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Periventricular leukomalacia induced by in utero clamping of pregnant rat aorta in fetal rats

Korean Journal of Pediatrics 2008;51(8):874-878.
Published online August 15, 2008.
Periventricular leukomalacia induced by in utero clamping of pregnant rat aorta in fetal rats
Yun Sil Chang1, Dong Kyung Sung2, Saem Kang2, Soo Kyung Park1, Yu Jin Jung1, Hyun Joo Seo1, Seo Heui Choi1, Won Soon Park1
1Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
2Samsung Biomedical Research Institute, Seoul, Korea
태아 백서에서 임신 백서의 자궁 내 대동맥 결찰로 유발한 뇌실주위 백질연화증
장윤실1, 성동경2, 강샘2, 박수경1, 정유진1, 서현주1, 최서희1, 박원순1
1성균관대학교 의과대학 삼성서울병원 소아과청소년과
2삼성생명과학연구소
Correspondence: 
Won Soon Park, Email: wonspark@skku.edu
Abstract
Purpose
: This study was undertaken to develop an animal model of periventricular leukomalacia (PVL) induced by in utero clamping of pregnant rat aorta in fetal rats.
Methods
: A timed pregnanct Sprague-Dawley rat on embryonic day 21 just prior to delivery was sedated and anesthetized, and a Harvard ventilator for small animals was applied. Following laparotomy, the maternal aorta was clamped reversibly for 40 minutes using a surgical clip. The fetal rats were then delivered by Cesarean section, resuscitated if necessary, and reared by a surrogate mother rat until postnatal day 21 to obtain the brain specimen. After systemic perfusion and fixation, 10 µm thick serial brain sections were obtained and stained for pathologic examination and assessment of ventriculomegaly. Ventriculomegaly was assessed by the measured ventricle to total brain volume ratio.
Results
: Eight out of eleven fetal rats (73%) survived in the ischemia group after induction of in utero ischemia by clamping maternal rat aorta, and all ten survived in the control group. Body and brain weights measured at postnatal day 21 were significantly lower in the ischemia group compared to the control group. In pathologic findings, significant ventriculomagaly (3.67¡¾1.21% vs. 0.23¡¾0.06%) was observed in the ischemia group compared to the control group; although cystic lesion was not observed, mild (n=6) and moderate (n=2) rerefaction of the brain tissue was observed.
Conclusion
: A fetal rat model of PVL induced by in utero clamping of pregnant rat aorta was developed.
Key Words: Leukomalacia, Periventricular, Infant, Premature, Brain Ischemia, Newborn animal


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