Veterans Administration Puget Sound Healthcare System, 1660 S. Columbian Way, S-182, Seattle, WA, 98108, USA.
Department of Cell, Developmental, and Regenerative Biology, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Pl, New York, NY, 10029, USA.
Lung. 2022 Apr;200(2):269-275. doi: 10.1007/s00408-022-00514-5. Epub 2022 Feb 23.
Anesthetics are required for procedures that deliver drugs/biologics, infectious/inflammatory agents, and toxicants directly to the lungs. However, the possible confounding effects of anesthesia on lung inflammation and injury are underreported. Here, we evaluated the effects of two commonly used anesthetic regimens on lung inflammatory responses to ozone in mice.
We tested the effects of brief isoflurane (Iso) or ketamine/xylazine/atipamezole (K/X/A) anesthesia prior to ozone exposure (4 h, 3 ppm) on lung inflammatory responses in mice. Anesthesia regimens modeled those used for non-surgical intratracheal instillations and were administered 1-2 h or 24 h prior to initiating ozone exposure.
We found that Iso given 1-2 h prior to ozone inhibited inflammatory responses in the lung, and this effect was absent when Iso was given 23-24 h prior to ozone. In contrast, K/X/A given 1-2 h prior to ozone increased lung and systemic inflammation.
Our results highlight the need to comprehensively evaluate anesthesia as an experimental variable in the assessment of lung inflammation in response to ozone and other inflammatory stimuli.
在将药物/生物制剂、感染/炎症因子和毒素直接递送至肺部的过程中需要使用麻醉剂。然而,麻醉对肺部炎症和损伤的可能混杂影响的报道较少。在这里,我们评估了两种常用麻醉方案对小鼠臭氧暴露后肺部炎症反应的影响。
我们测试了在臭氧暴露(4 小时,3 ppm)之前短暂使用异氟烷(Iso)或氯胺酮/二甲噻嗪/阿替美唑(K/X/A)麻醉对小鼠肺部炎症反应的影响。麻醉方案模拟了用于非手术气管内滴注的方案,并在开始臭氧暴露前 1-2 小时或 24 小时给予。
我们发现,在臭氧暴露前 1-2 小时给予 Iso 可抑制肺部炎症反应,而在臭氧暴露前 23-24 小时给予 Iso 时则没有这种作用。相比之下,在臭氧暴露前 1-2 小时给予 K/X/A 会增加肺部和全身炎症。
我们的结果强调了在评估臭氧和其他炎症刺激物引起的肺部炎症反应时,需要综合评估麻醉作为实验变量的必要性。