Toxic effects of prolonged propofol exposure on cardiac development in zebrafish larvae

Shaojie Qian1, Huizi Liu1, Hanwei Wei1

  • 1Center for Rehabilitation Medicine, Department of Anesthesiology, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, Zhejiang, China.

BMC Anesthesiology
|February 18, 2025
PubMed

Insights

Propofol anesthesia during pregnancy can harm fetal heart development. This study shows propofol negatively impacts zebrafish heart structure and function, identifying agxt2 as a potential toxicity target.

Area of Science:

  • Developmental biology
  • Cardiovascular research
  • Toxicology

Background:

  • Propofol is a common intravenous anesthetic used during pregnancy.
  • It readily crosses the placental barrier, posing potential risks to fetal development.
  • Fetal heart development may be particularly vulnerable to anesthetic exposure.

Purpose of the Study:

  • To investigate the effects of propofol on the developing zebrafish heart.
  • To assess propofol's impact on cardiac structure and function.
  • To identify potential molecular targets of propofol-induced cardiotoxicity.

Main Methods:

  • Zebrafish embryos were exposed to varying concentrations of propofol.
  • Cardiac structure and function (heart rate) were evaluated.
  • In vitro cardiomyocyte viability and migration assays were performed.
  • Transcriptomic sequencing identified potential drug targets.

Main Results:

  • Propofol exposure decreased zebrafish hatching and survival rates, increasing deformities.
  • Observed cardiac abnormalities included enlarged cavities and thinned myocardial walls.
  • Propofol reduced heart rate, cardiomyocyte viability, and migration, while increasing apoptosis.
  • Transcriptome analysis identified agxt2 as a potential target.

Conclusions:

  • Propofol adversely affects developing zebrafish heart structure and function.
  • The gene agxt2 is identified as a potential mediator of propofol's cardiotoxic effects.
  • Findings highlight the need for further investigation into anesthetic risks during pregnancy.
Abstract

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