Extended Combined Neonatal Treatment With Erythropoietin Plus Melatonin Prevents Posthemorrhagic Hydrocephalus of Prematurity in Rats

Authors

Shenandoah Robinson
Fatu S Conteh
Akosua Y Oppong
Tracylyn R Yellowhair
Jessie C Newville
Nagat El Demerdash
Christine L Shrock
Jessie R Maxwell
Stephen Jett
Frances J Northington
Lauren L Jantzie

Document Type

Article

Publication Date

1-1-2018

Abstract

Posthemorrhagic hydrocephalus of prematurity (PHHP) remains a global challenge. Early preterm infants (gestation), particularly those exposed to chorioamnionitis (CAM), are prone to intraventricular hemorrhage (IVH) and PHHP. We established an age-appropriate, preclinical model of PHHP with progressive macrocephaly and ventriculomegaly to test whether non-surgical neonatal treatment could modulate PHHP. We combined prenatal CAM and postnatal day 1 (P1, equivalent to 30 weeks human gestation) IVH in rats, and administered systemic erythropoietin (EPO) plus melatonin (MLT), or vehicle, from P2 to P10. CAM-IVH rats developed progressive macrocephaly through P21. Macrocephaly was accompanied by ventriculomegaly at P5 (histology), and P21 (

Publication Title

Front Cell Neurosci

ISSN

1662-5102

Volume

12

First Page

322

Last Page

322

DOI

10.3389/fncel.2018.00322

Recommended Citation

Robinson S, Conteh FS, Oppong AY, Yellowhair TR, Newville JC, Demerdash NE, Shrock CL, Maxwell JR, Jett S, Northington FJ, Jantzie LL. Extended Combined Neonatal Treatment With Erythropoietin Plus Melatonin Prevents Posthemorrhagic Hydrocephalus of Prematurity in Rats. Front Cell Neurosci. 2018 Sep 25;12:322. doi: 10.3389/fncel.2018.00322. PMID: 30319361; PMCID: PMC6167494.