Roscovitine, a CDK5 Inhibitor, Alleviates Sevoflurane-Induced Cognitive Dysfunction via Regulation Tau/GSK3β and

Jianhui Liu1, Junjun Yang1, Yinhua Xu2

  • 1Department of Anesthesiology, Shanghai Tongji Hospital, Tongji Medical School, Tongji University, Shanghai, China.

Insights

Inhibiting cyclin-dependent kinase 5 (CDK5) with roscovitine protects against sevoflurane-induced cognitive impairment in mice by reducing neuronal damage and modulating key signaling pathways.

Area of Science:

  • Neuroscience
  • Anesthesiology
  • Molecular Biology

Background:

  • Repeated exposure to anesthesia in children may lead to cognitive impairment.
  • Sevoflurane is a common anesthetic in pediatric surgery.
  • The precise mechanism of sevoflurane-induced cognitive dysfunction involving cyclin-dependent kinase 5 (CDK5) is not fully understood.

Purpose of the Study:

  • To investigate the mechanism by which CDK5 mediates sevoflurane-induced cognitive dysfunction.
  • To evaluate the potential neuroprotective effects of CDK5 inhibition.

Main Methods:

  • Primary hippocampal neurons were isolated from neonatal mice.
  • Six-day-old wild-type mice were exposed to sevoflurane and treated with the CDK5 inhibitor roscovitine.
  • Cognitive function was assessed using the Morris water maze, and neuronal damage was evaluated via immunohistochemistry.

Main Results:

  • Sevoflurane exposure activated CDK5, leading to increased neuronal damage.
  • CDK5 activation induced Tau/glycogen synthase kinase (GSK) 3β and suppressed ERK/PPARγ/CREB signaling.
  • Roscovitine administration inhibited CDK5, alleviating sevoflurane-induced neuronal damage and cognitive deficits.

Conclusions:

  • CDK5 inhibition with roscovitine demonstrates neuroprotective effects against sevoflurane-induced neuronal injury.
  • The protective mechanism involves the modulation of Tau/GSK3β and ERK/PPARγ/CREB signaling pathways.
  • Targeting CDK5 may be a therapeutic strategy to mitigate anesthesia-related cognitive dysfunction.
Abstract