Chinn Gregory A, Cummins Marcus H, Sall Jeffrey W
From the Department of Anesthesia and Perioperative Care, University of California, San Francisco, San Francisco, California.
Anesth Analg. 2024 Apr 1;138(4):856-865. doi: 10.1213/ANE.0000000000006583. Epub 2024 Jun 22.
Developmental anesthetic neurotoxicity is well described in animal models for GABAergic, sedating drugs. Here we investigate the role of the benzodiazepine, diazepam on spatial and recognition memory of young adult rats after neonatal exposure.
On postnatal day 7, male (n = 30) and female (n = 30) rats were exposed to diazepam (30 mg/kg intraperitoneally) or vehicle. On postnatal day 42, animals started a series of behavioral tests including Barnes maze (spatial memory), object recognition battery (recognition memory), and open field and elevated plus maze (anxiety). In a separate cohort, blood gases were obtained from diazepam-exposed animals and compared to isoflurane-exposed animals (1 MAC for 4 hours).
Male animals exposed to diazepam had impaired performance in the Barnes maze and were unable to differentiate the goal quadrant from chance (1-sample t test; tdiazepam/male (14) = 1.49, P = .158). Female rats exposed to diazepam performed the same as the vehicle controls ( tdiazepam/female (12) = 3.4, P = .005, tvehicle/female (14) = 3.62, P = .003, tvehicle/male (13) = 4.76, P < .001). There were no statistical differences in either males or females in measures of recognition memory, anxiety, or locomotor activity in other behavioral tests. Physiologic measurements of arterial blood gases taken from animals under sedation with diazepam were much less aberrant than those exposed to the volatile anesthetic isoflurane by t test (pH diazepam [M = 7.56, standard deviation {SD} = 0.11] versus pH Isoflurane [M = 7.15, SD = 0.02], t (10) = 8.93, P < .001; Paco 2diazepam [M = 32.8 mm Hg, SD = 10.1] versus Paco 2Isoflurane [M = 91.8 mm Hg, SD = 5.8], t (10) = 8.93, P < .001).
The spatial memory results are consistent with volatile anesthetic suggesting a model in which development of the GABA system plays a critical role in determining susceptibility to behavioral deficits.
发育性麻醉神经毒性在针对γ-氨基丁酸能镇静药物的动物模型中已有充分描述。在此,我们研究苯二氮䓬类药物地西泮对新生期暴露的年轻成年大鼠空间记忆和识别记忆的作用。
在出生后第7天,雄性(n = 30)和雌性(n = 30)大鼠被给予地西泮(腹腔注射30 mg/kg)或溶剂。在出生后第42天,动物开始一系列行为测试,包括巴恩斯迷宫(空间记忆)、物体识别测试组(识别记忆)以及旷场实验和高架十字迷宫实验(焦虑)。在另一组实验中,从暴露于地西泮的动物获取血气,并与暴露于异氟烷的动物(1 MAC,持续4小时)进行比较。
暴露于地西泮的雄性动物在巴恩斯迷宫中的表现受损,无法将目标象限与随机情况区分开来(单样本t检验;地西泮/雄性组(14)t值 = 1.49,P = 0.158)。暴露于地西泮的雌性大鼠表现与溶剂对照组相同(地西泮/雌性组(12)t值 = 3.4,P = 0.005,溶剂/雌性组(14)t值 = 3.62,P = 0.003,溶剂/雄性组(13)t值 = 4.76,P < 0.001)。在其他行为测试中的识别记忆、焦虑或运动活动测量方面,雄性和雌性均无统计学差异。通过t检验,在镇静状态下从给予地西泮的动物获取的动脉血气生理测量值比暴露于挥发性麻醉剂异氟烷的动物的测量值异常程度小得多(pH值:地西泮组[M = 7.56,标准差{SD} = 0.11] 对比异氟烷组[M = 7.15,SD = 0.02],t(10) = 8.93,P < 0.001;二氧化碳分压:地西泮组[M = 32.8 mmHg,SD = 10.1] 对比异氟烷组[M = 91.8 mmHg,SD = 5.8],t(10) = 8.93,P < 0.001)。
空间记忆结果与挥发性麻醉剂的情况一致,提示γ-氨基丁酸系统的发育在决定行为缺陷易感性方面起关键作用的模型。