The Journal of Practical Medicine >
The protective effect of dexmedetomidine on sevoflurane⁃induced cognitive impairment based on the Wnt/β⁃catenin signaling pathway
Received date: 2023-10-30
Online published: 2024-07-30
Objective To study the protective effect and possible mechanism of dexmedetomidine on sevoflurane-induced cognitive impairment. Methods 40 rats were randomly divided into a blank group, model group, dexmedetomidine group, and combination group, 10 for each group. A rat model of sevoflurane-induced cognitive impairment was established in the model group, dexmedetomidine group, and combination group. The dexmedetomidine group and combination group were intraperitoneally injected with dexmedetomidine of 50 μg/kg 30 min before modeling, so was the combination group injected with sulindac of 5 mg/kg. The blank group and model group were intravenously injected with equal amount of saline. Morris water maze test was used to detect cognitive function. Enzyme-linked immunosorbent assay (ELISA) was used to detect serum levels of homocysteine (Hcy) and monocyte chemoattractant protein-1 (MCP-1); high-performance liquid chromatography was used to detect hippocampal glutamate (Glu) and γ-aminobutyric acid (GABA) contents. Immunoblotting was used to detect hippocampal glycogen synthase kinase 3β (GSK-3β) and β-catenin protein expression levels. Results The escape latency in the dexmedetomidine group rats was shorter than that in the model group (P < 0.05), the number of crossing the original platform was greater than that in the model group (P < 0.05), and duration staying in the original platform quadrant was longer than that in the model group (P < 0.05). The escape latency in the combination group was longer than that in the dexmedetomidine group (P < 0.05), the number of crossing the original platform was smaller than that in the dexmedetomidine group (P < 0.05), and duration staying in the original platform quadrant was shorter than that in the dexmedetomidine group (P < 0.05). Serum levels of Hcy and MCP-1 were higher in the model group than in the blank group (P < 0.05), lower in the dexmedetomidine group than in the model group (P < 0.05), and higher in the combination group than in the dexmedetomidine group (P < 0.05). Hippocampal Glu content was higher in the model group than in the blank group (P < 0.05), while GABA content was lower (P < 0.05). Hippocampal Glu content was lower in the dexmedetomidine group than in the model group (P < 0.05), whereas GABA content was higher group (P < 0.05). Hippocampal Glu content was higher in the combination group than in the dexmedetomidine group (P < 0.05), and GABA content was lower (P < 0.05). Hippocampal GSK-3β protein expression level was higher in the model group than in the blank group (P < 0.05), but the β-catenin protein expression level was lower (P < 0.05). Hippocampal GSK-3β protein expression level was lower in the dexmedetomidine group than in the model group (P < 0.05), while β-catenin protein expression level was higher (P < 0.05). Hippocampal GSK-3β protein expression level was higher in the combination group than in the dexmedetomidine group (P < 0.05), whereas β-catenin protein expression level was lower (P < 0.05). Conclusions Dexmedetomidine may improve cognitive function in rats with sevoflurane-induced cognitive impairment by activating the Wnt/β-catenin signaling pathway, reducing inflammation, and enhancing neurotransmitter activity.
Yong YANG , Renjun CHEN , Jianling GE , Wei. WANG . The protective effect of dexmedetomidine on sevoflurane⁃induced cognitive impairment based on the Wnt/β⁃catenin signaling pathway[J]. The Journal of Practical Medicine, 2024 , 40(15) : 2063 -2068 . DOI: 10.3969/j.issn.1006-5725.2024.15.004
| 1 | RAMIREZ M F, GAN T J. Total intravenous anesthesia versus inhalation anesthesia: how do outcomes compare?[J]. Curr Opin Anaesthesiol, 2023, 36(4):399-406. doi:10.1097/aco.0000000000001274 |
| 2 | YANG H, ZHAO L, LI Q. Echinacoside alleviates sevoflurane-induced cognitive dysfunction by activating FOXO1-mediated autophagy[J]. Int J Dev Neurosci, 2022, 82(4):339-348. doi:10.1002/jdn.10183 |
| 3 | GUO Y, CHEN Q, WU B, et al. Isovitexin restores sevoflurane?induced cognitive dysfunction by mediating autophagy through activation of the PGC?1α/FNDC5 signaling pathway[J]. Acta Neurobiol Exp (Wars), 2022, 82(3):373-379. doi:10.55782/ane-2022-035 |
| 4 | YIN C, ZHANG Q, ZHAO J, et al. Necrostatin-1 Against Sevoflurane-Induced Cognitive Dysfunction Involves Activation of BDNF/TrkB Pathway and Inhibition of Necroptosis in Aged Rats[J]. Neurochem Res, 2022, 47(4):1060-1072. doi:10.1007/s11064-021-03505-9 |
| 5 | ZHAO L, GONG H, HUANG H, et al. Participation of Mind Bomb-2 in Sevoflurane Anesthesia Induces Cognitive Impairment in Aged Mice via Modulating Ferroptosis[J]. ACS Chem Neurosci, 2021, 12(13):2399-2408. doi:10.1021/acschemneuro.1c00131 |
| 6 | WANG N, NIE H, ZHANG Y, et al. Dexmedetomidine exerts cerebral protective effects against cerebral ischemic injury by promoting the polarization of M2 microglia via the Nrf2/HO-1/NLRP3 pathway[J]. Inflamm Res, 2022, 71(1):93-106. doi:10.1007/s00011-021-01515-5 |
| 7 | HE H, SUN M, CHEN Y, et al. Dexmedetomidine alleviates the hypoxic-ischemic brain damage via miR-20a-5p/methionine adenosyltransferase 2B axis in rat pups[J]. Neuroreport, 2022, 33(5):205-214. doi:10.1097/wnr.0000000000001750 |
| 8 | BURLACU C C, NEAG M A, MITRE A O, et al. The Role of miRNAs in Dexmedetomidine's Neuroprotective Effects against Brain Disorders[J]. Int J Mol Sci, 2022, 23(10):5452. doi:10.3390/ijms23105452 |
| 9 | 陈爱鸾, 陈健. 右美托咪定对氯胺酮诱导的老龄大鼠神经毒性和认知功能损伤的影响[J]. 脑与神经疾病杂志, 2022, 30(6):336-341. doi:10.3969/j.issn.1006-351X.2022.6.nysjjbzz202206002 |
| 10 | LI Q, ZHANG X, LI S, et al. Carnosol alleviates sevoflurane-induced cognitive dysfunction by mediating NF-κB pathway in aged rats[J]. Drug Dev Res, 2022, 83(6):1342-1350. doi:10.1002/ddr.21963 |
| 11 | 李航, 张士霞, 张玮琪, 等. 右美托咪定对大鼠肝脏缺血再灌注损伤(HIRI)内质网应激的影响[J]. 中国兽医学报, 2022,42(6):1213-1219 |
| 12 | GE X, ZUO Y, XIE J, et al. A new mechanism of POCD caused by sevoflurane in mice: cognitive impairment induced by cross-dysfunction of iron and glucose metabolism[J]. Aging (Albany NY), 2021, 13(18):22375-22389. doi:10.18632/aging.203544 |
| 13 | SUN M, XIE Z, ZHANG J, et al. Mechanistic insight into sevoflurane-associated developmental neurotoxicity[J]. Cell Biol Toxicol, 2022, 38(6):927-943. doi:10.1007/s10565-021-09677-y |
| 14 | LIANG F, LI M, XU M, et al. Sevoflurane anaesthesia induces cognitive impairment in young mice through sequential tau phosphorylation[J]. Br J Anaesth, 2023, 131(4):726-738. doi:10.1016/j.bja.2023.06.059 |
| 15 | PERI?áN M T, MACíAS-GARCíA D, JESúS S, et al. Homocysteine levels, genetic background, and cognitive impairment in Parkinson's disease[J]. J Neurol, 2023, 270(1):477-485. doi:10.1007/s00415-022-11361-y |
| 16 | SANCHEZ-SANCHEZ J L, GIUDICI K V, GUYONNET S, et al. Plasma MCP-1 and changes on cognitive function in community-dwelling older adults[J]. Alzheimers Res Ther, 2022, 14(1):5. |
| 17 | SUN M, DONG Y, LI M, et al. Dexmedetomidine and Clonidine Attenuate Sevoflurane-Induced Tau Phosphorylation and Cognitive Impairment in Young Mice via α-2 Adrenergic Receptor[J]. Anesth Analg, 2021, 132(3):878-889. doi:10.1213/ane.0000000000005268 |
| 18 | ZHOU Q, XIE D, CHEN T, et al. The effects of dexmedetomidine on the cognitive function of mild cognitive impairment (MCI) rats[J]. Ann Transl Med, 2022, 10(12):667. doi:10.21037/atm-22-2043 |
| 19 | 廖壮文,梁采宇,陈灿伟,等.白鲜碱通过Wnt/β-catenin信号通路抑制前列腺癌骨转移PC-3细胞的作用[J].实用医学杂志, 2021, 37(3):298-303. doi:10.3969/j.issn.1006-5725.2021.03.005 |
| 20 | WANG Q, HUANG X, SU Y, et al. Activation of Wnt/β-catenin pathway mitigates blood-brain barrier dysfunction in Alzheimer's disease[J]. Brain, 2022, 145(12):4474-4488. doi:10.1093/brain/awac236 |
/
| 〈 |
|
〉 |