Influence of propofol on hippocampus in developing brain: an experimental study

Cover Page


Cite item

Full Text

Abstract

Anesthetic neurotoxicity and intraoperative cerebral neuroprotectioan is one of the important issues in modern anesthesiology. General anesthesia, in addition to its hypnotic effect, is considered to cause postoperative cognitive dysfunction as a manifestation of encephalopathy. Narcosis based on propofol is a “gold standard” of total intravenous anesthesia and is frequently used for surgery in patients of various ages. This experimental study investigates the effects of propofol on neuronal population in hippocampus of immature rats. In propofol-anesthezied rats within 30 min of exposition, a two-fold increase of altered hippocampal neurons was detected compared to control animals, however no neuronal cell death was observed. Intraoperative use of ethylmethylhydroxypyridine succinate ameliorates propofol-induced neuronal damagethat proves a neuroprotective effect of the drug tested.

 

About the authors

M. A. Lobov

Moscow Regional Scientific Research and Clinical Institute

Email: lobovma@mail.ru
Россия, Moscow

A. A. Dreval

Russian Scientific Research Medical University

Email: lobovma@mail.ru
Россия, Moscow

A. M. Ovezov

Moscow Regional Scientific Research and Clinical Institute

Email: lobovma@mail.ru
Россия, Moscow

M. V. Panteleeva

Moscow Regional Scientific Research and Clinical Institute

Email: lobovma@mail.ru
Россия, Moscow

N. R. Pashina

Russian Scientific Research Medical University

Email: lobovma@mail.ru
Россия, Moscow

A. V. Knyazev

Moscow Regional Scientific Research and Clinical Institute

Email: lobovma@mail.ru
Россия, Moscow

M. N. Borisova

Moscow Regional Scientific Research and Clinical Institute

Email: lobovma@mail.ru
Россия, Moscow

A. V. Lugovoy

Moscow Regional Scientific Research and Clinical Institute

Author for correspondence.
Email: lobovma@mail.ru
Россия, Moscow

References

  1. Большедворов Р.В., Кичин В.В., Федоров С.А., Лихванцев В.В. Эпидемиология послеоперационных когнитивных расстройств.– Анестезиология и реаниматология 2009; 3: 20–24.
  2. Князев А.В. Церебральные и метаболические нарушения при оперативных вмешательствах под общим обезболиванием у детей. – Автореф. дисс. канд. мед. наук Москва, 2006.
  3. Лобов М.А., Болевич С.Б., Дубовая Т.К. и др. К вопросу о необходимости нейропротекции при тотальной внутривенной анестезии у детей Журн. Эфферентная терапия 2009; 15: 120–122.
  4. Лобов М.А., Овезов А.М., Пантелеева М.В. и др. Патофизиологические и морфологические основы церебропротекции в периоперационном периоде. Сборник материалов научно-практической конференции «Современные аспекты лечения заболеваний нервной системы», Тверь, 2010: 28–34.
  5. Овезов А.М., Лобов М.А., Луговой А.В. и др. Ранняя послеоперационная дисфункция у детей: диагностика, методы коррекции. Материалы науч.-практ. конф. для врачей-неврологов «Актуальные проблемы практической неврологии». Калуга , 2012: 111–116.
  6. Овезов А.М., Лобов М.А., Пантелеева М.В. и др. Коррекция ранних когнитивных нарушений у детей школьного возраста, оперированных в условиях тотальной внутривенной анестезии. Журн. Анестезиология и реаниматология 2012; 3: 25–29.
  7. Федоров С.А., Большедворов Р.В., Лихванцев В.В. Причины ранних расстройств психики больного после операций, выполненных в условиях общей анестезии. Вест. инт. терапии 2007; 4:17–25.
  8. Burkhart C.S. et al. Can postoperative cognitive dysfunction be avoided? Hosp pract (Minneap). 2012; 40 (1): 214–223.
  9. Creeley C.E., Olney J.W. The young: neuroapoptosis induced by anesthetics and what to do about it. Anesth Analg 2010; 110: 442–448.
  10. Ikonomidou C., Bosch F., Miksa M. et al. Blockade of NMDA receptors and apoptotic neurodegeneration in the developing brain. Science 1999; 283: 70–74.
  11. Istaphanous K., Loepke A.W. General anesthetics and the developing brain. Curr Opin Anaesthesiol 2009; 22: 368–373.
  12. Jevtovic-Todorovic V., Hartman R.E., Izumi Y. et al. Early exposure to common anesthetic agents causes widespread neurodegeneration in the developing rat brain and persistent learning deficits. J. Neurosci 2003; 23: 876–882.
  13. Johnson T., Monk T., Rasmussen L.S. et al. Postoperative cognitive dysfunction in middle-aged patients. Anesteology 2002; 96: 1351–1357.
  14. Kalkman C.J., Peelen L., Moons K.G. et al. Behavior and development in children and age at the time of first anesthetic exposure. Anesthesiology 2009; 110: 805–812.
  15. Lobov M., Knyazev A., Ovezov A. et al. Perioperative prevention of early cognitive dysfunction in children. Intensive Care Medicine 2010; 36 (Suppl. 2): 276.
  16. Moller J.T., Cluitmans P., Rasmussen L.S. et al. Long-term postoperative cognitive dysfunction in the elderly ISPOCD1 study. ISPOCD investigators. International Study of Post-Operative Cognitive Dysfunction. Lancet 1998; 351: 857–861.
  17. Nikizad H., Yon J-H., Carter L.B., Jevtovic-Todorovic V. Early exposure to general anesthesia causes significant neuronal deletion in the developing rat brain. Ann N Y Acad Sci. 2007 Dec; 1122: 69–82.
  18. Perouansky M., Hemmings H.C. Neurotoxicity of general anesthetics. Anesthesiology 2009; 111: 1365–1371.
  19. Pratico C., Quattrone D., Lucanto T. et al. Drugs of anesthesia acting on central cholinergic system may cause post-operative cognitive dysfunction and delirium. Med Hypotheses. 2005; 65 (5): 972–982.
  20. Rasmussen L.S., Larsen K., Houx P. et al. ISPOCD group. The assessment of postoperative cognitive function. Acta Anaesth Scand 2001; 45: 275–289.
  21. Stratmann G. Neurotoxicity of anesthetic drugs in the developing brain. Anesth Analg. 2011; 113 (5): 1170–1179.
  22. Sun L. Early childhood general anaesthesia exposure and neurocognitive development British Journal of Anaesthesia 2010; 105 (S1):i61–i68.
  23. Terri G., Monk B., Graig W. et al. Predictors of cognitive dysfunction after major noncardiac surgery. Anesteology 2008; 108: 18–30.
  24. Thomas J., Crosby G., Drummond J.C. et al. Anesthetic neurotoxicity: a difficult dragon to slay. Anesth Analg 2011; 113: 5: 969–971.
  25. Uemura E., Bowman R.E. Effects of halothane on cerebral synaptic density. Exp Neurol 1980; 69: 135–142.
  26. Zou X., Patterson T.A., Divine R.L. et al. Prolonged exposure to ketamine increases neurodegeneration in the developing monkey brain. Int J Dev Neurosci 2009; 27: 727–731.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2013 Lobov M.A., Dreval A.A., Ovezov A.M., Panteleeva M.V., Pashina N.R., Knyazev A.V., Borisova M.N., Lugovoy A.V.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77-83204 от 12.05.2022.


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies