Abstract:【Abstract】 Objective To study the expression of the telomere repeat binding factor 2 (TRF2) in the neonatal rats with hypoxic ischemic brain damage (HIBD), and explore the role of TRF2 in neuronal apoptosis. Methods HIBD model in neonatal rats was established, ipsilateral brains were collected 2h, 12h, 24h, and 72h after hypoxicischemic (HI) insult. The expression of TRF2, pChk2, Chk2, and Bax was detected through immunohistochemistry (IHC) and western blotting. Results The expression of TRF2, pChk2, and Bax was upregulated from 2h to 72h, and peaked at 24h after HI. However, there was no significant change in the expression of Chk2. Conclusion HI induces significant upregulation of TRF2 in neonatal rats. TRF2 might regulate neuronal apoptosis through the activation of Chk2 and Bax.