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氯胺酮通过抑制 NF-κB 信号通路和减少促炎细胞因子释放来预防七氟醚诱导的大鼠神经毒性。

Clonidine Protects Against Neurotoxicity Induced by Sevoflurane Through NF-κB Signaling Inhibition and Proinflammatory Cytokine Release in Rats.

机构信息

Department of Anesthesia, the Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.

Department of Urinary Surgery, the Second Affiliated Hospital of Nanchang University, minde road No.1, Nanchang, 330006, Jiangxi, China.

出版信息

J Mol Neurosci. 2018 Aug;65(4):507-513. doi: 10.1007/s12031-018-1117-z. Epub 2018 Aug 2.

Abstract

Exposure of neonatal animals to anesthetics may cause developmental functional changes and acute structural anomalies in the brain. Clonidine, an α2-adrenoceptor agonist, functions as an analgesic and sedative and protects against brain injury. Nevertheless, whether clonidine protects the developing brain from damage caused by sevoflurane (SEVO) anesthesia remains unclear. Seven-day-old rats were exposed to 3% SEVO for 6 h, during which time either clonidine or saline was injected three times. The arterial blood gases, respiratory rate, and anesthesia level of each rat were evaluated. Western blot analysis was employed to detect proinflammatory cytokines, NF-κB, and cleaved-caspase-3. Surgical anesthesia was adequately induced by SEVO. No rats died during the study. Compared with untreated rats, SEVO induced production of cleaved-caspase-3. Administration of clonidine and SEVO significantly reduced apoptosis. Moreover, nuclear translocation and NF-κB phosphorylation were inhibited by clonidine, and interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α), and interleukin-1β (IL-1β) production decreased after SEVO administration. Marked apoptosis in the brain was induced by SEVO anesthesia. Clonidine treatment provided significant protection against SEVO-induced apoptosis.

摘要

新生动物暴露于麻醉剂下可能会导致大脑发育功能改变和急性结构异常。可乐定是一种α2-肾上腺素能受体激动剂,具有镇痛和镇静作用,并可预防脑损伤。然而,可乐定是否能保护发育中的大脑免受七氟醚(SEVO)麻醉引起的损伤仍不清楚。将 7 日龄大鼠暴露于 3% SEVO 中 6 小时,在此期间,可乐定或生理盐水被注射三次。评估每只大鼠的动脉血气、呼吸频率和麻醉水平。采用 Western blot 分析检测促炎细胞因子、NF-κB 和 cleaved-caspase-3。SEVO 充分诱导手术麻醉。研究过程中没有大鼠死亡。与未处理的大鼠相比,SEVO 诱导 cleaved-caspase-3 的产生。可乐定和 SEVO 的给药显著减少细胞凋亡。此外,可乐定抑制核转位和 NF-κB 磷酸化,SEVO 给药后白细胞介素 6(IL-6)、肿瘤坏死因子-α(TNF-α)和白细胞介素 1β(IL-1β)的产生减少。SEVO 麻醉可诱导大脑明显凋亡。可乐定治疗对 SEVO 诱导的凋亡提供了显著保护。

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