II Department of Anesthesiology and Intensive Care, Medical University of Lublin, ul. Staszica 16, 20-081 Lublin, Poland.
Department of Animal Physiology and Pharmacology, Maria Curie-Skłodowska University, 20-033 Lublin, Poland.
Int J Environ Res Public Health. 2021 Nov 24;18(23):12367. doi: 10.3390/ijerph182312367.
Experimental studies have demonstrated that general anesthetics administered during the period of synaptogenesis may induce widespread neurodegeneration, which results in permanent cognitive and behavioral deficits. What remains to be elucidated is the extent of the potential influence of the commonly used hypnotics on comorbidities including epilepsy, which may have resulted from increased neurodegeneration during synaptogenesis. This study aimed to test the hypothesis that neuropathological changes induced by anesthetics during synaptogenesis may lead to changes in the seizure threshold during adulthood. Wistar rat pups were treated with propofol, sevoflurane, or saline on the sixth postnatal day. The long-term effects of prolonged propofol and sevoflurane anesthesia on epileptogenesis were assessed using corneal kindling, pilocarpine-, and pentylenetetrazole-induced seizure models in adult animals. Body weight gain was measured throughout the experiment. No changes in the seizure threshold were observed in the three models. A significant weight gain after exposure to anesthetics during synaptogenesis was observed in the propofol group but not in the sevoflurane group. The results suggest that single prolonged exposure to sevoflurane or propofol during synaptogenesis may have no undesirable effects on epileptogenesis in adulthood.
实验研究表明,在突触发生期间给予全身麻醉可能会诱导广泛的神经退行性变,从而导致永久性的认知和行为缺陷。仍需阐明的是,常用的催眠药对包括癫痫在内的合并症的潜在影响程度,这可能是由于突触发生期间神经退行性变增加所致。本研究旨在检验以下假设,即在突触发生期间麻醉引起的神经病理学变化可能导致成年期癫痫发作阈值的变化。在出生后第 6 天,Wistar 幼鼠接受异丙酚、七氟醚或生理盐水处理。使用角膜点燃、毛果芸香碱和戊四氮诱导的癫痫发作模型评估长期使用异丙酚和七氟醚麻醉对癫痫发生的影响。在整个实验过程中测量体重增加。在三种模型中均未观察到癫痫发作阈值的变化。在突触发生期间暴露于麻醉剂后,异丙酚组观察到明显的体重增加,但七氟醚组则没有。结果表明,在突触发生期间单次长时间暴露于七氟醚或异丙酚可能对成年期的癫痫发生没有不良影响。