Department of Anesthesiology, University Hospital of Geneva, Geneva, Switzerland.
Anesthesiology. 2010 Mar;112(3):546-56. doi: 10.1097/ALN.0b013e3181cd7942.
Recent experimental observations suggest that, in addition to induce neuroapoptosis, anesthetics can also interfere with synaptogenesis during brain development. The aim of this study was to pursue this issue by evaluating the exposure time-dependent effects of volatile anesthetics on neuronal cytoarchitecture in 16-day-old rats, a developmental stage characterized by intense synaptogenesis in the cerebral cortex.
Whistar rats underwent isoflurane (1.5%), sevoflurane (2.5%), or desflurane (7%) anesthesia for 30, 60, and 120 min at postnatal day 16, and the effect of these treatments on neuronal cytoarchitecture was evaluated 6 h after the initiation of anesthesia. Cell death was assessed using Fluoro-Jade B staining and terminal deoxynucleotidyl transferase deoxyuridine triphosphate nick-end labeling assay. Ionotophoretic injections into layer 5 pyramidal neurons in the medial prefrontal cortex allowed visualization of dendritic arbor. Tracing of dendritic tree was carried out using the Neurolucida station (Microbrightfield, Williston, VT), whereas dendritic spines were analyzed using confocal microscopy.
Up to a 2-h-long exposure, none of the volatile drugs induced neuronal cell death or significant changes in gross dendritic arbor pattern of layer 5 pyramidal neurons in pups at postnatal day 16. In contrast, these drugs significantly increased dendritic spine density on dendritic shafts of these cells. Importantly, considerable differences were found between these three volatile agents in terms of exposure time-dependent effects on dendritic spine density.
These new results suggest that volatile anesthetics, with different potencies and without inducing cell death, could rapidly interfere with physiologic patterns of synaptogenesis and thus might impair appropriate circuit assembly in the developing cerebral cortex.
最近的实验观察表明,除了诱导神经细胞凋亡外,麻醉剂还可以干扰大脑发育过程中的突触发生。本研究旨在通过评估挥发性麻醉剂对 16 日龄大鼠(大脑皮质中突触发生强烈的发育阶段)神经元细胞结构的暴露时间依赖性影响来探讨这个问题。
新生后 16 天的 Whistar 大鼠接受异氟烷(1.5%)、七氟烷(2.5%)或地氟烷(7%)麻醉 30、60 和 120 分钟,并在麻醉开始后 6 小时评估这些处理对神经元细胞结构的影响。使用氟硼二吡咯(Fluoro-Jade B)染色和末端脱氧核苷酸转移酶脱氧尿苷三磷酸末端标记(terminal deoxynucleotidyl transferase deoxyuridine triphosphate nick-end labeling assay)评估细胞死亡。通过在额内侧前皮质的第 5 层锥体神经元中进行离子电泳注射,使树突状分支可视化。使用 Neurolucida 站(Microbrightfield,Williston,VT)对树突进行追踪,并用共聚焦显微镜分析树突棘。
在长达 2 小时的暴露时间内,三种挥发性药物均未引起新生后 16 天的幼鼠神经元死亡或第 5 层锥体神经元的总树突状分支模式发生显著变化。相反,这些药物显著增加了这些细胞树突干上的树突棘密度。重要的是,这三种挥发性药物在暴露时间依赖性对树突棘密度的影响方面存在明显差异。
这些新结果表明,具有不同效力且不引起细胞死亡的挥发性麻醉剂可能会迅速干扰突触发生的生理模式,从而可能损害发育中的大脑皮层中的适当回路组装。