Li Mengyuan, Hu Yan, Cheng Zhonggui, Li Qianqian
Department of Anesthesiology and Operation Medical Center of Anesthesiology and Pain The First Affiliated Hospital of Nanchang University Nanchang China.
J Cell Commun Signal. 2025 Jun 24;19(2):e70024. doi: 10.1002/ccs3.70024. eCollection 2025 Jun.
General anesthetic exposure during pregnancy has neurotoxic effects on the developing brain, causing long-term cognitive dysfunction in the offspring. Sevoflurane exposure during mid-gestation results in premature differentiation of neural stem cells (NSCs), being the crucial factor affecting normal hippocampal functions and contributing to neurocognitive impairment. However, the related molecular mechanism remains unclear. For in vivo assays, pregnant rats were exposed to 3% sevoflurane once on gestational day 14 (G14) or 3 times on G13, 14, and 15 (2 h per day). For in vitro assays, primary rat NSCs were isolated from fetal hippocampus tissues at 24 and 72 h after birth and on postnatal day 28. NSCs were transfected with GRIN2B or KIF17 overexpression plasmids before exposure to 4.1% sevoflurane for one or three consecutive days (2 h per day). Multiple sevoflurane exposures during the mid-trimester triggered NSC premature differentiation and decreased GRIN2B and KIF17 expression in the hippocampus of offspring rats and primary rat NSCs. GRIN2B or KIF17 overexpression attenuated sevoflurane-induced NSC premature differentiation. GRIN2B interacted with KIF17, and KIF17 silencing reversed the inhibition of GRIN2B overexpression on NSC early differentiation. GRIN2B alleviates NSC premature differentiation induced by repeated mid-gestational sevoflurane exposure via interaction with KIF17.
孕期全身麻醉暴露会对发育中的大脑产生神经毒性作用,导致后代出现长期认知功能障碍。妊娠中期暴露于七氟醚会导致神经干细胞(NSC)过早分化,这是影响正常海马功能并导致神经认知障碍的关键因素。然而,相关分子机制仍不清楚。在体内实验中,妊娠大鼠在妊娠第14天(G14)接受一次3%七氟醚暴露,或在G13、14和15天接受3次暴露(每天2小时)。在体外实验中,在出生后24小时、72小时和出生后第28天从胎鼠海马组织中分离出原代大鼠神经干细胞。在暴露于4.1%七氟醚连续1天或3天(每天2小时)之前,用GRIN2B或KIF17过表达质粒转染神经干细胞。妊娠中期多次暴露于七氟醚会引发后代大鼠海马和原代大鼠神经干细胞中神经干细胞过早分化,并降低GRIN2B和KIF17的表达。GRIN2B或KIF17过表达减弱了七氟醚诱导的神经干细胞过早分化。GRIN2B与KIF17相互作用,KIF17沉默逆转了GRIN2B过表达对神经干细胞早期分化的抑制作用。GRIN2B通过与KIF17相互作用减轻妊娠中期反复暴露于七氟醚诱导的神经干细胞过早分化。