Copyright: © 2026 by the authors. Licensee: Pirogov University.
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ORIGINAL RESEARCH

Early administration of xenon-oxygen mixture in neonatal hypoxic-ischemic encephalopathy

Dementev IM1,2 , Gabitov MV1 , Timoshin SS2 , Kuzovlev AN1 , Grebenchikov OA1
About authors

1 Negovsky Research Institute of General Reanimatology, Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia

2 Vladimirsky Moscow Regional Research and Clinical Institute, Moscow, Russia

Correspondence should be addressed: Mikhail V. Gabitov
Petrovka 25, str. 2, Moscow, 107031, ur.rrcknf@votibagm

About paper

Funding: the work was carried out under the research project "Cytoprotective Effects of Inert Gases for the Prevention and Treatment of Organ Dysfunction in Critical Conditions" (No. FGWS-2025-0015).

Author contribution: Dementev IM — conducting the model experiment, analysis and discussion of results, manuscript writing; Gabitov MV — analysis of results, statistical analysis, manuscript writing and editing; Timoshin SS — discussion of results and manuscript editing; Kuzovlev AN — study planning, discussion of results, manuscript editing; Grebenchikov OA — approval of the study design, discussion of results, manuscript editing.

Compliance with ethical standards: the study was approved by the Ethics Committee of the Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology (Protocol No. 2/25/5 dated March 26, 2025). All animal procedures were performed in accordance with the principles of the European Convention for the Protection of Vertebrate Animals used for Experimental and Other Scientific Purposes (Strasbourg, 1986). The report of the study was prepared in accordance with the ARRIVE (Animal Research: Reporting of In Vivo Experiments) guidelines.

Received: 2026-02-25 Accepted: 2026-03-10 Published online: 2026-03-17
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Hypoxic-ischemic encephalopathy remains a leading cause of neonatal mortality and disability. Experimental data suggest potential neuroprotective properties of xenon; however, the mechanisms and extent of its effect are not fully understood. The study aimed to evaluate the neuroprotective properties of a xenon-oxygen mixture in a neonatal ischemia-hypoxia rat model using MRI and follow-up neurological assessment. The experiment involved Wistar rat pups (n = 16). Neonatal ischemia-hypoxia was induced by the Rice–Vannucci method. Thirty minutes post-hypoxia, animals received the 60-min inhalation of either nitrogen-oxygen (control, n = 8), or 50/50 xenon-oxygen mixture (n = 8). Brain MRI was performed on day 7. In the xenon group, brain lesion volume was significantly reduced by 25% compared to controls on day 7 (p = 0.001). Neurological development was assessed from day 3 to 28 using a combination of behavioral tests. Xenon-treated animals demonstrated earlier formation of forelimb and hindlimb grasping reflexes (p = 0.025 and p = 0.005), better hindlimb placement and cliff avoidance on day 7 (p = 0.045 and p = 0.03), and better preserved auditory startle response on day 14 (p = 0.035). Thus, early administration of a xenon-oxygen mixture after ischemia-hypoxia exerts pronounced neuroprotection in newborn rats, confirmed by reduced brain damage and improved neurological outcomes.

Keywords: rats, xenon, neuroprotection, xenon-oxygen mixture, hypoxic-ischemic encephalopathy, Rice–Vannucci model

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