Department of Anesthesia, Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430077, China.
Department of Anesthesia, Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430077, China.
Int Immunopharmacol. 2022 Jul;108:108912. doi: 10.1016/j.intimp.2022.108912. Epub 2022 Jun 4.
Developmental neurotoxicity is a serious consequence of repeated exposure to sevoflurane during the postnatal period. Neuroinflammation is closely related to sevoflurane-induced developmental neurotoxicity. The present study explored the potential effect of maresin 1 (MaR1), an anti-inflammatory agent, on neuroinflammation and neurotoxicity induced by repeated sevoflurane exposure. In this study, MaR1 ameliorated sevoflurane-induced cognitive dysfunction, Tau hyperphosphorylation, and synaptic protein reduction. The protein level of the proinflammatory factor interleukin-6 (IL-6) and its upstream regulator Janus kinase 2 (JAK2)/signal transducer and activator of transcription 3 (STAT3) signaling pathway were substantially upregulated by sevoflurane in rat brains, but downregulated after MaR1 administration. To confirm the involvement of this pathway, we used coumermycin A1 (CA1), a chemical dimeric natural product that induced dimerization and activation of JAK2, and observed that the protective effect of MaR1 against sevoflurane-induced toxicity was completely blocked, as shown by decreased synaptic protein levels and increased Tau phosphorylation. Furthermore, it confirmed by dual luciferase reporter assay that there existed a STAT3's binding motif on the promoter sequence of IL-6. These results suggest that the protective effect of MaR1 against developmental neurotoxicity is mediated through the JAK2/STAT3/IL-6 signaling pathway and provide an experimental basis for clinical guidance on the use of sevoflurane.
发育神经毒性是在出生后期间反复接触七氟醚的严重后果。神经炎症与七氟醚诱导的发育神经毒性密切相关。本研究探讨了maresin 1(MaR1)作为一种抗炎剂对重复七氟醚暴露引起的神经炎症和神经毒性的潜在作用。在这项研究中,MaR1 改善了七氟醚诱导的认知功能障碍、Tau 过度磷酸化和突触蛋白减少。七氟醚在大鼠脑中显著上调了促炎因子白细胞介素-6(IL-6)及其上游调节因子 Janus 激酶 2(JAK2)/信号转导和转录激活因子 3(STAT3)信号通路的蛋白水平,而 MaR1 给药后则下调了其蛋白水平。为了证实该通路的参与,我们使用了 coumermycin A1(CA1),一种化学二聚天然产物,可诱导 JAK2 的二聚化和激活,结果表明 MaR1 对七氟醚诱导的毒性的保护作用完全被阻断,如突触蛋白水平降低和 Tau 磷酸化增加。此外,双荧光素酶报告基因检测证实 IL-6 启动子序列上存在 STAT3 结合基序。这些结果表明,MaR1 对发育神经毒性的保护作用是通过 JAK2/STAT3/IL-6 信号通路介导的,为七氟醚临床应用提供了实验依据。
Int Immunopharmacol. 2022-7
Eur Rev Med Pharmacol Sci. 2019-2