Department of Anesthesiology, Peking University School and Hospital of Stomatology, #22 Zhongguancun South Avenue, Haidian District, Beijing, 100081, China.
Neurochem Res. 2019 Apr;44(4):776-786. doi: 10.1007/s11064-018-02707-y. Epub 2019 Jan 2.
Inhaled anesthetic agents may be neurotoxic to the developing brain of a neonatal rodent. Isoflurane is a commonly used volatile anesthetic agent for maintenance of general anesthesia in various types of surgery. Neonatal exposure to isoflurane has been implicated in long-term neurocognitive dysfunction in children. The mechanisms of isoflurane-induced neurotoxicity have not been fully elucidated. Disruption of gut microbiota is currently attracting considerable interest as a vital pathogeny of some neurologic disorders. In the rat model, it is unknown whether neonatal exposure to isoflurane impacts the gut microbiota composition of juvenile animals. In the present study, postnatal 7-day-old male rats were exposed to 1 minimum alveolar concentration isoflurane for 4 h. Non-anesthetized rats served as controls. The fecal microbiomes of rats were observed using 16S RNA sequencing technique on postnatal day 42. Results indicated that composition of gut microbiota of isoflurane-exposed rats was different from controls. Several bacteria taxa in isoflurane-exposed rats were different from those of controls at various taxonomic levels. In particular, the abundance of Firmicutes, Proteobacteria, Clostridia, Clostridiales, and Lachnospiraceae were significantly increased in exposed rats and the abundance of Bacteroidetes, Actinobacteria, Bacteroidia and Bacteroidaceae were significantly decreased compared to controls. These results may offer new insights into the pathogenesis of isoflurane-induced neurotoxicity.
吸入麻醉剂可能对新生啮齿动物的大脑发育具有神经毒性。异氟烷是一种常用于各种手术全身麻醉维持的挥发性麻醉剂。新生儿接触异氟烷与儿童长期神经认知功能障碍有关。异氟烷诱导的神经毒性的机制尚未完全阐明。肠道微生物群的破坏目前作为一些神经疾病的重要发病机制引起了相当大的关注。在大鼠模型中,尚不清楚新生儿接触异氟烷是否会影响幼年动物的肠道微生物群组成。在本研究中,对出生后 7 天的雄性大鼠进行 1 最低肺泡浓度异氟烷 4 小时暴露。未麻醉的大鼠作为对照。在出生后第 42 天,使用 16S RNA 测序技术观察大鼠的粪便微生物组。结果表明,异氟烷暴露大鼠的肠道微生物群组成与对照组不同。在不同的分类水平上,异氟烷暴露大鼠的几种细菌分类群与对照组不同。特别是,暴露组的厚壁菌门、变形菌门、梭菌纲、梭菌目和lachnospiraceae 的丰度显著增加,而对照组的拟杆菌门、放线菌门、拟杆菌纲和拟杆菌科的丰度显著降低。这些结果可能为异氟烷诱导的神经毒性的发病机制提供新的见解。