Inflammatory Injury to the Neonatal Brain – What Can We Do?

Frontiers in Pediatrics

Noa Ofek-Shlomai¹ 

关键词: inflammation;    neonatal;    brain injury;    neuro-developmental outcome;    treatment;   

DOI  :  10.3389/fped.2014.00030

学科分类：儿科学

来源: Frontiers

【 摘 要 】

Perinatal brain damage is one of the leading causes of life long disability. This damage could be hypoxic–ischemic, inflammatory, or both. This mini-review discusses different interventions aiming at minimizing inflammatory processes in the neonatal brain, both before and after insult. Current options of anti-inflammatory measures for neonates remain quite limited. We describe current anti-inflammatory intervention strategies such as avoiding perinatal infection and inflammation, and reducing exposure to inflammatory processes. We describe the known effects of anti-inflammatory drugs such as steroids, antibiotics, and indomethacin, and the possible anti-inflammatory role of other substances such as IL-1 receptor antagonists, erythropoietin, caffeine, estradiol, insulin-like growth factor, and melatonin as well as endogenous protectors, and genetic regulation of inflammation. If successful, these may decrease mortality and long-term morbidity among term and pre-term infants.

【 授权许可】

CC BY