Chen Chunlong, Ji Muhuo, Xu Qian, Zhang Yao, Sun Qian, Liu Jian, Zhu Sihai, Li Weiyan
Department of Anesthesiology, Jinling Hospital, School of Medicine, Nanjing University, 305 East Zhongshan Road, Nanjing, 210002, China.
J Anesth. 2015 Aug;29(4):600-8. doi: 10.1007/s00540-014-1964-x. Epub 2014 Dec 23.
Post-traumatic stress disorder (PTSD) is a psychiatric disease that may occur after intense psychological trauma or physiological stress. Accumulating evidence suggests that brain-derived neurotrophic factor (BDNF) and the serine/threonine kinase (Akt)/glycogen synthase kinase-3β (GSK-3β) signaling pathway are critically involved in brain plasticity, including hippocampal-dependent learning and memory, while sevoflurane impairs memory processing. Thus, we hypothesized that sevoflurane can suppress fear learning by regulating the expression of BDNF and the Akt/GSK-3β signaling pathway in a rat model of PTSD.
Rats were exposed to sevoflurane during or after a 15 foot-shock stressor. Thereafter, rats were subjected to a single foot-shock in a totally different environment. The fear response was recorded in response to the 15 foot-shock and the single foot-shock environments. In another set of experiments, the brain tissue was harvested and subjected to biochemistry studies.
Our data suggested that increasing sevoflurane concentrations decreased stress-enhanced fear learning (SEFL) when given during but not after the stressor. Furthermore, administration of lithium chloride (100 mg/kg, intraperitoneally) 30 min before the contextual fear conditioning reversed the inhibitory effect of 0.8 % sevoflurane on SEFL as well as phosphorylated (p)-Akt, p-GSK-3β and BDNF expressions.
Our data suggested that increasing sevoflurane administration during but not after the stressor can impair SEFL in a rat model of PTSD, which may be due, at least in part, to the regulation of hippocampal BDNF expression and the Akt/GSK-3β signaling pathway.
创伤后应激障碍(PTSD)是一种可能在强烈心理创伤或生理应激后发生的精神疾病。越来越多的证据表明,脑源性神经营养因子(BDNF)和丝氨酸/苏氨酸激酶(Akt)/糖原合酶激酶-3β(GSK-3β)信号通路在大脑可塑性中起关键作用,包括海马依赖性学习和记忆,而七氟醚会损害记忆处理。因此,我们假设七氟醚可以通过调节PTSD大鼠模型中BDNF的表达和Akt/GSK-3β信号通路来抑制恐惧学习。
大鼠在15次足部电击应激期间或之后暴露于七氟醚。此后,大鼠在完全不同的环境中接受单次足部电击。记录对15次足部电击和单次足部电击环境的恐惧反应。在另一组实验中,采集脑组织并进行生化研究。
我们的数据表明,在应激期间给予七氟醚时,增加七氟醚浓度可降低应激增强的恐惧学习(SEFL),但在应激后给予则不然。此外,在情境恐惧条件反射前30分钟腹腔注射氯化锂(100mg/kg)可逆转0.8%七氟醚对SEFL以及磷酸化(p)-Akt、p-GSK-3β和BDNF表达的抑制作用。
我们的数据表明,在应激期间而非应激后增加七氟醚给药可损害PTSD大鼠模型中的SEFL,这可能至少部分归因于对海马BDNF表达和Akt/GSK-3β信号通路的调节。