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Erythropoietin Sustains Cognitive Function and Brain Volume after Neonatal StrokeGonzalez F.F.a · Abel R.d, e · Almli C.R.d–f · Mu D.b, g · Wendland M.c · Ferriero D.M.a, b
Departments of aPediatrics, bNeurology and cRadiology, University of California, San Francisco, Calif., dDepartmental Neuropsychobiology Laboratory, eProgram in Occupational Therapy, and fDepartment of Neurology, Washington University School of Medicine, St. Louis, Mo., USA; gDepartment of Pediatrics, West China Second Hospital, Sichuan University, Chengdu, China Corresponding Author
Fernando F. Gonzalez, MD
Neonatal Brain Disorders Laboratory, University of California, San Francisco
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Neonatal stroke leads to mortality and severe morbidity, but there currently is no effective treatment. Erythropoietin (EPO) promotes cytoprotection and neurogenesis in the short term following brain injury; however, long-term cognitive outcomes and optimal dosing regimens have not been clarified. We performed middle cerebral artery occlusion in postnatal day 10 rats, which were treated with either a single dose of EPO (5 U/g, i.p.) immediately upon reperfusion, or 3 doses of EPO (1 U/g, i.p. each) at 0 h, 24 h, and 7 days after injury. At 3 months after injury, rats treated with 3 doses of EPO did not differ from shams in the Morris water maze, and generally performed better than either rats treated with a single dose or vehicle-treated injured rats. These multiple-dose-treated rats also had increases in hemispheric volume and its subregions. These results suggest that additional, later doses of EPO may be required for cell repair, proliferation, and long-term incorporation into neural networks after neonatal brain injury.
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