Arketamine alleviates cognitive impairments and demyelination in mice with postoperative cognitive dysfunction via TGF-β1 activation DOI Creative Commons
Tingting Zhu,

Mingming Zhao,

Dan Xu

и другие.

Progress in Neuro-Psychopharmacology and Biological Psychiatry, Год журнала: 2024, Номер 136, С. 111228 - 111228

Опубликована: Дек. 22, 2024

Postoperative cognitive dysfunction (POCD) is characterized by a decline in functions, including memory, attention, and executive abilities, following surgery, with no effective therapeutic drugs currently available. Arketamine, the (R)-enantiomer of ketamine, has shown promise mitigating deficits animal models. In this study, we investigated whether arketamine could ameliorate mouse model POCD, focus on role transforming growth factor (TGF)-β1 its effects. POCD mice displayed impairments demyelination corpus callosum. A single injection (10 mg/kg) significantly improved both function callosum mice. Notably, pretreatment RepSox mg/kg), TGF-β receptor 1 inhibitor, blocked beneficial effects demyelination. Moreover, intranasal administration TGF-β1 (3.0 μg/kg) markedly alleviated These findings suggest that exerts through TGF-β1-dependent mechanism, positioning it as potential option for POCD.

Язык: Английский

Histone lactylation protects against sevoflurane-induced cognitive impairment by regulating YTHDF3/PRDX3 mediated microglial pyroptosis in neonatal mice DOI
Yang Zhang,

Xiaowen Meng,

Weiming Zhao

и другие.

International Immunopharmacology, Год журнала: 2025, Номер 151, С. 114269 - 114269

Опубликована: Фев. 28, 2025

Язык: Английский

Процитировано

1

Effects of electroacupuncture on postoperative cognitive dysfunction and its underlying mechanisms: a literature review of rodent studies DOI Creative Commons
Wenbo Zhao, Wei Zou

Frontiers in Aging Neuroscience, Год журнала: 2024, Номер 16

Опубликована: Март 26, 2024

With the aging of population, health elderly has become increasingly important. Postoperative cognitive dysfunction (POCD) is a common neurological complication in patients following general anesthesia or surgery. It characterized by decline that may persist for weeks, months, even longer. Electroacupuncture (EA), novel therapy combines physical nerve stimulation with acupuncture treatment from traditional Chinese medicine, holds potential as therapeutic intervention preventing and treating POCD, particularly patients. Although beneficial effects EA on POCD have been explored preclinical clinical studies, reliability limited methodological shortcomings, underlying mechanisms remain largely unexplored. Therefore, we synthesized existing evidence proposed biological neuroinflammation, oxidative stress, autophagy, microbiota-gut-brain axis, epigenetic modification. This review summarizes recent advances provides theoretical foundation, explores molecular prevention offers basis conducting relevant trials.

Язык: Английский

Процитировано

5

Nanomaterial-Based Strategies for Attenuating T-Cell-Mediated Immunodepression in Stroke Patients: Advancing Research Perspectives DOI Creative Commons
Yan Wang, Cuiying Liu,

Yanhong Ren

и другие.

International Journal of Nanomedicine, Год журнала: 2024, Номер Volume 19, С. 5793 - 5812

Опубликована: Июнь 1, 2024

Abstract: This review article discusses the potential of nanomaterials in targeted therapy and immunomodulation for stroke-induced immunosuppression. Although have been extensively studied various biomedical applications, their specific use studying addressing immunosuppression after stroke remains limited. Stroke-induced neuroinflammation is characterized by T-cell-mediated immunodepression, which leads to increased morbidity mortality. Key observations related immunodepression stroke, including lymphopenia, T-cell dysfunction, regulatory imbalance, cytokine dysregulation, are discussed. Nanomaterials, such as liposomes, micelles, polymeric nanoparticles, dendrimers, offer advantages precise delivery drugs T cells, enabling enhanced targeting controlled release immunomodulatory agents. These modulate function, promote neuroregeneration, restore immune responses, providing new avenues treatment. However, challenges biocompatibility, stability, scalability, clinical translation need be addressed. Future research efforts should focus on comprehensive studies validate efficacy safety nanomaterial-based interventions cells Collaborative interdisciplinary approaches necessary advance field translate these innovative strategies into practice, ultimately improving outcomes patient care. Keywords: ischemic neuroinflammation, immunosuppression, nanoparticles

Язык: Английский

Процитировано

3

Regulation of Postoperative Cognitive Dysfunction by Glutathione Under Various Pathways: A Narrative Review DOI Open Access

Yan He,

Ying Zhang, Qing Liu

и другие.

Journal of Biochemical and Molecular Toxicology, Год журнала: 2025, Номер 39(2)

Опубликована: Фев. 1, 2025

Postoperative cognitive dysfunction (POCD) is a common neurological complication after surgery and general anesthesia, the incidence increases with age. Will have negative impact on patients, family society. At present, neuroinflammation oxidative stress are main recognized mechanisms. Glutathione (GSH) powerful reducing agent may be related to POCD. Using medical search engines such as PubMed, Web of Science, we analyzed articles topics as: POCD, GSH, microglia, astrocyte, oligodendrocyte, ferroptosis, BDNF, Neuroinflammation, stress. The above searched in databases using Boolean operations. We included original articles, reviews other article types books. According reviewed literature, GSH treatment for Specific targeted therapies POCD still sparse, therefore, implementation preventive strategies appears remain optimal attitude. Further research needed better understanding

Язык: Английский

Процитировано

0

Updated insights into the NLRP3 inflammasome in postoperative cognitive dysfunction: emerging mechanisms and treatments DOI Creative Commons
Tian Wang,

Guangwei Sun,

Bingdong Tao

и другие.

Frontiers in Aging Neuroscience, Год журнала: 2024, Номер 16

Опубликована: Сен. 30, 2024

Postoperative cognitive dysfunction (POCD) poses a significant threat to patients undergoing anesthesia and surgery, particularly elderly patients. It is characterized by diminished functions post such as impaired memory decreased concentration. The potential risk factors for POCD include age, surgical trauma, anesthetic type, overall health condition; however, the precise mechanisms underlying remain elusive. Recent studies suggest that neuroinflammation might be primary pathogenic factor. NOD-, LRR- pyrin domain-containing protein 3 (NLRP3) inflammasomes are implicated in exacerbating promoting release of inflammatory proteins initiate pyroptosis, further influencing disease process. regulation NLRP3 inflammasome activity, including its activation degradation, tightly controlled through multiple pathways mechanisms. In addition, autophagy, protective mechanism, regulates control progression POCD. This review reviews recent findings on role pathogenesis discusses therapeutic strategies aimed at reducing sources, inhibiting cellular enhancing autophagy.

Язык: Английский

Процитировано

3

ML365 ameliorates postoperative cognitive impairment in aged mice by inhibiting NLRP3 inflammasome activation in the hippocampus DOI Creative Commons

Zhu Wang,

Bowen Li,

Jingrui Yang

и другие.

Brain Research, Год журнала: 2024, Номер 1837, С. 148957 - 148957

Опубликована: Апрель 24, 2024

The aim of this study was to examine the effects ML365, a two-pore potassium channel (K2P) inhibitor, on postoperative cognitive impairment (POCD). A mouse model POCD constructed by subjecting aged C57BL/6 mice exploratory laparotomy. Changes in function were assessed using Morris water maze test. Western blotting and qPCR used detect hippocampal NLRP3, Caspase-1 IL-1β expression levels days 3 7 post-surgery. Apoptosis-associated speck-like protein containing caspase recruitment domain (ASC) level also western blotting. Pathological changes nerve damage CA1 CA3 regions detected H&E staining, while concentration malondialdehyde (MDA) plasma measured. We found that pretreatment with ML365 (administered intraperitoneally at dose 10 mg/kg) 30 min prior laparotomy effectively ameliorated mice. reduced Caspase-1, ASC hippocampus, improved POCD-induced pathological areas mice, decreased MDA oxidative stress. Together, our findings indicate can alleviate inhibiting NLRP3 inflammasome activation hippocampus.

Язык: Английский

Процитировано

1

The potential risk factors of postoperative cognitive dysfunction for endovascular therapy in acute ischemic stroke with general anesthesia DOI Creative Commons

Yangning Zhou,

Yan Wang, Limin Xu

и другие.

Open Medicine, Год журнала: 2024, Номер 19(1)

Опубликована: Янв. 1, 2024

Abstract Background Postoperative cognitive dysfunction (POCD) frequently occurs following endovascular therapy for acute ischemic stroke (AIS). Given the complexity of predicting AIS clinically, there is a pressing need to develop preemptive prediction model and investigate impact anesthesia depth on AIS. Methods A total 333 patients diagnosed with were included in study, comprising individuals non-POCD ( n = 232) or POCD 101). Univariate multivariate logistic regression analyses utilized examine independent risk factors associated POCD. calibration, decision curve analysis, precision–recall curves employed assess model’s goodness fit. Results Multivariate analysis identified two inflammatory indicators, high-sensitivity C reactive protein (hs-CRP) systemic immune index (SII), three brain injury National Institute Health Stroke Scale (NIHSS) score, N-terminal pro-brain natriuretic peptide (NT-proBNP), soluble protein-100 β (S100-β), which used construct nomogram model. Conclusion The composite predictive incorporating NIHSS hs-CRP, SII, NT-proBNP, S100-β demonstrated efficacy Additionally, our results suggest potential association between anesthesia, impairment, response patients.

Язык: Английский

Процитировано

1

Arketamine alleviates cognitive impairments and demyelination in mice with postoperative cognitive dysfunction via TGF-β1 activation DOI Creative Commons
Tingting Zhu,

Mingming Zhao,

Dan Xu

и другие.

Progress in Neuro-Psychopharmacology and Biological Psychiatry, Год журнала: 2024, Номер 136, С. 111228 - 111228

Опубликована: Дек. 22, 2024

Postoperative cognitive dysfunction (POCD) is characterized by a decline in functions, including memory, attention, and executive abilities, following surgery, with no effective therapeutic drugs currently available. Arketamine, the (R)-enantiomer of ketamine, has shown promise mitigating deficits animal models. In this study, we investigated whether arketamine could ameliorate mouse model POCD, focus on role transforming growth factor (TGF)-β1 its effects. POCD mice displayed impairments demyelination corpus callosum. A single injection (10 mg/kg) significantly improved both function callosum mice. Notably, pretreatment RepSox mg/kg), TGF-β receptor 1 inhibitor, blocked beneficial effects demyelination. Moreover, intranasal administration TGF-β1 (3.0 μg/kg) markedly alleviated These findings suggest that exerts through TGF-β1-dependent mechanism, positioning it as potential option for POCD.

Язык: Английский

Процитировано

1