Propofol and magnesium attenuate isoflurane-induced caspase-3 activation via inhibiting mitochondrial permeability
Yiying Zhang1, Yuanlin Dong, Zhipeng Xu
1Geriatric Anesthesia Research Unit, Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital and Harvard Medical School, 149 13th St, Room 4310, Charlestown, MA, 02129-2060, USA. zxie@partners.org.
Background:
The inhalation anesthetic isoflurane has been shown to open the mitochondrial permeability transition pore (mPTP) and induce caspase activation and apoptosis, which may lead to learning and memory impairment. Cyclosporine A, a blocker of mPTP opening might attenuate the isoflurane-induced mPTP opening, lessening its ripple effects. Magnesium and anesthetic propofol are also mPTP blockers. We therefore set out to determine whether propofol and magnesium can attenuate the isoflurane-induced caspase activation and mPTP opening.
Methods:
We investigated the effects of magnesium sulfate (Mg2+), propofol, and isoflurane on the opening of mPTP and caspase activation in H4 human neuroglioma cells stably transfected to express full-length human amyloid precursor protein (APP) (H4 APP cells) and in six day-old wild-type mice, employing Western blot analysis and flowcytometry.
Results:
Here we show that Mg2+ and propofol attenuated the isoflurane-induced caspase-3 activation in H4-APP cells and mouse brain tissue. Moreover, Mg2+ and propofol, the blockers of mPTP opening, mitigated the isoflurane-induced mPTP opening in the H4-APP cells.
Conclusion:
These data illustrate that Mg2+ and propofol may ameliorate the isoflurane-induced neurotoxicity by inhibiting its mitochondrial dysfunction. Pending further studies, these findings may suggest the use of Mg2+ and propofol in preventing and treating anesthesia neurotoxicity.
Insights
Magnesium and propofol may protect against isoflurane anesthesia neurotoxicity. These agents block the mitochondrial permeability transition pore (mPTP), reducing isoflurane-induced cell damage and caspase activation.
Area of Science:
- Neuroscience
- Anesthesiology
- Mitochondrial Biology
Background:
- Inhalation anesthetic isoflurane can induce apoptosis via mitochondrial permeability transition pore (mPTP) opening, potentially impairing learning and memory.
- Cyclosporine A, magnesium, and propofol are known mPTP blockers.
Purpose of the Study:
- To investigate if propofol and magnesium can attenuate isoflurane-induced caspase activation and mPTP opening.
- To explore potential neuroprotective strategies against anesthetic-induced toxicity.
Main Methods:
- Utilized H4 human neuroglioma cells expressing amyloid precursor protein (APP) and six-day-old wild-type mice.
- Assessed mPTP opening and caspase activation using Western blot analysis and flow cytometry.
- Examined the effects of magnesium sulfate (Mg2+), propofol, and isoflurane.
Main Results:
- Magnesium (Mg2+) and propofol significantly attenuated isoflurane-induced caspase-3 activation in both cell cultures and mouse brain tissue.
- Both Mg2+ and propofol mitigated isoflurane-induced mPTP opening in H4 APP cells.
- These findings demonstrate the inhibitory effects of Mg2+ and propofol on isoflurane-induced mitochondrial dysfunction.
Conclusions:
- Magnesium and propofol may ameliorate isoflurane-induced neurotoxicity by inhibiting mitochondrial dysfunction.
- These results suggest potential therapeutic applications for Mg2+ and propofol in preventing and treating anesthesia-related neurotoxicity.
- Further research is warranted to validate these findings in clinical settings.
Related Concept Videos
Parenteral Anesthetics: Overview
Caspases


