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  4. Curcumin: Novel Treatment in Neonatal Hypoxic-Ischemic Brain Injury

Curcumin: Novel Treatment in Neonatal Hypoxic-Ischemic Brain Injury

Frontiers in Physiology, 2019 · DOI: 10.3389/fphys.2019.01351 · Published: November 13, 2019

PhysiologyNeurologyPediatrics

Simple Explanation

This study explores the potential of curcumin, a compound found in turmeric, as a treatment for brain injury caused by oxygen deprivation (hypoxic-ischemic encephalopathy, HIE) in newborns. HIE is a serious condition that can lead to death or long-term disabilities. Current treatments are not always effective, so new options are needed. The researchers found that giving curcumin to newborn mice *after* a simulated HIE event helped to protect their brains from damage. The best results were seen with a dose of 200 μg/g of body weight, even when the treatment was delayed by up to two hours. This protection seems to be due to curcumin's ability to reduce inflammation and oxidative stress in the brain, rather than by promoting cell growth. The study suggests that curcumin could be a valuable treatment for HIE in newborns, especially because it can be given after the injury has already occurred.

Study Duration
Not specified
Participants
Postnatal day 7 C57/Bl6 mice (P7)
Evidence Level
Not specified

Key Findings

  • 1
    Curcumin administration prior to HIE in neonatal mice elevated cell and tissue loss, as well as glial activation compared to HI alone.
  • 2
    Immediate post-treatment with curcumin was significantly neuroprotective, reducing grey and white matter tissue loss, TUNEL+ cell death, microglia activation, reactive astrogliosis, and iNOS oxidative stress when compared to vehicle-treated littermates.
  • 3
    The protective effects of curcumin on the neonatal brain following HI are most likely due to curcumin’s anti-inflammatory and antioxidant properties, as seen in the reduced glial and iNOS activity.

Research Summary

This study investigated the neuroprotective effects of curcumin in a neonatal mouse model of hypoxic-ischemic (HI) brain injury. The researchers explored different administration times and dosages of curcumin to determine its potential as a treatment for HI-induced brain damage. The results showed that curcumin administration after the HI insult significantly reduced brain damage markers such as tissue loss, cell death, and inflammation. The optimal dose was found to be 200 μg/g body weight, and the neuroprotective effect was maintained even when curcumin treatment was delayed by 60 or 120 minutes post-HI. The study concludes that curcumin is a potent neuroprotective agent with potential for the treatment of HIE, highlighting the clinical relevance of its delayed application. Further research is needed to improve curcumin bioavailability for clinical use.

Practical Implications

Potential Therapeutic Intervention

Curcumin could be developed as a novel therapeutic intervention for neonatal HIE, especially since it can be administered after the hypoxic-ischemic event.

Delayed Treatment Window

The finding that delayed administration of curcumin (up to 120 minutes post-HI) is still effective expands the potential treatment window for HIE.

Further Research and Development

Future studies should focus on improving curcumin's bioavailability and solubility to facilitate its clinical application in treating neonatal HIE.

Study Limitations

  • 1
    The study was conducted on mice, and the results may not directly translate to humans.
  • 2
    Curcumin has low bioavailability and limited aqueous solubility, which may hinder its clinical application.
  • 3
    The precise mechanisms of curcumin's neuroprotective effects are not fully understood and require further investigation.

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