Published in

SAGE Publications, Journal of Cerebral Blood Flow and Metabolism, 6(39), p. 1038-1055, 2017

DOI: 10.1177/0271678x17746132

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Magnesium induces preconditioning of the neonatal brain via profound mitochondrial protection

This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Magnesium sulphate (MgSO4) given to women in preterm labor reduces cerebral palsy in their offspring but the mechanism behind this protection is unclear, limiting its effective, safe clinical implementation. Previous studies suggest that MgSO4is not neuroprotective if administered during or after the insult, so we hypothesised that MgSO4induces preconditioning in the immature brain. Therefore, we administered MgSO4at various time-points before/after unilateral hypoxia-ischemia (HI) in seven-day-old rats. We found that MgSO4treatment administered as a bolus between 6 days and 12 h prior to HI markedly reduced the brain injury, with maximal protection achieved by 1.1 mg/g MgSO4administered 24 h before HI. As serum magnesium levels returned to baseline before the induction of HI, we ascribed this reduction in brain injury to preconditioning. Cerebral blood flow was unaffected, but mRNAs/miRNAs involved in mitochondrial function and metabolism were modulated by MgSO4. Metabolomic analysis (H+-NMR) disclosed that MgSO4attenuated HI-induced increases in succinate and prevented depletion of high-energy phosphates. MgSO4pretreatment preserved mitochondrial respiration, reducing ROS production and inflammation after HI. Therefore, we propose that MgSO4evokes preconditioning via induction of mitochondrial resistance and attenuation of inflammation.