The consequences of perinatal asphyxia on the rat brain were studied 8
0 min to 8 days after birth with hematoxylin-eosin and in situ DNA dou
ble-strand-breaks labeling histochemistry. Asphyxia was induced by imm
ersing fetus-containing uterus horns, removed from ready-to-deliver Sp
rague-Dawley rats, in a water bath at 37 degrees C for various time pe
riods (0-22 min). Spontaneous- and cesarean-delivered pups were used a
s controls. Perinatal asphyxia led to a decrease in the rate of surviv
al, depending upon the length of the insult. No gross morphological ch
anges could be seen in the brain of either control or asphyctic pups a
t any of the studied time points after delivery. However, in all group
s, nuclear chromatin fragmentation, corresponding to in situ detection
of DNA fragmentation, was observed at different stages. Nuclear fragm
entation in control pups showed a specific distribution that appeared
to be related to brain maturation, thus indicating programmed cell dea
th. A progressive and delayed increase in nuclear fragmentation was fo
und in asphyctic pups, which was dependent upon the length of the peri
natal insult. The most evident effect was seen in frontal cortex, stri
atum, and cerebellum at postnatal day 8, although changes were also fo
und in ventral-posterior thalamus, at days 1 and 2. Thus, nuclear chro
matin fragmentation in asphyctic pups indicates a delayed post-asphyct
ic neuronal death. The absence of signs of inflammation or necrosis su
ggests that delayed neuronal cell death following perinatal asphyxia i
s an active, apoptosis-like phenomenon.