Effect of inspired oxygen fraction during anesthesia on inflammation and antioxidant enzyme activity in the mouse cortex and hippocampus
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Published on: December 8, 2023
Jee-Eun Chang1, Elliot H Lee2, Soo-Jin Oh2
1Department of Anesthesiology and Pain Medicine, SMG-SNU Boramae Medical Center, College of Medicine, Seoul National University, Seoul, Republic of Korea.
Introduction:
Although high inspired oxygen fraction (FiO₂) is used during anesthesia to prevent hypoxemia, the effect of different oxygen fraction on the brain remains unclear. This study aims to evaluate whether different inspired oxygen fractions (FiO₂ 30% vs. 80%) during anesthesia affect inflammation and antioxidant enzyme activity in the cortex and hippocampus of young and aged mice.
Methods:
Young and old mice were anesthetized with sevoflurane at FiO₂ 30% or 80% for 3 h. Mice in the control group were exposed to medical air (FiO₂ 21%) for 3 h. Cytokine and superoxide dismutase (SOD) assays were performed on the cortex and hippocampus samples after anesthesia.
Results:
The IL-1β level in the hippocampus was significantly higher in the FiO₂ 80% group compared with controls [5.0 (4.0-6.9) pg. mL-1 vs. 2.3 (1.6-2.7) pg. mL-1; adjusted p = 0.032], whereas no significant differences were observed in IL-1β levels between the control and FiO₂ 30% groups [adjusted p = 0.164] or the FiO₂ 30% and FiO₂ 80% groups [adjusted p = 0.390]. Except for IL-1β in the hippocampus, no significant differences in the cytokine levels and SOD activities were observed among the groups according to the inspired oxygen fraction in either brain region or age group [p > 0.05].
Discussion:
Only 80% oxygen increased hippocampal IL-1β compared with controls, suggesting region-specific vulnerability to oxygen-induced neuroinflammation. However, no significant differences between FiO₂ levels (30% vs. 80%) indicate a limited neuroinflammatory impact under 3 h of anesthesia. Further studies with longer exposure and surgical conditions are needed to clarify the clinical implications.

