Bianchi Shannon L, Tran Thuy, Liu Chuiliang, Lin Susan, Li Yujuan, Keller Jason M, Eckenhoff Roderic G, Eckenhoff Maryellen F
Department of Anesthesiology and Critical Care, University of Pennsylvania School of Medicine, 305 John Morgan, 3620 Hamilton Walk, Philadelphia, PA 19104, USA.
Neurobiol Aging. 2008 Jul;29(7):1002-10. doi: 10.1016/j.neurobiolaging.2007.02.009. Epub 2007 Mar 7.
Inhaled anesthetics have been shown to increase the aggregation of amyloid beta in vitro through the stabilization of intermediate toxic oligomers, which are thought to contribute to neurocognitive dysfunction in Alzheimer's disease. Inhaled anesthetics may escalate cognitive dysfunction through enhancement of these intermediate oligomer concentrations. We intermittently exposed 12-month-old Tg2576 transgenic mice and nontransgenic littermates to isoflurane and halothane for 5 days. Cognitive function was measured before and after anesthetic exposures using the Morris Water Maze; amyloid beta plaque burden and caspase-3 mediated apoptosis were quantified by immunohistochemistry. At 12 months of age, anesthetic exposure did not further enhance cognitive decline in the transgenic mice. Immunohistochemistry, however, revealed that the halothane-exposed Tg2576 mice had more amyloidopathy than the isoflurane treated mice or the nonexposed transgenic mice. Isoflurane exposure impaired cognitive function in the nontransgenic mice, implying an alternative pathway for neurodegeneration. These findings indicate that inhaled anesthetics influence cognition and amyloidogenesis, but that the mechanistic relationship remains unclear.
吸入麻醉剂已被证明在体外可通过稳定中间毒性寡聚体来增加β-淀粉样蛋白的聚集,而这些中间毒性寡聚体被认为会导致阿尔茨海默病的神经认知功能障碍。吸入麻醉剂可能通过提高这些中间寡聚体的浓度来加剧认知功能障碍。我们将12月龄的Tg2576转基因小鼠和非转基因同窝小鼠间歇性暴露于异氟烷和氟烷中5天。在麻醉暴露前后,使用莫里斯水迷宫测量认知功能;通过免疫组织化学对β-淀粉样蛋白斑块负荷和caspase-3介导的细胞凋亡进行定量。在12月龄时,麻醉暴露并未进一步加剧转基因小鼠的认知衰退。然而,免疫组织化学显示,与异氟烷处理的小鼠或未暴露的转基因小鼠相比,暴露于氟烷的Tg2576小鼠有更多的淀粉样病变。异氟烷暴露损害了非转基因小鼠的认知功能,这意味着存在神经退行性变的另一条途径。这些发现表明,吸入麻醉剂会影响认知和淀粉样蛋白生成,但其机制关系仍不清楚。