Department of Anesthesiology, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School , Nanjing, Jiangsu, PR China.
Jiangsu Key Laboratory of Molecular Medicine, Nanjing University , Nanjing, PR China.
Chronobiol Int. 2021 Jan;38(1):38-45. doi: 10.1080/07420528.2020.1832111. Epub 2020 Oct 21.
The role of the serotonin 7 receptor (5-HT receptor) subtype in a number of domains has been widely recognized, but its role in the regulation of changes of the circadian rhythm after anesthesia is still unclear. We used intraperitoneal injection of 5-HT receptor agonist LP-211 or antagonist SB-269970 in mice to influence the level of 5-HT receptor protein in the SCN and to observe the role of this receptor on circadian rhythm changes after isoflurane anesthesia. Our results show the appropriate dose of SB-269970 significantly alleviated the circadian rhythm disorder induced by isoflurane anesthesia, while LP-211 significantly aggravated it after anesthesia, which is different from the phase shift that can be caused by the administration of LP-211 before anesthesia. These findings may indicate the 5-HT receptor plays a complex role in the regulation of circadian rhythm after anesthesia. Our findings may provide some positive significance for alleviating circadian rhythm disorder in patients after anesthesia and ultimately promoting rapid postoperative recovery.
5-羟色胺 7 受体(5-HT 受体)亚型在许多领域的作用已得到广泛认可,但它在麻醉后对昼夜节律变化的调节作用仍不清楚。我们使用腹腔注射 5-HT 受体激动剂 LP-211 或拮抗剂 SB-269970 影响 SCN 中 5-HT 受体蛋白的水平,并观察该受体在异氟烷麻醉后对昼夜节律变化的作用。我们的结果表明,适当剂量的 SB-269970 显著减轻了异氟烷麻醉引起的昼夜节律紊乱,而 LP-211 在麻醉后则显著加重了这种紊乱,这与麻醉前给予 LP-211 引起的相位移动不同。这些发现可能表明 5-HT 受体在麻醉后昼夜节律调节中发挥着复杂的作用。我们的发现可能对缓解麻醉后患者的昼夜节律紊乱并最终促进术后快速恢复提供一些积极意义。