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体内异氟醚麻醉调控基因的微阵列分析:一种鉴定潜在预处理机制的新方法。

Microarray analyses of genes regulated by isoflurane anesthesia in vivo: a novel approach to identifying potential preconditioning mechanisms.

机构信息

Neuroscience Program, Department of Biological Sciences, Smith College, Ford Hall 235a, Northampton, MA 01063, USA.

出版信息

Anesth Analg. 2013 Mar;116(3):589-95. doi: 10.1213/ANE.0b013e31827b27b0. Epub 2013 Feb 11.

DOI:10.1213/ANE.0b013e31827b27b0
PMID:23400992
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3582752/
Abstract

BACKGROUND

Although general anesthetics are recognized for their potential to render patients unconscious during surgery, exposure can also lead to long-term outcomes of both cellular damage and protection. As regards the latter, delayed anesthetic preconditioning is an evolutionarily conserved physiological response that has the potential for protecting against ischemic injury in a number of tissues. Although it is known that delayed preconditioning requires de novo protein synthesis, knowledge of anesthetic-regulated genes is incomplete. In this study, we used the conserved nature of preconditioning to analyze differentially regulated genes in 3 different rat tissues. We hypothesized that by selecting those genes regulated in multiple tissues, we could develop a focused list of gene candidates potentially involved in delayed anesthetic preconditioning.

METHODS

Young adult male Sprague-Dawley rats were anesthetized with a 2% isoflurane/98% air mixture for 90 minutes. Immediately after anesthetic exposure, animals were euthanized and liver, kidney, and heart were removed and total RNA was isolated. Differential gene expression was determined using rat oligonucleotide gene arrays. Array data were analyzed to select for genes that were significantly regulated in multiple tissues.

RESULTS

All 3 tissues showed differentially regulated genes in response to a clinically relevant exposure to isoflurane. Analysis of coordinately regulated genes yielded a focused list of 34 potential gene candidates with a range of ontologies including regulation of inflammation, modulation of apoptosis, regulation of ion gradients, and maintenance of energy pathways.

CONCLUSIONS

Through using an analysis approach focusing on coordinately regulated genes, we were able to generate a focused list of interesting gene candidates with potential to enable future preconditioning studies.

摘要

背景

尽管全身麻醉剂被认为具有使患者在手术过程中失去意识的潜力,但接触全身麻醉剂也会导致细胞损伤和保护的长期后果。就后者而言,延迟麻醉预处理是一种进化保守的生理反应,具有保护多种组织免受缺血性损伤的潜力。尽管已知延迟预处理需要新的蛋白质合成,但对麻醉调节基因的了解并不完整。在这项研究中,我们利用预处理的保守性来分析 3 种不同大鼠组织中差异调节的基因。我们假设,通过选择在多种组织中调节的基因,我们可以开发出一组潜在涉及延迟麻醉预处理的基因候选物的重点列表。

方法

年轻成年雄性 Sprague-Dawley 大鼠用 2%异氟烷/98%空气混合物麻醉 90 分钟。麻醉暴露后立即处死动物,取出肝脏、肾脏和心脏,提取总 RNA。使用大鼠寡核苷酸基因芯片测定差异基因表达。对芯片数据进行分析,选择在多个组织中显著调节的基因。

结果

所有 3 种组织对临床相关异氟烷暴露均显示出差异调节的基因。对协调调节基因的分析产生了 34 个潜在基因候选物的重点列表,其本体论范围包括炎症调节、凋亡调节、离子梯度调节和能量途径维持。

结论

通过使用关注协调调节基因的分析方法,我们能够生成一组有趣的基因候选物的重点列表,这些候选物有可能为未来的预处理研究提供帮助。

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本文引用的文献

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Multiple preconditioning paradigms converge on interferon regulatory factor-dependent signaling to promote tolerance to ischemic brain injury.多种预处理方案集中于干扰素调节因子依赖性信号传导,以促进对缺血性脑损伤的耐受。
J Neurosci. 2011 Jun 8;31(23):8456-63. doi: 10.1523/JNEUROSCI.0821-11.2011.
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Role for metallothioneins-I/II in isoflurane preconditioning of primary murine neuronal cultures.金属硫蛋白-I/II在原代小鼠神经元培养物异氟烷预处理中的作用
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Cleavage of phospholipase D1 by caspase promotes apoptosis via modulation of the p53-dependent cell death pathway.半胱天冬酶对磷脂酶D1的切割通过调节p53依赖性细胞死亡途径促进细胞凋亡。
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Delayed preconditioning effect of isoflurane on spinal cord ischemia in rats.异氟烷对大鼠脊髓缺血的延迟预处理作用
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Inhibition of mitochondrial permeability transition pore opening by ischemic preconditioning is probably mediated by reduction of oxidative stress rather than mitochondrial protein phosphorylation.缺血预处理对线粒体通透性转换孔开放的抑制作用可能是通过降低氧化应激而非线粒体蛋白磷酸化介导的。
Circ Res. 2008 May 9;102(9):1082-90. doi: 10.1161/CIRCRESAHA.107.167072. Epub 2008 Mar 20.
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Ischemic preconditioning blocks BAD translocation, Bcl-xL cleavage, and large channel activity in mitochondria of postischemic hippocampal neurons.缺血预处理可阻断缺血后海马神经元线粒体中BAD易位、Bcl-xL裂解及大通道活性。
Proc Natl Acad Sci U S A. 2008 Mar 25;105(12):4892-7. doi: 10.1073/pnas.0800628105. Epub 2008 Mar 17.
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Volatile anesthetic preconditioning present in the invertebrate Caenorhabditis elegans.挥发性麻醉药预处理存在于无脊椎动物秀丽隐杆线虫中。
Anesthesiology. 2008 Mar;108(3):426-33. doi: 10.1097/ALN.0b013e318164d013.
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Extracellular matrix metalloproteinase inducer (CD147) is a novel receptor on platelets, activates platelets, and augments nuclear factor kappaB-dependent inflammation in monocytes.细胞外基质金属蛋白酶诱导剂(CD147)是血小板上一种新型受体,可激活血小板,并增强单核细胞中核因子κB依赖性炎症反应。
Circ Res. 2008 Feb 15;102(3):302-9. doi: 10.1161/CIRCRESAHA.107.157990. Epub 2007 Nov 29.
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Isoflurane preconditioning improves long-term neurologic outcome after hypoxic-ischemic brain injury in neonatal rats.异氟烷预处理可改善新生大鼠缺氧缺血性脑损伤后的长期神经功能预后。
Anesthesiology. 2007 Dec;107(6):963-70. doi: 10.1097/01.anes.0000291447.21046.4d.
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Sevoflurane but not propofol increases interstitial glycolysis metabolites availability during tourniquet-induced ischaemia-reperfusion.七氟醚而非丙泊酚在止血带诱导的缺血再灌注期间增加间质糖酵解代谢产物的可用性。
Br J Anaesth. 2008 Jan;100(1):29-35. doi: 10.1093/bja/aem321. Epub 2007 Nov 20.