Ryu Yun Kyoung, Mathena Reilley P, Lim Sanghee, Kwak Minhye, Xu Michael, Mintz Cyrus D
*School of Medicine, Columbia University College of Physicians and Surgeons, New York, NY†Department of Anesthesiology and Critical Care Medicine, Johns Hopkins Medical Institutes, Baltimore, MD.
J Neurosurg Anesthesiol. 2016 Oct;28(4):405-412. doi: 10.1097/ANA.0000000000000360.
Early postnatal exposure to general anesthetic agents causes a lasting impairment in learning and memory in animal models. One hypothesis to explain this finding is that exposure to anesthetic agents during critical points in neural development disrupts the formation of brain circuitry. Here, we explore the effects of sevoflurane on the neuronal growth cone, a specialization at the growing end of axons and dendrites that is responsible for the targeted growth that underlies connectivity between neurons.
Dissociated neuronal cultures were prepared from embryonic mouse neocortex. Time-lapse images of live growth cones exposed to anesthetics were taken using differential interference contrast microscopy, and the rate of change of the area of the lamellipodia and the speed of the filopodial tip were quantified as measures of motility. The involvement of the p75 neurotropin receptor (p75NTR) was tested using inhibitors applied to the media and by a coimmunoprecipitation assay.
The rate of lamellipodial area change and filopodial tip velocity in both axonal and dendritic growth cones was significantly reduced with sevoflurane exposure between 2% and 6%. Motility could be substantially restored by treatment with Y27632 and TAT-peptide 5, which are inhibitors of Rho Kinase and p75NTR, respectively. Sevoflurane results in reduced coimmunoprecipitation of Rho-Guanosine-5'-diphosphate dissociation inhibitor after pulldown with p75NTR.
Sevoflurane interferes with growth cone motility, which is a critical process in brain circuitry formation. Our data suggest that this may occur through an action on the p75NTR, which promotes growth inhibitory signaling by the Rho pathway.
出生后早期暴露于全身麻醉剂会在动物模型中导致学习和记忆的持久损害。解释这一发现的一种假说是,在神经发育的关键点暴露于麻醉剂会破坏脑回路的形成。在此,我们探讨七氟醚对神经元生长锥的影响,生长锥是轴突和树突生长末端的一种特化结构,负责神经元之间连接所必需的定向生长。
从胚胎小鼠新皮质制备解离的神经元培养物。使用微分干涉相差显微镜拍摄暴露于麻醉剂的活生长锥的延时图像,并将片状伪足面积的变化率和丝状伪足尖端的速度量化为运动性的指标。使用添加到培养基中的抑制剂和免疫共沉淀试验来检测p75神经营养因子受体(p75NTR)的参与情况。
在2%至6%的七氟醚暴露下,轴突和树突生长锥中的片状伪足面积变化率和丝状伪足尖端速度均显著降低。用Y27632和TAT-肽5处理可使运动性得到显著恢复,Y27632和TAT-肽5分别是Rho激酶和p75NTR的抑制剂。用p75NTR进行下拉后,七氟醚导致Rho-鸟苷-5'-二磷酸解离抑制剂的免疫共沉淀减少。
七氟醚干扰生长锥运动性,这是脑回路形成中的一个关键过程。我们的数据表明,这可能是通过对p75NTR的作用发生的,p75NTR通过Rho途径促进生长抑制信号传导。