Wang Wei, Lu Rui, Feng Da-Yun, Zhang Hui
From the *State Key Laboratory of Military Stomatology, Department of Anesthesiology, School of Stomatology, and †Department of Neurosurgery, Tangdu Hospital, the Fourth Military Medical University, Xi'an, China.
Anesth Analg. 2016 Jul;123(1):93-102. doi: 10.1213/ANE.0000000000001238.
BACKGROUND: The mechanisms underlying general anesthesia-induced neurotoxicity are unclear. Astrocytes have been recognized as important contributors to neuronal development. Until now, the response of the astrocytes to neonatal general anesthetic exposure has been unreported. METHODS: Postnatal day 7 rats received 2.5% sevoflurane for 6 hours. Expressions of glial fibrillary acidic protein (GFAP) and glutamate-aspartate transporter (GLAST) and phosphorylation of the Janus kinase/signal transducer and activator of transcription (JAK/STAT) pathway were detected on days 1, 3, 7, and 14 after sevoflurane inhalation. In addition, cultured astrocytes were exposed to 2.5% sevoflurane for 2 hours and GFAP, GLAST expressions, and JAK/STAT phosphorylation were evaluated. Furthermore, we pharmacologically disrupted JAK/STAT signaling in vivo by treatment with the JAK/STAT inhibitor AG490 and in vitro by treatment with JAK inhibitor I to detect the consequent expression of GFAP and GLAST. RESULTS: Sevoflurane induced a robust decrease of GFAP and GLAST expression in hippocampal tissue compared with sham control groups at 1 to 14 days after sevoflurane exposure. Immunohistochemistry showed colocalization of GFAP, GLAST, and pSTAT3 in the hippocampal CA1 region. Western blot analysis also revealed a significant decrease of pJAK1, pJAK2, and pSTAT3 in the sevoflurane group. In vitro study showed that GFAP, GLAST, pJAK1, pJAK2, and pSTAT3 expressions in cultured astrocytes were remarkably decreased at 24 to 48 hours after sevoflurane treatment. Either AG490 or JAK inhibitor I significantly decreased expressions of GFAP and GLAST in hippocampus or cultured astrocytes. CONCLUSIONS: Astrocytic GLAST was inhibited by sevoflurane in the hippocampus of neonatal rats. Inactivation of the JAK/STAT pathway possibly contributes to this effect of sevoflurane. Astrocytic dysfunction induced by sevoflurane may contribute to its neurotoxicity in the developing brain.
背景:全身麻醉诱导神经毒性的潜在机制尚不清楚。星形胶质细胞已被认为是神经元发育的重要贡献者。到目前为止,星形胶质细胞对新生儿全身麻醉暴露的反应尚未见报道。 方法:出生后第7天的大鼠接受2.5%七氟醚麻醉6小时。在吸入七氟醚后的第1、3、7和14天,检测胶质纤维酸性蛋白(GFAP)和谷氨酸 - 天冬氨酸转运体(GLAST)的表达以及Janus激酶/信号转导和转录激活因子(JAK/STAT)途径的磷酸化情况。此外,将培养的星形胶质细胞暴露于2.5%七氟醚中2小时,并评估GFAP、GLAST的表达以及JAK/STAT的磷酸化情况。此外,我们在体内通过用JAK/STAT抑制剂AG490处理,在体外通过用JAK抑制剂I处理来药理学阻断JAK/STAT信号传导,以检测随后GFAP和GLAST的表达。 结果:与假手术对照组相比,七氟醚暴露后1至14天,七氟醚诱导海马组织中GFAP和GLAST表达显著降低。免疫组织化学显示GFAP、GLAST和pSTAT3在海马CA1区共定位。蛋白质印迹分析还显示七氟醚组中pJAK1、pJAK2和pSTAT3显著降低。体外研究表明,七氟醚处理后24至48小时,培养的星形胶质细胞中GFAP、GLAST、pJAK1、pJAK2和pSTAT3的表达显著降低。AG490或JAK抑制剂I均可显著降低海马或培养的星形胶质细胞中GFAP和GLAST的表达。 结论:七氟醚抑制新生大鼠海马中的星形胶质细胞GLAST。JAK/STAT途径的失活可能促成了七氟醚的这种作用。七氟醚诱导的星形胶质细胞功能障碍可能导致其对发育中大脑的神经毒性。
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