The role of glucose in brain injury following the combination of lipopolysaccharide or lipoteichoic acid and hypoxia-ischemia in neonatal rats

Dev Neurosci. Jan-Feb 2004;26(1):61-7. doi: 10.1159/000080713.


We have previously shown that lipopolysaccharide (LPS) sensitizes the immature rat brain to subsequent hypoxic-ischemic (HI) injury; however, the underlying mechanisms remain unclear. In this study, we examined the role of glucose in the sensitizing effects of LPS and lipoteichoic acid (LTA) in combination with HI in 7-day-old rats. LPS/HI resulted in hypoglycemia which lasted 24 h and lactate levels were increased from 6 to 10 h after LPS administration. LPS/HI induced severe brain injury, which persisted 2 weeks after LPS/HI. Administration of glucose to LPS-treated animals with HI reduced brain injury in the cerebral cortex and hippocampus, while striatal damage remained. LTA/HI did not affect blood glucose, lactate or brain injury. In conclusion, enhanced blood glucose levels during HI after LPS administration conferred protection in some brain regions but not in the striatum, suggesting that alterations in glucose can only partly explain the sensitizing effect of LPS.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Animals, Newborn
  • Blood Glucose / metabolism*
  • Brain / anatomy & histology
  • Brain / metabolism
  • Brain / pathology
  • Brain Injuries* / metabolism
  • Brain Injuries* / pathology
  • Hypoxia-Ischemia, Brain* / metabolism
  • Hypoxia-Ischemia, Brain* / pathology
  • Lactic Acid / blood*
  • Lipopolysaccharides / metabolism*
  • Random Allocation
  • Rats
  • Rats, Wistar
  • Teichoic Acids / metabolism*


  • Blood Glucose
  • Lipopolysaccharides
  • Teichoic Acids
  • Lactic Acid
  • lipoteichoic acid