Department of Interventional Neuroradiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan, China.
Department of Neurosurgery, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, Guangdong, China.
Aging (Albany NY). 2020 Dec 28;12(24):26121-26139. doi: 10.18632/aging.202349.
Isoflurane (ISO) elicits protective effects on ischemia-induced brain injury. We investigated whether sub-anesthetic (0.7%) ISO post-conditioning attenuates the inflammation and apoptosis in oxygen-glucose deprivation (OGD)-insulted co-cultures (microglia and neurons) and the brain injury of the middle cerebral arterial occlusion (MCAO) rat. We demonstrated that ISO augmented the viability of OGD-treated microglia and neurons. ISO reduced the expression and activation of COX2 and iNOS in OGD-challenged microglia. ISO repressed the production of tumor necrosis factor-α, interleukin (IL)-1β, IL-6, IL-8, and monocyte chemoattractant protein-1 in OGD-exposed microglia. ISO also decreased nucleosomal fragmentation and caspase-3 activity but increased mitochondrial membrane potential in OGD-stimulated microglia and neurons. Mechanistically, ISO suppressed OGD-induced microglial inflammation by blocking ROS-regulated p38 MAPK/NF-κB signaling pathway and hampered OGD-triggered microglial apoptosis in a ROS- or NO-dependent fashion. results with MCAO rats were partly consistent with the observation. These findings indicate that sub-anesthetic ISO post-conditioning abates the inflammation and apoptosis in OGD-stimulated rat microglia and the apoptosis of OGD-exposed neurons and the brain injuries of MCAO rats, suggesting it as a potentially effective therapeutic approach for ischemic brain damages.
异氟醚(ISO)对缺血性脑损伤具有保护作用。我们研究了亚麻醉(0.7%)ISO 后处理是否减轻了氧葡萄糖剥夺(OGD)损伤共培养物(小胶质细胞和神经元)中的炎症和细胞凋亡,以及大脑中动脉闭塞(MCAO)大鼠的脑损伤。我们证明 ISO 增强了 OGD 处理的小胶质细胞和神经元的活力。ISO 降低了 COX2 和 iNOS 在 OGD 刺激的小胶质细胞中的表达和激活。ISO 抑制了 OGD 暴露的小胶质细胞中肿瘤坏死因子-α、白细胞介素(IL)-1β、IL-6、IL-8 和单核细胞趋化蛋白-1 的产生。ISO 还降低了 OGD 刺激的小胶质细胞和神经元中的核小体片段化和 caspase-3 活性,但增加了线粒体膜电位。在机制上,ISO 通过阻断 ROS 调节的 p38 MAPK/NF-κB 信号通路抑制了 OGD 诱导的小胶质细胞炎症,并以 ROS 或 NO 依赖的方式阻止了 OGD 触发的小胶质细胞凋亡。MCAO 大鼠的结果与 观察结果部分一致。这些发现表明,亚麻醉 ISO 后处理减轻了 OGD 刺激的大鼠小胶质细胞中的炎症和细胞凋亡,以及 OGD 暴露的神经元和 MCAO 大鼠的脑损伤,提示其可能是一种有效的缺血性脑损伤治疗方法。