Piezo1 participates in sevoflurane-induced developmental neurotoxicity via neuroinflammation and synaptic damage in

Yang Zhang1, Xinru Liu2, Ying Gao1

  • 1Department of Anesthesiology, First Affiliated Hospital of Bengbu Medical University, Bengbu 233004, China.

Abstract

Insights

Sevoflurane exposure harms developing brains by increasing Piezo1 activity, leading to neuroinflammation and cognitive deficits. Inhibiting Piezo1 offers a potential therapeutic strategy to protect against this developmental neurotoxicity.

Area of Science:

  • Neuroscience
  • Toxicology
  • Developmental Biology

Background:

  • Repeated sevoflurane exposure in neonatal mice causes neurocognitive deficits.
  • The role of Piezo1 in sevoflurane-induced developmental neurotoxicity is investigated.

Purpose of the Study:

  • To elucidate the mechanisms underlying sevoflurane's neurotoxic effects.
  • To determine Piezo1's involvement in sevoflurane-induced developmental neurotoxicity.

Main Methods:

  • Neonatal mice were exposed to sevoflurane; Piezo1 function was modulated with GsMTx4 and Yoda1.
  • Cognitive function, neuroinflammation, and synaptic integrity were assessed.
  • In vitro studies used BV2 microglia to examine Piezo1-mediated calcium signaling.

Main Results:

  • Sevoflurane exposure impaired cognitive function, increased neuroinflammation, and damaged synapses, correlating with elevated Piezo1 expression.
  • Piezo1 inhibition (GsMTx4) reversed cognitive deficits and neuroinflammation, while activation (Yoda1) worsened outcomes.
  • In vitro, sevoflurane increased Piezo1-dependent calcium flux and inflammatory cytokine release in microglia.

Conclusions:

  • Piezo1 is a key mediator of sevoflurane-induced developmental neurotoxicity.
  • The mechanism involves calcium-dependent microglial complement signaling and synaptic phagocytosis.
  • Targeting Piezo1 presents a potential therapeutic avenue for mitigating sevoflurane's adverse effects.

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