miR-423-3p alleviates sevoflurane-induced learning and memory dysfunction and nerve damage via negative regulation of

Liquan Qiu1, Licai Zhang1, Bin Fan1

  • 1Department of Anesthesiology, Zigong Fourth People's Hospital, Zigong 643000, China.

Neuroscience Letters
|July 29, 2025
PubMed
Abstract

Insights

Down-regulating miR-423-3p in rats reduced cognitive deficits after sevoflurane anesthesia. This repression mitigated oxidative stress and inflammation by negatively regulating GPX4, offering a potential therapeutic target.

Area of Science:

  • Neuroscience
  • Molecular Biology
  • Anesthesiology

Background:

  • Sevoflurane anesthesia can cause nerve damage, with altered microRNA expression, including miR-423-3p.
  • The specific role of miR-423-3p in sevoflurane-induced neurological damage is not fully understood.

Purpose of the Study:

  • To investigate the impact of miR-423-3p on rats following sevoflurane anesthesia.
  • To elucidate the molecular mechanisms underlying miR-423-3p's effect on neurological damage.

Main Methods:

  • Quantitative real-time PCR (RT-qPCR) to measure miR-423-3p, GPX4, and oxidative stress markers in the rat hippocampus.
  • Behavioral tests (Morris water maze, novel object recognition) to assess cognitive function.
  • Enzyme-linked immunosorbent assay (ELISA) to quantify inflammatory factors.

Main Results:

  • Sevoflurane anesthesia increased miR-423-3p and decreased GPX4 expression.
  • Down-regulated miR-423-3p improved cognitive function and reduced oxidative stress (ROS, MDA) and inflammation (NLRP3, Caspase-1, IL-8, IL-1β) by negatively regulating GPX4.
  • GPX4 inhibition reversed the protective effects of miR-423-3p down-regulation.

Conclusions:

  • Down-regulation of miR-423-3p attenuates cognitive deficits and nerve injury in rats exposed to sevoflurane.
  • Repressed miR-423-3p alleviates oxidative stress and inflammation, primarily through the negative regulation of GPX4.