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Published ahead of print on February 14, 2008, doi:10.1164/rccm.200701-110OC

Am. J. Respir. Crit. Care Med., Volume 177, Number 10, May 2008, 1135-1141

A more recent version of this article appeared on May 15, 2008
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Submitted on January 19, 2007
Accepted on February 14, 2008

Green Tea Catechin Polyphenols Attenuate Behavioral and Oxidative Responses to Intermittent Hypoxia

Isabel C Burckhardt1, David Gozal2*, Ehab Dayyat1, Yu Cheng1, Richard C Li1, Aviv D Goldbart3, and Barry W Row1

1 Department of Pediatrics, Kosair Children's Hospital Research Institute, Louisville, KY, USA, 2 Department of Pediatrics, Kosair Children's Hospital Research Institute, Louisville, KY, USA; Department of Pharmacology and Toxicology, University of Louisville, Louisville, KY, USA, 3 Department of Pediatrics, Soroka University Medical Center, Beer-Sheva, Israel

* To whom correspondence should be addressed. E-mail: d0goza01{at}louisville.edu.

Rationale: The intermittent hypoxia (IH) that characterizes sleep-disordered breathing (SDB), impairs spatial learning and increases NADPH oxidase activity and oxidative stress in rodents. We hypothesized that green tea catechin polyphenols (GTP) may attenuate IH-induced neurobehavioral deficits by reducing IH-induced NADPH oxidase expression, lipid peroxidation and inflammation. Objectives: To assess the effects of GTP administered in drinking water on the cognitive, inflammatory, and oxidative responses to long term (>14 days) IH during sleep in male Sprague-Dawley rats. Methods & Measurements: Cognitive assessments were conducted in the Morris water maze (MWM). We measured levels and expression of malondialdehyde (MDA), Prostaglandin E2 (PGE2), p47phox sub-unit of NADPH oxidase, receptor for advanced glycation end products (RAGE), and glial fibrillary acidic protein (GFAP) expression in rodent brain tissue. Main Results: GTP treatment prevented IH-induced decreases in spatial bias for the hidden platform during the MWM probe trails, as well as IH-induced increases p47phox expression within the hippocampal CA1 region. In untreated animals, IH exposure was associated with doubling of cortical MDA levels in comparison to room air controls, while GTP-treated animals exposed to IH showed a 40% reduction in MDA levels. Increases in brain RAGE and GFAP expression were observed in IH exposed animals, and these increases were attenuated in animals treated with GTP. Conclusions: Thus, oral GTP attenuates IH-induced spatial learning deficits and mitigates IH-induced oxidative stress through multiple beneficial effects on oxidant pathways. Since oxidative processes underlie neurocognitive deficits associated with IH, the potential therapeutic role of GTP in SDB deserves further exploration.


Key words: Sleep disordered breathing, learning, lipid peroxidation




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