Roscovitine, a CDK5 Inhibitor, Alleviates Sevoflurane-Induced Cognitive Dysfunction via Regulation Tau/GSK3β and ERK/PPARγ/CREB Signaling
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Updated: Feb 18, 2026

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Published on: December 8, 2023
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.
Background/Aims:
Multiple exposures to anesthesia in children may increase the risk of developing cognitive impairment. Sevoflurane is an anesthetic that is commonly used in children during surgery. Cyclin-dependent kinase (CDK) 5 is involved in the regulation of sevoflurane-induced cognitive dysfunction, but the mechanistic details remain unclear. The present study evaluated the mechanism by which CDK5 mediates sevoflurane-induced cognitive dysfunction in mice.
Methods:
Hippocampal neurons were isolated from postnatal day 0 C57BL/6 mouse pups. Six-day-old wild-type mice were exposed to sevoflurane and then treated with the CDK5 inhibitor roscovitine. The effects on cognitive function were evaluated with the Morris water maze and neuronal damage in the hippocampus was assessed by immunohistochemical analysis.
Results:
CDK5 activation increased neuronal damage by inducing Tau/glycogen synthase kinase (GSK) 3β and suppressing extracellular signal-regulated kinase (ERK)/peroxisome proliferator-activated receptor (PPAR)γ/cyclic AMP response element-binding protein (CREB) signaling following exposure to sevoflurane. CDK5 inhibition by roscovitine administration alleviated sevoflurane-induced neuronal damage and cognitive impairment.
Conclusions:
Inhibiting CDK5 with roscovitine has neuroprotective effects against neuronal injury and cognitive dysfunction caused by sevoflurane anesthesia that are exerted via modulation of Tau/GSK3β and ERK/PPARγ/CREB signaling.
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