Objective: To investigate the effects of metformin(Met) on neuron autophagy and cognitive function in infant rats anesthetized with sevoflurane(Sev). Methods: MTT method was used to detect the effective dose of Met to improve the viability of SH-SY5Y cells induced by Sev, and to determine the effect of Met on the expression of autophagy/apoptosis-related proteins in SH-SY5Y cells. Then sixty SD infant rats were randomly divided into control(Con) group, Sev group, Met group, Met+rapamycin(Met+Rap) group, Met+chloroquine(Met+CQ) group. The infant rats in each group were anesthetized with 3% Sev, then, blood gas analysis was performed. The infant rats received drug treatment for continuous 7 days, during which the water maze was used to detect the cognition impairment, the Nissl staining was used for neuron status detection. Western blotting and immunofluorescence were used to detected autophagy/apoptosis-related protein expression. Results: Met effectly improved SH-SY5Y cells viability that induced by Sev and Met effectively inhibited the expression of Caspase-3, Bax(P<0.05), as well as down-regulated mTOR, LC3-Ⅱ/LC3-Ⅰ expression(P<0.05). During anesthesia, the blood gas indexes of rats were similar(P>0.05).Compared with Sev group,the expressions of Caspase-3, Bax, mTOR, LC3-Ⅱ/LC3-Ⅰ in Met group were lower and escape latency was shorter(P<0.05). Meanwhile, Rap played a synergistic role with Met. However, the administration of CQ exerted an antagonistic effect on Met. Conclusion: Met effectively improve cognitive dysfunction in infant rats caused by Sev through activating neuron autophagy pathway. |
[1] QIN J H,ZHANG X R,HE L,et al.Effect of sevoflurane and halothane anesthesia on cognitive function and immune function in young rats[J].Saudi J Biol Sci,2018,25(1):47-51.
[2] YAN J Q,MORGAN W P,BRENDA C V,et al.Activation of autophagy rescues synaptic and cognitive deficits in fragile X mice[J].Proc Natl Acad Sci U S A,2018,115,41:e9707-9716.
[3] AL-BARI M,ABDUL A,XU P Y,et al.Molecular regulation of autophagy machinery by mTOR-dependent and-independent pathways[J].Ann NY Acad Sci,2020,1467(1):3-20.
[4] ZHANG X,ZHOU Y,XU M,et al.Autophagy is involved in the sevoflurane anesthesia-induced cognitive dysfunction of aged rats[J].PLoS One,2016,11:e0153505.
[5] 邱子豪,胡学远,冯秀晶,等.不同时间异氟醚麻醉对幼龄大鼠海马神经元凋亡及自噬的影响[J].畜牧兽医学报,2018,49(5):189-195.
[6] 万瑾舒,张孟仁.二甲双胍对认知功能影响的研究进展[J].中国糖尿病杂志,2016(12):1140-1143.
[7] 孔保宗,吴前程,梁志军,等.不同浓度七氟醚用于婴幼儿麻醉诱导效果分析[J].吉林医学,2015(10):2087-2088.
[8] WANG Y,WANG W H,JIA Y P,et al.The role of Bag2 in neurotoxicity induced by the anesthetic sevoflurane[J].J Cell Biochem,2019,120(5):7551-7559.
[9] GENG Y J,WU Q H,ZHANG R Q,et al.Effect of propofol,sevoflurane,and isoflurane on postoperative cognitive dysfunction following laparoscopic cholecystectomy in elderly patients:a randomized controlled trial[J].J Clin Anesth,2017,38:165-171.
[10] KIRAN C,CONNER D R,YANG S H,et al.Metformin and cognition from the perspectives of sex,age,and disease[J].Geroscience,2020,42(1):97-116.
[11] ZHAO M,CHENG X,LIN X,et al.Metformin administration prevents memory impairment induced by hypobaric hypoxia in rats[J].Behav Brain Res,2019,363:30-37.
[12] JIAO Q,DU X X,LI Y,et al.The neurological effects of ghrelin in brain diseases:Beyond metabolic functions[J].Neurosci Biobehav Rev,2017,73:98-111.
[13] 何龙,艾艳秋,储勤军,等.手术创伤引起的海马炎症反应对老年小鼠术后认知功能的影响[J].郑州大学学报,2012,4:441-445.
[14] KHO W,VON HAEFEN C,PAESCHKE N,et al.Dexmedetomidine restores autophagic flux,modulates associated microRNAs and the cholinergic anti-inflammatory pathway upon LPS-Treatment in rats[J].J Neuroimmune Pharmacol,2021.[Online ahead of print]
[15] LIOU H C,HUNG S Y,FU W M,et al.Autophagy protects neuron from Aβ-induced cytotoxicity[J].Autophagy,2009,5(4):502-510.
[16] YANG F,CHU X,YIN M,et al.mTOR and autophagy in normal brain aging and caloric restriction ameliorating age-related cognition deficits[J].Behav Brain Res,2014,264:82-90.
[17] JING X,HUAI Y P,MENG N,et al.L-3-n-Butylphthalide activates Akt/mTOR signaling,inhibits neuronal apoptosis and autophagy and improves cognitive impairment in mice with repeated cerebral ischemia-reperfusion injury[J].Neurochemical Res,2017,42(10):2968-2981. |