Department of Anesthesiology, The Second Hospital of Shandong University, Jinan, Shandong, China.
Eur Rev Med Pharmacol Sci. 2017 Apr;21(8):1980-1989.
General anesthesia impairs spatial learning and memory in neonatal rats. The aim of this study was to investigate whether the Wnt pathway was involved in neonatal isoflurane and sevoflurane exposure-induced neurocognitive impairment.
Sprague-Dawley rats were randomly assigned to administration isoflurane or sevoflurane for 6 hours at postnatal 7 days. Wnt inhibitor XAV 939 was administrated 30 min before anesthesia. Morris water maze was used to test the learning and memory at 5-week and 10-week. Hematoxylin and Eosin (H&E) stain was performed to evaluation the neuronal death in the hippocampus. Quantitative Real-time PCR (q-PCR) and Western blot assays were used to measure mRNA and proteins expression levels of the Wnt3a, GSK 3β and β-catenin, respectively.
The results showed that isoflurane or sevoflurane could significantly increase neonatal death and cell lost in the developing brain and the Wnt inhibitor could improve the cell degeneration. It demonstrated that isoflurane or sevoflurane could impair the P7 rats learning and memory capability, while these effects were reduced over time. When rats treated Wnt inhibitor at 30 min before anesthesia, the impairment of brain could relieve. q-PCR and Western blot demonstrated that isoflurane or sevoflurane affects expression levels of Wnt3a, GSK 3β and β-catenin. These results suggested that impairment of learning and memory in P7 rats may be related to the Wnt signaling pathway.
The results suggested general anesthesia treatment led to increased brain cell degeneration and impaired learning and memory in P7 rats via Wnt signaling pathway.
全身麻醉会损害新生大鼠的空间学习和记忆能力。本研究旨在探讨 Wnt 通路是否参与了新生大鼠吸入异氟醚和七氟醚诱导的神经认知障碍。
将 Sprague-Dawley 大鼠随机分为吸入异氟醚或七氟醚组,于生后 7 天给予 6 小时麻醉处理。Wnt 抑制剂 XAV 939 在麻醉前 30 分钟给予。Morris 水迷宫用于测试 5 周和 10 周时的学习和记忆能力。苏木精和伊红(H&E)染色用于评估海马神经元死亡。定量实时 PCR(q-PCR)和 Western blot 检测分别用于测量 Wnt3a、GSK 3β 和 β-catenin 的 mRNA 和蛋白表达水平。
结果表明,异氟醚或七氟醚可显著增加发育期大脑中的新生大鼠死亡率和细胞丢失,而 Wnt 抑制剂可改善细胞变性。这表明异氟醚或七氟醚可损害 P7 大鼠的学习和记忆能力,且这种影响随时间推移而减弱。当大鼠在麻醉前 30 分钟给予 Wnt 抑制剂时,脑损伤可得到缓解。q-PCR 和 Western blot 表明,异氟醚或七氟醚影响 Wnt3a、GSK 3β 和 β-catenin 的表达水平。这些结果提示,P7 大鼠学习和记忆能力的损害可能与 Wnt 信号通路有关。
结果表明,全身麻醉治疗可能通过 Wnt 信号通路导致 P7 大鼠脑细胞变性增加和学习记忆能力受损。