Seminars in Fetal & Neonatal Medicine
Volume 12, Issue 4 , Pages 287-295, August 2007

Anti-oxidant strategies

  • Giuseppe Buonocore

      Affiliations

    • Department of Pediatrics, Obstetrics and Reproductive Medicine, University of Siena, viale Bracci 36, 53100 Siena, Italy
    • Corresponding Author InformationCorresponding author. Tel.: +39 0577 586 523; fax: +39 0577 586 182.
  • ,
  • Floris Groenendaal

      Affiliations

    • Department of Neonatology, Wilhelmina Children's Hospital/University Medical Center Utrecht, Utrecht, The Netherlands

published online 16 March 2007.

Summary 

Oxidative stress plays an important role in causing organ injury in the compromised fetus and neonate. Recent experimental research and clinical studies have clarified important pathways in the production of reactive oxygen and nitrogen species. Free radicals are involved in causing cerebral damage after perinatal hypoxia–ischemia affecting membrane lipids, proteins, and DNA. Anti-oxidant strategies can be used as add-on neuroprotective therapy after perinatal oxidative stress. Selective inhibitors of neuronal and inducible nitric oxide synthase, allopurinol, melatonin, and erythropoietin are among the first compounds that are ready for clinical trials.

Keywords: Brain, Free radicals, Hypoxia–ischemia, Neonate, Neuroprotection, Reactive nitrogen species, Reactive oxygen species

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PII: S1744-165X(07)00021-2

doi:10.1016/j.siny.2007.01.020

Seminars in Fetal & Neonatal Medicine
Volume 12, Issue 4 , Pages 287-295, August 2007