Medical Image Analysis of Telmisartan-Induced Protection in Hippocampal CA1 After Chronic Intermittent Hypoxia

Objective: In this paper, we evaluate medical image analysis in hippocampus, immunohistochemistry analyzed and oxidative stress-mediated injury induced by chronic intermittent hypoxia on the mouse hippocampal CA1 area and the protective effects of telmisartan (TEL) on oxidative stress-mediated injury. Methodology: C57B6J mice have been randomly categorized as chronic intermittent hypoxia (CIH) group, CIH + telmisartan (CIH + TEL) group, the room air control group and blank control group, and examined during a period of 12 weeks. Brain images were obtained by Computed tomography scan, spatial learning and memory abilities were tested, and p47 NADPH oxidase subunit (p47^PHOX) and 8-hydroxy-guanosine (8-OHG) were measured in the hippocampal CA1 area by immunohistochemistry and analyzed by Image-Pro Plus 6.0. Results: (1) After 12 weeks, there were no abnormalities in mice brain by CT scan. (2) Spatial learning ability measured by escape latency from the Morris water maze in the hypoxia group decreased, while intervention with telmisartan improved the hypoxiainduced spatial learning deficit (F = 3.04, P = 0.045). There exist no differences in spatial memory among any groups. (3) p47^PHOX immunostaining significantly increased in hippocampal CA1 area after CIH, which was reduced by TEL intervention. (4) CIH significantly increased 8-OHG immunostaining in the hippocampal CA1 area, while intervention with TEL significantly reduced 8-OHG immunostaining. Conclusions: Telmisartan significantly reduced expression of NADPH oxidase p47^PHOX and 8-OHG in CIH mice, and improved hippocampusdependent learning, suggesting that telmisartan can reduce CIH-induced neuronal oxidative stress-mediated injury.