Seminars in Fetal & Neonatal Medicine
Volume 12, Issue 4 , Pages 241-249, August 2007

Growth factors and plasticity

  • Stéphane V. Sizonenko

      Affiliations

    • Service du Développement et de la Croissance, Département de Pédiatrie, Faculté de Médecine, Geneva, Switzerland
  • ,
  • Nathalie Bednarek

      Affiliations

    • Inserm, U676, Paris, France
    • Institut Alix de Champagne, Unité de Réanimation Infantile et de Médecine Néonatale, Reims, France
  • ,
  • Pierre Gressens

      Affiliations

    • Inserm, U676, Paris, France
    • Université Paris 7, Faculté de Médecine Denis Diderot, IFR02 and IFR25, Paris, France
    • Corresponding Author InformationCorresponding author. Inserm U676, Hôpital Robert Debré, 48 Blvd Sérurier, F-75019 Paris, France. Tel.: +33 0 1 4003 1976; fax: +33 0 1 4003 1995.

published online 02 March 2007.

Summary 

Neuroprotective strategies can prevent lesions from getting worse but agents that have neurotrophic properties can also affect repair in a developing brain. Although prevention and treatment in the early stages of brain lesions are desirable, delayed cell death or improved post-lesion plasticity are the only realistic targets in many cases. Several trophic factors can limit delayed cell death in animal models of perinatal brain damage. In addition, melatonin and brain-derived neurotrophic factor have been shown to promote post-lesion plasticity following neonatal excitotoxic white-matter damage in newborn mice. Despite these promising results, additional preclinical data are required for most of the trophic factors that have been tested, although some candidate drugs, e.g. melatonin or erythropoietin, might reach clinical trials in the near future.

Keywords: BDNF, Excitotoxicity, GPE, IGF-1, Neuronal cell death, Plasticity, Trophic factor

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PII: S1744-165X(07)00008-X

doi:10.1016/j.siny.2007.01.007

Seminars in Fetal & Neonatal Medicine
Volume 12, Issue 4 , Pages 241-249, August 2007