Department of Anesthesiology, Zhongnan Hospital, Wuhan University, Wuhan, China.
Key Laboratory of Magnetic Resonance in Biological Systems, State Key Laboratory of Magnetic Resonance and Atomic and Molecular Physics, National Center for Magnetic Resonance in Wuhan, Wuhan Institute of Physics and Mathematics, Innovation Academy for Precision Measurement Science and Technology, Chinese Academy of Sciences-Wuhan National Laboratory for Optoelectronics, Wuhan, China; University of Chinese Academy of Sciences, Beijing, China.
Br J Anaesth. 2023 Sep;131(3):531-541. doi: 10.1016/j.bja.2023.05.025. Epub 2023 Aug 4.
Sleep disorders can profoundly affect neurological function. We investigated changes in social and anxiety-related brain functional connectivity induced by sleep deprivation, and the potential therapeutic effects of the general anaesthetics propofol and sevoflurane in rats.
Twelve-week-old male Sprague-Dawley rats were subjected to sleep deprivation for 20 h per day (from 14:00 to 10:00 the next day) for 4 consecutive weeks. They were free from sleep deprivation for the remaining 4 h during which they received propofol (40 mg kg i.p.) or sevoflurane (2% for 2 h) per day or no treatment. These cohorts were instrumented for EEG/EMG recordings on days 2, 14, and 28. Different cohorts were used for open field and three-chambered social behavioural tests, functional MRI, nuclear magnetic resonance spectroscopy, and positron emission tomography imaging 48 h after 4 weeks of sleep deprivation.
Propofol protected against sleep deprivation-induced anxiety behaviours with more time (44.7 [8.9] s vs 24.2 [4.1] s for the sleep-deprivation controls; P<0.001) spent in the central area of the open field test and improved social preference index by 30% (all P<0.01). Compared with the sleep-deprived rats, propofol treatment enhanced overall functional connectivity by 74% (P<0.05) and overall glucose metabolism by 30% (P<0.01), and improved glutamate kinetics by 20% (P<0.05). In contrast, these effects were not found after sevoflurane treatment.
Unlike sevoflurane, propofol reduced sleep deprivation-induced social and anxiety-related behaviours. Propofol might be superior to sevoflurane for patients with sleep disorders who receive anaesthesia, which should be studied in clinical studies.
睡眠障碍会严重影响神经系统功能。我们研究了睡眠剥夺引起的社交和焦虑相关脑功能连接的变化,以及全身麻醉药异丙酚和七氟醚在大鼠中的潜在治疗作用。
12 周龄雄性 Sprague-Dawley 大鼠每天接受 20 小时的睡眠剥夺(从下午 2 点到第二天上午 10 点),持续 4 周。在剩下的 4 小时内,它们不接受睡眠剥夺,每天接受异丙酚(40mg/kg 腹腔注射)或七氟醚(2%,2 小时)或不接受治疗。这些队列在第 2、14 和 28 天进行脑电图/肌电图记录。在 4 周睡眠剥夺后 48 小时,使用不同的队列进行旷场和三腔社交行为测试、功能磁共振成像、核磁共振波谱和正电子发射断层扫描成像。
异丙酚可预防睡眠剥夺引起的焦虑行为,使大鼠在旷场测试中央区域停留的时间更长(睡眠剥夺对照组为 44.7[8.9]s,异丙酚组为 24.2[4.1]s;P<0.001),并将社交偏好指数提高 30%(均 P<0.01)。与睡眠剥夺大鼠相比,异丙酚治疗使整体功能连接增强了 74%(P<0.05),整体葡萄糖代谢增强了 30%(P<0.01),并改善了谷氨酸动力学 20%(P<0.05)。相比之下,七氟醚治疗则未发现这些作用。
与七氟醚不同,异丙酚可减少睡眠剥夺引起的社交和焦虑相关行为。对于接受麻醉的睡眠障碍患者,异丙酚可能优于七氟醚,这应该在临床研究中进行研究。