Home > Publications Database > Omega-3 fatty acid diglyceride emulsions as a novel injectable acute therapeutic in neonatal hypoxic-ischemic brain injury. |
Journal Article | DZNE-2024-00692 |
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2024
Elsevier
Paris [u.a.]
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Please use a persistent id in citations: doi:10.1016/j.biopha.2024.116749
Abstract: Hypoxic-ischemic encephalopathy (HIE), resulting from a lack of blood flow and oxygen before or during newborn delivery, is a leading cause of cerebral palsy and neurological disability in children. Therapeutic hypothermia (TH), the current standard of care in HIE, is only beneficial in 1 of 7-8 cases. Therefore, there is a critical need for more efficient treatments. We have previously reported that omega-3 (n-3) fatty acids (FA) carried by triglyceride (TG) lipid emulsions provide neuroprotection after experimental hypoxic-ischemic (HI) injury in neonatal mice. Herein, we propose a novel acute therapeutic approach using an n-3 diglyceride (DG) lipid emulsions. Importantly, n-3 DG preparations had much smaller particle size compared to commercially available or lab-made n-3 TG emulsions. We showed that n-3 DG molecules have the advantage of incorporating at substantially higher levels than n-3 TG into an in vitro model of phospholipid membranes. We also observed that n-3 DG after parenteral administration in neonatal mice reaches the bloodstream more rapidly than n-3 TG. Using neonatal HI brain injury models in mice and rats, we found that n-3 DG emulsions provide superior neuroprotection than n-3 TG emulsions or TH in decreasing brain infarct size. Additionally, we found that n-3 DGs attenuate microgliosis and astrogliosis. Thus, n-3 DG emulsions are a superior, promising, and novel therapy for treating HIE.
Keyword(s): Animals (MeSH) ; Hypoxia-Ischemia, Brain: drug therapy (MeSH) ; Animals, Newborn (MeSH) ; Fatty Acids, Omega-3: administration & dosage (MeSH) ; Fatty Acids, Omega-3: pharmacology (MeSH) ; Emulsions (MeSH) ; Mice (MeSH) ; Neuroprotective Agents: administration & dosage (MeSH) ; Neuroprotective Agents: pharmacology (MeSH) ; Rats (MeSH) ; Rats, Sprague-Dawley (MeSH) ; Mice, Inbred C57BL (MeSH) ; Disease Models, Animal (MeSH) ; Male (MeSH) ; Brain: drug effects (MeSH) ; Brain: metabolism (MeSH) ; Brain: pathology (MeSH) ; diglycerides ; gliosis ; hypoxic-ischemic encephalopathy ; lipid emulsion ; neuroprotection ; omega-3 fatty acids ; Fatty Acids, Omega-3 ; Emulsions ; Neuroprotective Agents
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