Molecular Mechanisms of Propofol‐Induced Cognitive Impairment: Suppression of Critical Hippocampal Pathways
Journal of Neurochemistry,
Год журнала:
2025,
Номер
169(4)
Опубликована: Апрель 1, 2025
ABSTRACT
Propofol,
a
commonly
used
anesthetic,
is
known
to
cause
postoperative
cognitive
dysfunction
(POCD),
particularly
after
prolonged
or
high‐dose
administration.
Its
effects
on
neural
remodeling
in
the
hippocampal
region,
which
vital
for
function,
remain
poorly
understood.
This
study
employs
single‐cell
RNA
sequencing
(scRNA‐seq)
and
high‐throughput
transcriptomic
analysis
elucidate
molecular
mechanisms
by
propofol
impairs
remodeling.
Our
findings
indicate
that
suppresses
(5‐Hydroxytryptamine
Receptor
1A/Glutamate
2/Phosphoinositide
3‐Kinase
Regulatory
Subunit
1)
HTR1A/GRIA2/PIK3R1
signaling
pathway,
contributing
mice.
In
vitro
experiments
reveal
treatment
reduces
expression
of
HTR1A/GRIA2/PIK3R1‐related
factors,
decreases
neuronal
activity
synaptic
plasticity,
increases
apoptosis
inflammation.
vivo
demonstrate
significant
impairments
spatial
memory
learning
abilities
mice
treated
with
propofol.
These
results
provide
new
insights
into
long‐term
anesthetic
drugs
offer
scientific
basis
their
judicious
use
clinical
practice.
The
highlights
potential
strategies
targets
preventing
treating
POCD,
emphasizing
importance
understanding
underlying
anesthetic‐induced
dysfunction.
image
Язык: Английский
Research progress of propofol in alleviating cerebral ischemia/reperfusion injury
Haijing Zheng,
Xian Zhong Xiao,
Yiming Han
и другие.
Pharmacological Reports,
Год журнала:
2024,
Номер
76(5), С. 962 - 980
Опубликована: Июль 2, 2024
Язык: Английский
Inhibition of the NLRP3/caspase-1 cascade related pyroptosis relieved propofol-induced neuroinflammation and cognitive impairment in developing rats.
Free Radical Biology and Medicine,
Год журнала:
2024,
Номер
unknown
Опубликована: Сен. 1, 2024
Язык: Английский
Anesthetics in pathological cerebrovascular conditions
Yuhui Hou,
Wei Ye,
Ziyuan Tang
и другие.
Journal of Cerebral Blood Flow & Metabolism,
Год журнала:
2024,
Номер
unknown
Опубликована: Окт. 25, 2024
The
increasing
prevalence
of
pathological
cerebrovascular
conditions,
including
stroke,
hypertensive
encephalopathy,
and
chronic
disorders,
underscores
the
importance
anesthetic
considerations
for
affected
patients.
Preserving
cerebral
oxygenation
blood
flow
during
anesthesia
is
paramount
to
prevent
neurological
deterioration.
Furthermore,
protecting
vulnerable
neurons
from
damage
crucial
optimal
outcomes.
Recent
research
suggests
that
agents
may
provide
a
potentially
therapeutic
approach
managing
conditions.
Anesthetics
target
neural
mechanisms
underlying
dysfunction,
thereby
modulating
neuroinflammation,
against
ischemic
injury,
improving
hemodynamics.
However,
strategies
regarding
mechanisms,
dosage,
indications
remain
uncertain.
This
review
aims
clarify
physiological
effects,
action,
reported
neuroprotective
benefits
anesthetics
in
patients
with
various
Investigating
effects
disease
holds
promise
developing
novel
strategies.
Язык: Английский