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Inflammation contributes to the evolution of HI brain injury. Inter\u2010alpha inhibitor proteins (IAIPs) are a family of proteins that are part of the innate immune system. We have reported that endogenous IAIPs exhibit developmental changes in ovine brain and that exogenous IAIP treatment reduces neuronal death in HI neonatal rats. However, the effects of HI on endogenous IAIPs in brain have not been previously examined. In this study, we examined the effects of ischemia\u2010reperfusion on endogenous IAIPs levels in fetal sheep brain. Cerebral cortex, cerebellum, cervical spinal cord, choroid plexus, and CSF were snap frozen from sham control fetuses at 127 days gestation and after 30\u2010min of carotid occlusion and 4\u2010, 24\u2010, and 48\u2010h of reperfusion. IAIP levels were determined by Western immunoblot. IAIP expressions of the 250 kDa Inter\u2010alpha inhibitor (<jats:italic>IaI)<\/jats:italic> and 125 kDa Pre\u2010alpha inhibitor (<jats:italic>PaI)<\/jats:italic> in cerebral cortex and <jats:italic>PaI<\/jats:italic> in cerebellum were reduced (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05) 4\u2010h after ischemia compared with controls and returned toward control levels 24\u2010 and 48\u2010h after ischemia. CSF <jats:italic>PaI<\/jats:italic> and <jats:italic>IaI<\/jats:italic> were reduced 48 h after ischemia. We conclude that IAIPs in cerebral cortex and cerebellum are reduced by brain ischemia, and return toward control levels between 24 and 48 h after ischemia. However, changes in CSF IAIPs were delayed, exhibiting decreases 48 h after ischemia. We speculate that the decreases in endogenous IAIPs reflect increased utilization, potentially suggesting that they have endogenous neuroprotective properties. \u00a9 2016 Wiley Periodicals, Inc. Develop Neurobiol 77: 726\u2013737, 2017<\/jats:p>","DOI":"10.1002\/dneu.22451","type":"journal-article","created":{"date-parts":[[2016,9,12]],"date-time":"2016-09-12T15:52:47Z","timestamp":1473695567000},"page":"726-737","source":"Crossref","is-referenced-by-count":11,"title":["Ischemia reduces inter\u2010alpha inhibitor proteins in the brain of the ovine fetus"],"prefix":"10.1002","volume":"77","author":[{"given":"Mariya S.","family":"Spasova","sequence":"first","affiliation":[{"name":"Department of Pediatrics, the Alpert Medical School of Brown University Women &amp; Infants Hospital of Rhode Island Providence RI 02905"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaodi","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, the Alpert Medical School of Brown University Women &amp; Infants Hospital of Rhode Island Providence RI 02905"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grazyna 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