Role of TREM1 in the sevoflurane-induced inflammatory activation of microglia in vitro

Chunchun Tang1, Yuhang Zhu1, Dexing Liu1

  • 1Department of Anesthesiology Affiliated Hospital of Zunyi Medical University Zunyi China.

Ibrain
|December 15, 2025
PubMed

Insights

Perioperative neurocognitive disorders (PNDs) involve microglia-driven inflammation. This study reveals Triggering Receptor Expressed on Myeloid cells 1 (TREM1) modulates sevoflurane-induced microglial activation, suggesting TREM1 as a potential therapeutic target for PNDs.

Area of Science:

  • Neuroscience
  • Immunology
  • Anesthesiology

Background:

  • Perioperative neurocognitive disorders (PNDs) are common post-surgery complications.
  • Microglia-mediated neuroinflammation is implicated in PND pathogenesis, but mechanisms are unclear.
  • Triggering Receptor Expressed on Myeloid cells 1 (TREM1) is a key inflammatory regulator.

Purpose of the Study:

  • To investigate the role of TREM1 in sevoflurane-induced inflammatory responses in microglia.
  • To explore TREM1's impact on microglial polarization and inflammatory marker expression.

Main Methods:

  • BV2 microglia were exposed to sevoflurane at varying concentrations and durations.
  • Cell viability was assessed (CCK8), and TREM1, iNOS, ARG expression measured (ELISA).
  • TREM1 knockdown was performed, and inflammatory markers (IL-1β, TNF-α, TGF-β, IL-10) were analyzed (qRT-PCR, immunofluorescence).

Main Results:

  • Prolonged, high-concentration sevoflurane induced significant microglial inflammatory activation.
  • TREM1 expression was altered by sevoflurane exposure.
  • TREM1 knockdown modulated sevoflurane-induced inflammatory responses and microglial polarization.

Conclusions:

  • Sevoflurane triggers potent microglial inflammatory activation, particularly at high concentrations and prolonged durations.
  • TREM1 plays a crucial role in modulating microglial polarization during sevoflurane exposure.
  • TREM1 represents a potential therapeutic target for preventing and treating sevoflurane-induced PNDs.

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