Xia Yimeng, Sun Xiaoyun, Luo Yan, Stary Creed M
Department of Anesthesiology, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, United States.
Front Mol Neurosci. 2019 Jan 9;11:486. doi: 10.3389/fnmol.2018.00486. eCollection 2018.
The underlying mechanisms of isoflurane neurotoxicity in the developing brain remain unclear. Ferroptosis is a recently characterized form of programmed cell death distinct from apoptosis or autophagy, characterized by iron-dependent reactive oxygen species (ROS) generation secondary to failure of glutathione-dependent antioxidant defenses. The results of the present study are the first to demonstrate that ferroptosis is a central mechanism contributing to isoflurane neurotoxicity. We observed in embryonic mouse primary cortical neuronal cultures (day- 7) that 6 h of 2% isoflurane exposure was associated with decreased transcription and protein expression of the lipid repair enzyme glutathione peroxidase 4. In parallel, isoflurane exposure resulted in increased ROS generation, disruption in mitochondrial membrane potential, and cell death. These effects were significantly attenuated by pre-treatment with the selective ferroptosis inhibitor ferrostatin-1 (Fer-1). Collectively, these observations provide a novel mechanism for isoflurane-induced injury in the developing brain and suggest that pre-treatment with Fer-1 may be a potential clinical intervention for neuroprotection.
异氟烷对发育中大脑产生神经毒性的潜在机制尚不清楚。铁死亡是一种最近被描述的程序性细胞死亡形式,不同于凋亡或自噬,其特征是由于谷胱甘肽依赖性抗氧化防御功能衰竭导致铁依赖性活性氧(ROS)生成。本研究结果首次证明铁死亡是异氟烷神经毒性的核心机制。我们在胚胎小鼠原代皮质神经元培养物(第7天)中观察到,暴露于2%异氟烷6小时与脂质修复酶谷胱甘肽过氧化物酶4的转录和蛋白质表达降低有关。同时,异氟烷暴露导致ROS生成增加、线粒体膜电位破坏和细胞死亡。用选择性铁死亡抑制剂铁抑素-1(Fer-1)预处理可显著减轻这些影响。总的来说,这些观察结果为异氟烷诱导发育中大脑损伤提供了一种新机制,并表明用Fer-1预处理可能是一种潜在的神经保护临床干预措施。