Department of Anesthesiology, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou, China; Department of Anesthesiology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Department of Anesthesiology, Fujian Provincial Hospital, Fuzhou, China.
Biomed Pharmacother. 2023 Oct;166:115381. doi: 10.1016/j.biopha.2023.115381. Epub 2023 Aug 26.
The lung microbiome plays a crucial role in human health and disease. Extensive studies have demonstrated that the disturbance of the lung microbiome influences immune response, cognition, and behavior. The goal of this study was to investigate the effect of general anesthetics on lung microbiome.
Eight-week-old male SD rats received a continuous intravenous infusion of propofol or inhalation of isoflurane for 4 h. 16S rRNA gene amplification from BALF samples was used to investigate the changes in the lung microbiome after interventions. We further performed neurobehavioral assessments to find the differential strains' association with behavior disorder after isoflurane anesthesia.
The absolute and relative quantitation of 16S rRNA sequencing data showed that isoflurane altered the diversity and abundance of the lung microbiome in rats more than propofol. Elusimicrobia increased significantly in the isoflurane group. Both EPM and OFT results showed that rats exhibited depression-like behaviors after inhalation of isoflurane. In addition, significant differences were found in the COG/KO/MetaCyc/KEGG pathway enrichment analyses among the groups.
Continuous inhalation of isoflurane changed the diversity and composition of the lung microbiota in rats, resulting in post-anesthesia depression.
肺部微生物组在人类健康和疾病中起着至关重要的作用。大量研究表明,肺部微生物组的紊乱会影响免疫反应、认知和行为。本研究旨在探讨全身麻醉对肺部微生物组的影响。
8 周龄雄性 SD 大鼠连续静脉输注异丙酚或吸入异氟醚 4 h。采用 16S rRNA 基因扩增从 BALF 样本中检测干预后肺部微生物组的变化。我们进一步进行神经行为评估,以发现异氟醚麻醉后与行为障碍相关的差异菌株。
16S rRNA 测序数据的绝对和相对定量表明,异氟醚比异丙酚更能改变大鼠肺部微生物组的多样性和丰度。Elusimicrobia 在异氟醚组中显著增加。EPM 和 OFT 结果均表明,大鼠吸入异氟醚后表现出抑郁样行为。此外,各组之间的 COG/KO/MetaCyc/KEGG 通路富集分析存在显著差异。
连续吸入异氟醚改变了大鼠肺部微生物群的多样性和组成,导致术后抑郁。