Repeated Sevoflurane Exposure in Neonatal Rats Enhances the Sensitivity to Pain and Traumatic Stress Later in

Ben-Zhen Chen1,2, Li-Hua Jiang3, Wenqin Zhou4

  • 1Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, People's Republic of China.

Journal of Pain Research
|October 19, 2022
PubMed

Insights

Neonatal sevoflurane exposure increases pain sensitivity and stress response in juvenile rats. This is linked to changes in GABAergic signaling, which can be modulated by bumetanide.

Area of Science:

  • Neuroscience
  • Anesthesiology
  • Developmental Biology

Background:

  • Neonatal exposure to anesthetics like sevoflurane may cause long-term neurodevelopmental issues.
  • Previous studies suggest sevoflurane exposure is linked to neuroendocrine dysregulation.

Purpose of the Study:

  • To investigate if repeated neonatal sevoflurane exposure enhances pain sensitivity and stress response in juvenile rats.
  • To determine if neonatal brain depolarizing gamma-aminobutyric acid type A receptor (GABAAR) activity mediates these effects.

Main Methods:

  • Postnatal day 6 Sprague-Dawley male rats were exposed to sevoflurane or vehicle.
  • Some rats received bumetanide, a NKCC1 inhibitor, prior to sevoflurane exposure.
  • Pain sensitivity (PWTL) and corticosterone levels after conditioned fear traumatic stress (CFTS) were assessed.

Main Results:

  • Sevoflurane exposure reduced paw withdrawal thermal latency (PWTL) in juvenile rats.
  • Sevoflurane-exposed rats showed elevated corticosterone levels after CFTS.
  • The NKCC1/KCC2 mRNA ratio increased post-sevoflurane exposure, an effect reduced by bumetanide.

Conclusions:

  • Repeated neonatal sevoflurane exposure exacerbates pain sensitivity and acute traumatic stress response in juvenile rats.
  • Neonatal brain depolarizing GABAAR activity plays a role in mediating these sevoflurane-induced abnormalities.
Abstract

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