Neuroprotection in neonatal hypoxic-ischemic encephalopathy: Literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v13i5.45695

Keywords:

Encephalopathy; Neonatal; Neuroprotection; Hypoxia.

Abstract

Hypoxic-ischemic encephalopathy (HIE) is a neurological syndrome that varies in severity due to ischemia in the newborn. Symptoms include loss of consciousness, decreased movement, muscle tone and reflexes, and in severe cases, seizures. Therapeutic hypothermia (TH) is a treatment strategy now widely adopted in high-income countries, demonstrating that improving neurodevelopment is possible through clinical practices. The present article aims to analyze the intrinsic characteristics of hypoxic-ischemic encephalopathy, as well as pathophysiology and therapeutic measures. The study methodology consists of an integrative review. Therefore, the development of research on the pathophysiology and treatment of the disease to determine new therapies is essential, bringing fewer future sequelae and a better neurological prognosis for patients with this condition.

References

Annink, K. V., Franz, A. R., Derks, J. B., Rüdiger, M., van Bel, F. & Benders, M. J. N. L. (2018). Allopurinol: old drug, new indication in neonates? Curr Pharm Des. 23, 5935–42. https://doi.org/10.2174/1381612823666170918123307

Anima. (2014). Manual revisão bibliográfica sistemática integrativa: a pesquisa baseada em evidências. Grupo Anima. https://biblioteca.cofen.gov.br/wp-content/uploads/2019/06/manual_revisao_bibliografica-sistematica-integrativa.pdf

Botelho, L. L. R., Cunha, C. C. A. & Macedo, M. (2011). O método da revisão integrativa nos estudos organizacionais. Gestão E Sociedade. 121-136. https://doi.org/10.21171/ges.v5i11.1220.

Chitimus, D., M., Popescu, M. R., Voiculescu, S. E., Panaitescu, A. M., Pavel, B., Zagrean, L. & Zagrean, A-M. (2020). Melatonin’s impact on antioxidative and anti-infammatory reprogramming in homeostasis and disease. Biomolecules. 10: 1211–39. https://doi.org/10.3390/biom10091211

Crossetti, M. G. M. (2012). Revisión integradora de la investigación en enfermería el rigor científico que se le exige. Maria Da Graça Oliveira Crossetti. Rev. Gaúcha Enferm. 33 (2): 8-9.

Cruz, A. C. S., & Ceccon, M. E. J. (2010). Prevalência de asfixia perinatal e encefalopatia hipóxico-isquêmica em recém-nascidos de termo considerando dois critérios diagnósticos. Journal of Human Growth and Development, 20(2), 302-316. http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S0104-12822010000200013&lng=pt&tlng=pt.

Johnston, M. V., Trescher, W. H., Ishida, A., & Nakajima, W. (2001). Neurobiology of hypoxic-ischemic injury in the developing brain. Pediatric research, 49(6), 735–741. https://doi.org/10.1203/00006450-200106000-00003

Leite, P. N. M., Teixeira, R. B., Silva, G. D., Reis, A. T., & Araujo, M. (2020). Hipotermia terapêutica na encefalopatia hipóxico-isquêmica neonatal: revisão integrativa [Therapeutic hypothermia in neonatal hypoxic-ischemic encephalopathy: integrative review] [Hipotermia terapéutica em la encefalopatía hipóxico-isquémica neonatal: revisión integrativa]. Revista Enfermagem UERJ, 28, e42281. https://doi.org/10.12957/reuerj.2020.42281

Luiz, A., Bezerra, F., Isidoro, M., Sant, D., & Andreia Biolchi Mayer. (2023). Eficácia terapêutica do exenatide no tratamento da doença de Parkinson. Revista de Ciências Médicas E Biológicas, 22(2), 344–355. https://doi.org/10.9771/cmbio.v22i2.52661

Martínez-Orgado, J., Villa, M., & del Pozo, A. (2021) Cannabidiol for the treatment of neonatal hypoxic-ischemic brain injury. Front Pharmacol 11:584533. https://doi.org/10.3389/fphar.2020.584533

Nagai, A., Nakagawa, E., Choi, H. B., Hatori, K., Kobayashi, S., & Kim, S. U. (2001) Erythropoietin and erythropoietin receptors in human CNS neurons, astrocytes, microglia, and oligodendrocytes grown in culture. J Neuropathol Exp Neurol 60:386–392. https://doi.org/10.1093/jnen/60.4.386

Neto, J. M. R., & Marques, D. K. A., Fernandes, M. G. M., & Nóbrega, M. M. L. (2016). Análise de teorias de enfermagem de Meleis: revisão integrativa. Revista Brasileira de Enfermagem. 69 (1). 162-168.

Pazos, M. R., Mohammed, N., Lafuente, H. et al (2013) Mecanismos da neuroproteção com canabidiol em recém-nascidos hipóxico-isquêmicos suínos: papel dos receptores 5HT1A e CB2. Neurofarmacologia 71:282–291. https://doi.org/10.1016/j.neuropharm.2013.03.027

Procianoy, R. S., Silveira, R. de C. (2001). Hypoxic-ischemic syndrome. Jornal de Pediatria, 77(7), 63–70. https://doi.org/10.2223/jped.220

Rocha-Ferreira, E., Poupon, L., Zelco, A., Leverin, A. L., Nair, S., Jonsdotter, A., Carlsson, Y., Thornton, C., Hagberg, H., & Rahim, A. A. (2018) Neuroprotective exendin-4 enhances hypothermia therapy in a model of hypoxic-ischaemic encephalopathy. Brain 141:2925–2942. https://doi.org/10.1093/brain/awy220

Sagrillo-Fagundes, L., Maria Assuncao Salustiano, E., Wong Yen, P., Soliman, A., & Vaillancourt, C. (2016) Melatonin in pregnancy: effects on brain development and CNS programming disorders. Curr Pharm Des 22:978–986. https://doi.org/10.2174/1381612822666151214104624

Snyder, H. (2019). Literature review as a research methodology: An overview and guidelines. Journal of business research, 104, 333-339.

Souza, M. T., Silva, M. D., & Carvalho, R. (2010). Revisão integrativa: o que é e como fazer. Revista Einstein, 8 (1),102-106

Victor, S., Rocha-Ferreira, E., Rahim, A., Hagberg, H., & Edwards, D. (2022). New possibilities for neuroprotection in neonatal hypoxic-ischemic encephalopathy. European Journal of Pediatrics, 181(3), 875–887. https://doi.org/10.1007/s00431-021-04320-8

Villa, P., van Beek, J., Larsen, A. K., Gerwien, J., Christensen, S., Cerami, A., Brines, M., Leist, M., Ghezzi, P., & Torup, L. (2007) Reduced functional defcits, neuroinfammation, and secondary tissue damage after treatment of stroke by nonerythropoietic erythropoietin derivatives. J Cereb Blood Flow Metab 27:552–563. https://doi.org/10.1038/sj.jcbfm.9600370

Published

04/05/2024

How to Cite

PIGNATARI, V. T. .; MOURA, G. F. .; TSUJIGUSHI, G. K. .; MORETO, B. F. .; SUGUI, T. M. B. .; VALOTTO, M. E.; RAMOS, L. V. .; SERPA, P. G. S. .; FONSECA, K. C. L. .; COSTA SEGUNDO, J. C. .; SOARES, I. M. .; ALMEIDA, D. dos S. .; TURRA, E. A. N. .; KOPTIAN, T.; PAULETTI, C. L. . Neuroprotection in neonatal hypoxic-ischemic encephalopathy: Literature review. Research, Society and Development, [S. l.], v. 13, n. 5, p. e0713545695, 2024. DOI: 10.33448/rsd-v13i5.45695. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/45695. Acesso em: 29 jun. 2024.

Issue

Section

Health Sciences