undertaken by immunohistochemistry and RT-PCR.Results: Low and mid dose ganaxolone had some impacts on early weight gain, supplemental feeding, and wellbeing, whereas high dose ganaxolone significantly affected all physical parameters for multiple days during the postnatal period when compared to the preterm control neonates. Deficits in the preterm hippocampus were identified using neurodevelopmental markers including mRNA expression of oligodendrocyte lineage cells (CSPG4, MBP), neuronal growth (INA, VEGFA), and the GABAergic/glutamatergic system (SLC32A1, SLC1A2, GRIN1, GRIN2C, DLG4). These deficits were not affected by ganaxolone at the doses used at the equivalent of normal term.Conclusion: This is the first study to investigate the effects of a range of doses of ganaxolone to improve preterm brain development. We found that of the three doses, only the highest dose of ganaxolone (2.5 mg/kg) impaired key indicators of physical health and wellbeing over extended periods of time. Whilst it may be too early to see improvements in markers of neurodevelopment, further long-term study utilising the lower doses are warranted to assess functional outcomes at ages when preterm birth associated behavioural disorders are observed.
- Published
- 2022
- Full Text
- View/download PDF
3. Nitrous oxide improves cardiovascular, respiratory, and thermal stability during prolonged isoflurane anesthesia in juvenile guinea pigs
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Ryan P. Sixtus, Clint Gray, Mary J. Berry, and Rebecca M. Dyson
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cardiorespiratory stability ,guinea pig ,isoflurane ,nitrous oxide ,noninvasive monitoring ,thermoregulation ,Therapeutics. Pharmacology ,RM1-950 - Abstract
Abstract Anesthesia is frequently used to facilitate physiological monitoring during interventional animal studies. However, its use may induce cardiovascular (central and peripheral), respiratory, and thermoregulatory depression, confounding results in anesthetized animals. Despite the wide utility of guinea pigs as a translational platform, anesthetic protocols remain unstandardized for extended physiological studies in this species. Therefore, optimizing an anesthetic protocol that balances stable anesthesia with intact cardiorespiratory and metabolic function is crucial. To achieve this, 12 age and sex‐matched juvenile Dunkin Hartley guinea pigs underwent extended anesthesia (≤150 min) with either (a) isoflurane (ISO: 1.5%), or (b) isoflurane + N2O (ISO+ N2O: 0.8% +70%), in this randomized cross‐over designed study. Cardiovascular (HR, SBP, peripheral microvascular blood flow), respiratory (respiratory rate, SpO2), and thermal (Tre and Tsk) measures were recorded continuously throughout anesthesia. Blood gas measures pre‐ and post‐ anesthesia were performed. Incorporation of 70% N2O allowed for significant reductions in isoflurane (to 0.8%) while maintaining an effective anesthetic depth for prolonged noninvasive physiological examination in guinea pigs. ISO+N2O maintained heart rate, peripheral blood flow, respiratory rate, and thermoregulatory function at levels closest to those of conscious animals, especially in females; however, it did not fully rescue anesthesia‐induced hypotension. These results suggest that for studies requiring prolonged physiological examination (≤150 min) in guinea pigs, 0.8% isoflurane with a 70% N2O adjuvant provides adequate anesthesia, while minimizing associated cardiorespiratory depression. The preservation of cardiorespiratory status is most marked throughout the first hour of anesthesia.
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- 2021
- Full Text
- View/download PDF
4. Differential effects of four intramuscular sedatives on cardiorespiratory stability in juvenile guinea pigs (Cavia porcellus)
- Author
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Ryan P. Sixtus, Cholawat Pacharinsak, Clint L. Gray, Mary J. Berry, and Rebecca M. Dyson
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Medicine ,Science - Abstract
Background Non-invasive physiological monitoring can induce stress in laboratory animals. Sedation reduces the level of restraint required, thereby improving the validity of physiological signals measured. However, sedatives may alter physiological equilibrium introducing unintended bias and/or, masking the experimental outcomes of interest. We aimed to investigate the cardiorespiratory effects of four short-acting sedatives in juvenile guinea pigs. Method 12 healthy, 38 (26–46) day-old Dunkin Hartley guinea pigs were included in this blinded, randomised, crossover design study. Animals were sedated by intramuscular injection using pre-established minimum effective doses of either alfaxalone (5 mg/kg), diazepam (5 mg/kg), ketamine (30 mg/kg), or midazolam (2 mg/kg) administered in random order with a minimum washout period of 48 hours between agents. Sedative depth, a composite score comprised of five assessment criteria, was observed every 5-min from dosing until arousal. Physiological monitoring of cardiorespiratory status included measures of heart rate, blood pressure, respiratory rate, and peripheral microvascular perfusion. Results Ketamine and alfaxalone were most effective in inducing stable sedation suitable for physiological monitoring, and diazepam less-so. Midazolam was unsuitable due to excessive hypersensitivity. All sedatives significantly increased heart rate above non-sedated control rates (PConclusion Ketamine and alfaxalone are the most effective sedatives for inducing short duration, stable sedation with minimal cardiorespiratory depression in guinea pigs, while diazepam is less-so. However, alfaxalone is the most appropriate sedative for longitudinal studies requiring multiple physiological timepoints.
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- 2021
5. Nitrous oxide improves cardiovascular, respiratory, and thermal stability during prolonged isoflurane anesthesia in juvenile guinea pigs
- Author
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Clint Gray, Rebecca M. Dyson, Ryan P. Sixtus, and Mary J. Berry
- Subjects
Male ,Respiratory rate ,Guinea Pigs ,noninvasive monitoring ,Blood Pressure ,RM1-950 ,030226 pharmacology & pharmacy ,03 medical and health sciences ,Electrocardiography ,0302 clinical medicine ,Respiratory Rate ,Heart Rate ,Heart rate ,Medicine ,Animals ,General Pharmacology, Toxicology and Pharmaceutics ,Respiratory system ,Adjuvants, Pharmaceutic ,thermoregulation ,Isoflurane ,nitrous oxide ,business.industry ,Microcirculation ,Cardiorespiratory fitness ,Blood flow ,Original Articles ,Thermoregulation ,cardiorespiratory stability ,Neurology ,030220 oncology & carcinogenesis ,Anesthesia ,Anesthetic ,Anesthetics, Inhalation ,Female ,Original Article ,Therapeutics. Pharmacology ,Blood Gas Analysis ,business ,Anesthesia, Inhalation ,Skin Temperature ,guinea pig ,medicine.drug ,Body Temperature Regulation - Abstract
Anesthesia is frequently used to facilitate physiological monitoring during interventional animal studies. However, its use may induce cardiovascular (central and peripheral), respiratory, and thermoregulatory depression, confounding results in anesthetized animals. Despite the wide utility of guinea pigs as a translational platform, anesthetic protocols remain unstandardized for extended physiological studies in this species. Therefore, optimizing an anesthetic protocol that balances stable anesthesia with intact cardiorespiratory and metabolic function is crucial. To achieve this, 12 age and sex‐matched juvenile Dunkin Hartley guinea pigs underwent extended anesthesia (≤150 min) with either (a) isoflurane (ISO: 1.5%), or (b) isoflurane + N2O (ISO+ N2O: 0.8% +70%), in this randomized cross‐over designed study. Cardiovascular (HR, SBP, peripheral microvascular blood flow), respiratory (respiratory rate, SpO2), and thermal (Tre and Tsk) measures were recorded continuously throughout anesthesia. Blood gas measures pre‐ and post‐ anesthesia were performed. Incorporation of 70% N2O allowed for significant reductions in isoflurane (to 0.8%) while maintaining an effective anesthetic depth for prolonged noninvasive physiological examination in guinea pigs. ISO+N2O maintained heart rate, peripheral blood flow, respiratory rate, and thermoregulatory function at levels closest to those of conscious animals, especially in females; however, it did not fully rescue anesthesia‐induced hypotension. These results suggest that for studies requiring prolonged physiological examination (≤150 min) in guinea pigs, 0.8% isoflurane with a 70% N2O adjuvant provides adequate anesthesia, while minimizing associated cardiorespiratory depression. The preservation of cardiorespiratory status is most marked throughout the first hour of anesthesia., Comprehensive physiological, pharmacological and imaging studies frequently use inhalational anaesthesia to maintain compliant animal subjects. Here, we describe an optimised anaesthetic protocol (0.8% isoflurane + 70% nitrous oxide) for extended minimally‐invasive physiological monitoring in guinea pigs, increasing the translational capacity of the guinea pig as a model for understanding human (patho)physiology.
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- 2020
6. Arginine vasopressin improves cerebral perfusion following controlled haemorrhage in adult ewes
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Rebecca M. Dyson, David M. O'Byrne, Kate Stanbridge, Stacey L. Holman, Alexandra Abelentseva, Jack R. T. Darby, Mary J. Berry, Paul Bowler, Janna L. Morrison, Ryan P. Sixtus, Berry, Mary J, Darby, Jack RT, O'Byrne, David M, Dyson, Rebecca M, Sixtus, Ryan, Holman, Stacey L, Abelentseva, Alexandra, Bowler, Paul, Stanbridge, Kate, and Morrison, Janna L
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0301 basic medicine ,Vasopressin ,vasopressin ,Physiology ,medicine.medical_treatment ,Hemodynamics ,Blood volume ,Blood Pressure ,Hemorrhage ,pre-hospital care ,hemorrhagic shock ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Animals ,Vasoconstrictor Agents ,Cerebral perfusion pressure ,Saline ,adrenaline ,Sheep ,business.industry ,Blood flow ,3. Good health ,Arginine Vasopressin ,trauma ,030104 developmental biology ,Blood pressure ,Anesthesia ,Cerebrovascular Circulation ,AVP ,Female ,business ,Perfusion ,030217 neurology & neurosurgery - Abstract
Key points: Traumatic haemorrhagic shock carries significant morbidity and mortality related to the severity and duration of tissue hypoperfusion, much of which occurs in the pre-hospital environment where therapy must be easy to use and would augment, not replace, local haemorrhage control measures. Vasopressor therapy use in haemorrhagic shock remains controversial. Potential benefits from improved blood pressure and tissue perfusion need to be weighed against possible harm from increased blood loss if haemorrhage is uncontrolled. We demonstrate that 20 IU I.M. vasopressin produces a progressive, sustained and clinically significant increase in blood pressure and carotid blood flow compared to 1 mg I.M. adrenaline or placebo in an animal model of controlled haemorrhagic shock. I.M. vasopressin may play a role in the early management of haemorrhagic shock by improving cerebral perfusion and haemodynamic stability; however, further studies are required to establish the potential benefit against the risk of exacerbating haemorrhage, if it is uncontrolled. Abstract: Haemorrhagic shock causes significant morbidity and mortality. Novel pre-hospital therapy to improve haemodynamic stability and cerebral perfusion may improve outcomes but remains controversial. In an ovine model of controlled haemorrhagic shock, the effects of early intramuscular arginine vasopressin (AVP), adrenaline or placebo on haemodynamic stability and cerebral perfusion were compared. Carotid pressure and flow catheters were placed in healthy, anaesthetized adult ewes. Frontal cortex cerebral oxygenation was measured using near infrared spectroscopy. Controlled, rapid, haemorrhage (∼30% estimated blood volume) was induced. Five minutes post-bleed a 1 ml intramuscular dose of 0.9% saline, adrenaline 1 mg or AVP 20 IU was administered. Carotid blood pressure and flow improved significantly in the AVP group over the first 30 min post-intervention. To emulate standard trauma care, 1 L of 0.9% saline was infused 30 min post-bleed followed by re-transfusion of the sheep's own blood at 60 min post-bleed. Carotid blood pressure and flow in the AVP group remained significantly higher post-crystalloid infusion, but this difference was lost post-blood transfusion. Data were analysed by two-way ANOVA with time, group as the main factors. When compared to saline or adrenaline, a single dose of intramuscular AVP resulted in a progressive and sustained increase in carotid artery blood pressure and flow with commensurate increase in cerebral oxygenation. Intramuscular AVP has potential as an emergency pre-hospital therapy following exsanguinating haemorrhage; however, further studies are required to investigate whether the benefit of improved perfusion pressure outweighs the risks of exacerbating ongoing bleeding Refereed/Peer-reviewed
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- 2019
7. Mild cooling of the feet does not aid night-time vigilance
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James D. Cotter, Ryan P. Sixtus, and Barbara C. Galland
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medicine.medical_specialty ,Physiology ,business.industry ,media_common.quotation_subject ,Skin temperature ,Human physiology ,Core temperature ,medicine.disease ,Bioinformatics ,Alertness ,Physiology (medical) ,Internal medicine ,Meeting Abstract ,medicine ,Cardiology ,Orthopedics and Sports Medicine ,Wakefulness ,Sleep onset ,business ,Narcolepsy ,Vigilance (psychology) ,media_common - Abstract
Vigilance is related to core temperature (TC) and skin temperature (Tsk). Biological day reflects a high TC, alertness and modest Tsk; night reflects vice versa [1,2]. At rest, TC is regulated largely via controlling blood flow in extremities (and thus Tsk); vasodilation strongly predicts reduced vigilance [3] and faster sleep onset[4]. In narcolepsy, high daytime extremity temperatures and a smaller distal-to-proximal gradient (DPG) indicates higher sleep propensity [5]. Cool extremities have been linked observationally to delayed sleep onset in the elderly, and experimentally shown to reduce sleep propensity in narcolepsy [6]. Therefore, the aim of this study was to test the hypothesis that cooling the feet would maintain vigilance during extended wakefulness in healthy adults.
- Published
- 2015
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