P2X7 Receptor in Microglia Contributes to Propofol-induced Unconsciousness by Regulating Synaptic Plasticity in Mice

Bo Zhang1, Panpan Zhang2, Tingting Li3

  • 1Department of Anesthesiology, Institute of Anesthesia and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.; Key Laboratory of Anesthesiology and Resuscitation (Huazhong University of Science and Technology), Ministry of Education, China.

Neuroscience
|May 21, 2023
PubMed

Insights

The purine type 2X7 receptor (P2X7R) in microglia plays a role in propofol-induced unconsciousness. Targeting P2X7R influences synaptic plasticity and brain activity during anesthesia.

Area of Science:

  • Neuroscience
  • Anesthesiology
  • Cell Biology

Background:

  • Propofol is a common anesthetic affecting the central nervous system.
  • The P2X7 receptor (P2X7R) is involved in neural regulation and synaptic plasticity.
  • Microglia, the brain's immune cells, express P2X7R and may influence anesthetic effects.

Purpose of the Study:

  • To investigate the role of microglial P2X7R in propofol-induced unconsciousness.
  • To determine how P2X7R activation or inhibition affects neural activity and synaptic function under propofol anesthesia.

Main Methods:

  • Used male C57BL/6 wild-type mice undergoing propofol anesthesia.
  • Administered P2X7R antagonist (A-740003) and agonist (Bz-ATP).
  • Analyzed electroencephalogram (EEG) spectral power, P2X7R expression, synaptic markers, GABA release, and synaptic currents (sEPSCs, sIPSCs) in the medial prefrontal cortex (mPFC).

Main Results:

  • Propofol induced loss of righting reflex, increased slow/delta wave activity, elevated P2X7R expression in microglia, mild synaptic injury, and increased GABA release in the mPFC.
  • P2X7R antagonist reversed propofol's effects, while the agonist strengthened them.
  • Propofol decreased sEPSCs and increased sIPSCs; A-740003 decreased both, while Bz-ATP increased both under propofol.

Conclusions:

  • Microglial P2X7R is a key regulator of synaptic plasticity.
  • P2X7R activity contributes to the mechanisms underlying propofol-mediated unconsciousness.
  • Modulating P2X7R offers a potential target for managing anesthetic effects.

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