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The potential dual effects of sevoflurane on AKT/GSK3β signaling pathway
Lei Zhang, Jie Zhang, Yuanlin Dong
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@mgh.harvard.edu.
Background:
Anesthesia with multiple exposures of commonly used inhalation anesthetic sevoflurane induces neuroinflammation and cognitive impairment in young mice, but anesthesia with a single exposure to sevoflurane does not. AKT/glycogen synthase kinase 3β (GSK3β) signaling pathway is involved in neurotoxicity and neurobehavioral deficits. However, whether sevoflurane can induce a dual effect (increase versus decrease) on the activation of AKT/GSK3β signaling pathway remains to be determined. We therefore set out to assess the effects of sevoflurane on AKT/GSK3β signaling pathway in vivo and in vitro.
Methods:
Six day-old wild-type mice were exposed to 3% sevoflurane two hours daily for one or three days. In the in vitro studies, H4 human neuroglioma cells were treated with 4% sevoflurane for two or six hours. We then determined the effects of different sevoflurane treatments on the levels of phosphorylated (P)-GSK3β(ser9) and P-AKT(ser473) by using Western blot analysis.
Results:
Here we show that anesthesia with 3% sevoflurane two hours daily for one day increased the levels of P-GSK3β(ser9) and P-AKT(ser473), but the anesthesia with 3% sevoflurane daily for three days decreased them in the mice. The treatment with 4% sevoflurane for two hours increased, but the treatment with 4% sevoflurane for six hours decreased, the levels of P-GSK3β(ser9) and P-AKT(ser473) in the H4 human neuroglioma cells.
Conclusions:
Anesthetic sevoflurane might induce a dual effect (increase versus decrease) on the activation of the AKT/GSK3β signaling pathway. These studies have established a system to perform further studies to determine the effects of sevoflurane on brain function.
Insights
Sevoflurane anesthesia shows a dual effect on the AKT/GSK3β pathway, increasing activation after short exposure and decreasing it after prolonged exposure in both mice and human cells.
Area of Science:
- Neuroscience
- Anesthesiology
- Molecular Biology
Background:
- Multiple sevoflurane exposures cause neuroinflammation and cognitive deficits in young mice.
- The AKT/glycogen synthase kinase 3β (GSK3β) signaling pathway is implicated in neurotoxicity.
- The dual effect of sevoflurane on AKT/GSK3β pathway activation is not well understood.
Purpose of the Study:
- To investigate the effects of sevoflurane on AKT/GSK3β signaling.
- To determine if sevoflurane induces a dual effect (increase vs. decrease) on AKT/GSK3β pathway activation.
- To assess sevoflurane's impact in vivo and in vitro.
Main Methods:
- Young mice exposed to 3% sevoflurane daily for 1 or 3 days.
- H4 human neuroglioma cells treated with 4% sevoflurane for 2 or 6 hours.
- Western blot analysis used to measure phosphorylated AKT (P-AKT) and GSK3β (P-GSK3β).
Main Results:
- Single-day sevoflurane exposure increased P-AKT and P-GSK3β levels in mice.
- Three-day sevoflurane exposure decreased P-AKT and P-GSK3β levels in mice.
- Short-term sevoflurane treatment increased levels in cells, while long-term treatment decreased them.
Conclusions:
- Sevoflurane may exert dual effects on AKT/GSK3β pathway activation.
- These findings provide a system for further research into sevoflurane's effects on brain function.
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