ERI 28 NeoVasc
Faculty of Medicine 22 Boulevard Gambetta
76183 Rouen Cedex
Phone: +33 235 14 8547 bruno.gonzales@univ-rouen.fr
Dept. of Neonatal Paediatrics and Intensive Care Stephane.marret@chu-rouen.fr
ERI28 “NeoVasc" is located in the Faculty of Medicine and Pharmacy of Rouen and evolves in close partnership with the Department of “Neonatal Paediatrics and Intensive Care” of the Hospital of Rouen. The research topic of ERI28 "NeoVasc" is focused on neonatal brain lesions. Indeed, these lesions which affect both preterm and term infants are frequent (2 to 2.5 cases per 1000 births) and cause motor impairments, cognitive disorders and neuropsychiatric disabilities. They are the first cause of cerebral palsy in industrialized countries. Despite marked progresses in intensive cares for infants, the prevalence of cerebral palsy remained stable and even increased since the 50s. In France, 125.000 patients suffer from cerebral palsy, whereas individuals with cognitive impairment are more difficult to assess and are estimated to be 4-5 times higher. The diagnostic and prognostic tools are missing. Actually, there is no treatment routinely available. However, recent clinical data strongly suggest that the use of magnesium sulfate during pregnancies may have a beneficial effect. Because patients with cerebral palsy require a lifelong care, these lesions represent also an important economic challenge. Indeed, a recent Danish study indicated that the cost of cares is about 850.000 euros per patient. This cost is similar to that of patients suffering from neurodegenerative diseases, most often associated with aging. Consequently, considering the medical, social and economic aspects, the development of research in this field is of considerable importance for children and their families.
Risk factors associated with neonatal brain lesions include premature birth, hypoxic-ischemic events, haemorrhages, prenatal exposure to toxins such as alcohol and fetal infections. Although the vascular system is clearly associated with several of these risks, and despite recent data that revealed a major contribution of the brain microvessels in the neural development, the role of the brain vasculature in neonatal brain lesions is, so far, poorly investigated.
Considering all these elements, the research domain of ERI28 « NeoVasc » is focused on a single thematic: the cerebral perinatal handicap and on a single problematic: the contribution of the brain microvasculature in the development of neonatal brain lesions. In particular, research projects of ERI28 are focused on three objectives: i) to determine the interactions between the vascular and nervous cells in a lesional context, ii) to characterize the molecular and cellular mechanisms associated with cell death in neonatal brain lesions and iii) to develop neuroprotective strategies and adapt it to the clinical research.