Department of Anesthesiology and Perioperative Medicine, The Affiliated Suqian First People's Hospital of Nanjing Medical University, No. 120, Suzhi Road, Sucheng District, Suqian, 223800, Jiangsu, People's Republic of China.
Exp Brain Res. 2024 Feb;242(2):477-490. doi: 10.1007/s00221-023-06764-w. Epub 2024 Jan 7.
Several volatile anesthetics have presented neuroprotective functions in ischemic injury. This study investigates the effect of desflurane (Des) on neurons following oxygen-glucose deprivation (OGD) challenge and explores the underpinning mechanism. Mouse neurons HT22 were subjected to OGD, which significantly reduced cell viability, increased lactate dehydrogenase release, and promoted cell apoptosis. In addition, the OGD condition increased oxidative stress in HT22 cells, as manifested by increased ROS and MDA contents, decreased SOD activity and GSH/GSSG ratio, and reduced nuclear protein level of Nrf2. Notably, the oxidative stress and neuronal apoptosis were substantially blocked by Des treatment. Bioinformatics suggested potassium voltage-gated channel subfamily A member 1 (Kcna1) as a target of Des. Indeed, the Kcna1 expression in HT22 cells was decreased by OGD but restored by Des treatment. Artificial knockdown of Kcna1 negated the neuroprotective effects of Des. By upregulating Kcna1, Des activated the Kv1.1 channel, therefore enhancing K currents and inducing neuronal repolarization. Pharmacological inhibition of the Kv1.1 channel reversed the protective effects of Des against OGD-induced injury. Collectively, this study demonstrates that Des improves electrical activity of neurons and alleviates OGD-induced neuronal injury by activating the Kcna1-dependent Kv1.1 channel.
几种挥发性麻醉剂在缺血性损伤中表现出神经保护功能。本研究探讨了地氟醚(Des)对氧葡萄糖剥夺(OGD)挑战后神经元的影响,并探讨了其潜在机制。小鼠神经元 HT22 进行 OGD 处理,显著降低细胞活力,增加乳酸脱氢酶释放,并促进细胞凋亡。此外,OGD 条件增加了 HT22 细胞中的氧化应激,表现为 ROS 和 MDA 含量增加,SOD 活性和 GSH/GSSG 比值降低,以及核蛋白水平的 Nrf2 减少。值得注意的是,Des 处理显著阻断了氧化应激和神经元凋亡。生物信息学提示钾电压门控通道亚家族 A 成员 1(Kcna1)是 Des 的靶点。事实上,OGD 降低了 HT22 细胞中的 Kcna1 表达,但被 Des 处理所恢复。人工敲低 Kcna1 消除了 Des 的神经保护作用。通过上调 Kcna1,Des 激活了 Kv1.1 通道,从而增强 K 电流并诱导神经元复极化。Kv1.1 通道的药理学抑制逆转了 Des 对 OGD 诱导损伤的保护作用。总之,这项研究表明,Des 通过激活 Kcna1 依赖性 Kv1.1 通道,改善神经元的电活动并减轻 OGD 诱导的神经元损伤。