Department of Anesthesiology, Zhongnan Hospital of Wuhan University, 169, Donghu Road, Wuhan, 430071, China,
Inflamm Res. 2014 May;63(5):411-8. doi: 10.1007/s00011-014-0713-9. Epub 2014 Feb 1.
Activation of microglia is involved in a broad range of neuroinflammatory diseases. Suppression of microglial activation may, therefore, contribute to alleviate the progression of neuroinflammatory diseases. It has been reported that propofol has a potent anti-inflammatory property. In the present study, we investigated the effects of posttreatment with propofol on the production of inflammatory molecules in lipopolysaccharide (LPS)-stimulated microglia.
Microglia were exposed to various concentrations (25, 50, 100, 250 μM) of propofol for 1 h after LPS stimulation for 24 h. The levels of proinflammatory mediators inducible nitric oxide synthase (iNOS)/nitric oxide (NO), cyclooxygenase-2 (COX-2)/prostaglandin E2 (PGE2), tumor necrosis factor-α (TNF-α) and interleukin-1β (IL-1β) were measured.
Propofol at a concentration of 25 μM did not affect the production of proinflammatory mediators, which was enhanced by LPS. At the concentrations of 50, 100, and 250 μM, propofol significantly inhibited LPS-mediated production of NO, PGE2, TNF-α, and IL-1β and the expression of iNOSmRNA, COX-2mRNA, TNF-α mRNA, and IL-1β mRNA.
These results suggest that propofol, at clinically relevant concentrations, can reduce inflammatory responses in LPS-induced inflammation in activated microglia and might be an intravenous anesthetic of choice when patients with neuroinflammatory diseases require sedation and/or general anesthesia.
小胶质细胞的激活涉及广泛的神经炎症性疾病。因此,抑制小胶质细胞的激活可能有助于减轻神经炎症性疾病的进展。据报道,丙泊酚具有很强的抗炎特性。在本研究中,我们研究了丙泊酚在脂多糖(LPS)刺激的小胶质细胞中炎症分子产生后的治疗作用。
小胶质细胞在 LPS 刺激 24 小时后用不同浓度(25、50、100、250 μM)的丙泊酚处理 1 小时。测定诱导型一氧化氮合酶(iNOS)/一氧化氮(NO)、环氧化酶-2(COX-2)/前列腺素 E2(PGE2)、肿瘤坏死因子-α(TNF-α)和白细胞介素-1β(IL-1β)的促炎介质水平。
浓度为 25 μM 的丙泊酚不影响 LPS 增强的促炎介质的产生。在 50、100 和 250 μM 浓度下,丙泊酚显著抑制 LPS 介导的 NO、PGE2、TNF-α和 IL-1β的产生以及 iNOSmRNA、COX-2mRNA、TNF-αmRNA 和 IL-1βmRNA 的表达。
这些结果表明,在临床相关浓度下,丙泊酚可减少 LPS 诱导的激活小胶质细胞中炎症反应,当患有神经炎症性疾病的患者需要镇静和/或全身麻醉时,丙泊酚可能是静脉麻醉的首选药物。