Department of Anesthesiology, University of Virginia, Charlottesville, VA 22908, USA; Department of Anesthesiology, General Hospital of Ningxia Medical University, Yinchuan, Ningxia, China.
Department of Anesthesiology, University of Virginia, Charlottesville, VA 22908, USA.
Behav Brain Res. 2023 Aug 24;452:114577. doi: 10.1016/j.bbr.2023.114577. Epub 2023 Jul 8.
Postoperative cognitive dysfunction (POCD) is a common complication after surgery. Peripheral immune cells may contribute to the development of POCD. However, molecules that are important for this contribution are not known. We hypothesize that formyl peptide receptor 1 (FPR1), a molecule critical for the migration of the monocytes and neutrophils into the brain after brain ischemia, is central to the development of postoperative neuroinflammation and dysfunction of learning and memory. Male C57BL/6 (wild-type) mice and FPR1 mice received right carotid artery exposure surgery. Some wild-type mice received cFLFLF, an FPR1 antagonist. Mouse brains were harvested 24 h after the surgery for biochemical analysis. Mice were subjected to the Barnes maze and fear conditioning tests to determine their learning and memory from 2 weeks after the surgery. We found that surgery increased FPR1 in the brain and proinflammatory cytokines in the blood and brain of wild-type mice. Surgery also impaired their learning and memory. cFLFLF attenuated these effects. Surgery did not induce an increase in the proinflammatory cytokines and impairment of learning and memory in FPR1 mice. These results suggest that FPR1 is important for the development of neuroinflammation and dysfunction of learning and memory after surgery. Specific interventions that inhibit FPR1 may be developed to reduce POCD.
术后认知功能障碍(POCD)是手术后常见的并发症。外周免疫细胞可能有助于 POCD 的发展。然而,对于这种贡献很重要的分子尚不清楚。我们假设,在脑缺血后,单核细胞和中性粒细胞迁移到大脑中至关重要的甲酰肽受体 1(FPR1)分子,对于术后神经炎症和学习记忆功能障碍的发展至关重要。雄性 C57BL/6(野生型)小鼠和 FPR1 小鼠接受右侧颈总动脉暴露手术。一些野生型小鼠接受 FPR1 拮抗剂 cFLFLF。手术后 24 小时采集小鼠大脑进行生化分析。手术后 2 周,对小鼠进行 Barnes 迷宫和恐惧条件反射测试以确定其学习和记忆能力。我们发现手术增加了野生型小鼠大脑中的 FPR1 和血液及大脑中的促炎细胞因子。手术还损害了它们的学习和记忆能力。cFLFLF 减轻了这些影响。FPR1 小鼠的手术并未引起促炎细胞因子的增加和学习记忆功能障碍。这些结果表明,FPR1 对于手术后神经炎症和学习记忆功能障碍的发展很重要。可能会开发出特异性抑制 FPR1 的干预措施来减少 POCD。