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Underlying Mechanisms of Memory Deficits Induced by Etomidate Anesthesia in Aged Rat Model： Critical Role of Immediate Early genes

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Chinese Medical Journal 2016年第1期129卷 48-53页

作者： Xu Li Fen Lu Wei Li Jun Xu Xiao-Jing Sun LJng-Zhi Qin Qian-Lin Zhang Yong Yao Qing-Kai Yu Xin-Liang Liang Department of Pathology Affiliated Cancer Hospital of Zhengzhou University Henan Provincial Cancer Hospital Zhengzhoo Henan 450008 China Department of Neurology Affiliated People's Hospital of Zhengzhou University Henan Provincial People's Hospital Zhengzhou Henan 450003 China Department of Medical Development Affiliated People's Hospital of Zhengzhou University Henan Provincial People's Hospital Zhengzhou Henan 450003 China

Background： Etomidate （R- 1 -[ 1 -ethylphenyl] imidazole-5-ethyl ester） is a widely used anesthetic drug that had been reported to contribute to cognitive deficits after general surgery. However, its underlying mechanisms have not been fully elucidated. In this study, we aimed to explore the neurohiological mechanisms of cognitive impairments that caused by etomidate. Methods： A total of 30 Sprague-Dawley rats were used and divided into two groups randomly to receive a single injection ofeiomidate or vehicle. Then, the rats＇ spatial memory ability and neuronal survival were evaluated using the Morris water maze test and Nissl staining, respectively. Furthermore, we analyzed levels of oxidative stress, as well as cyclic adenosine 3＇,5＇-monophosphate response element-binding （CREB） protein phosphorylation and immediate early gene （IEG, including Arc, c-fos, and Egrl） expression levels using Western blot analysis. Results： Compared with vehicle-treated rats, the etomidate-treated rats displayed impaired spatial learning （day 4：27.26 ± 5.33 s vs. 35.52 ± 3.88s, t 2.988, P 0.0068; day 5： 15.84±4.02svs.30.67±4.23s,t=3.013,P=0.0057;day6：9.47±2.35svs.25.66±4.16s,t=3.567, P = 0.0036） and menaory ability （crossing times： 4.40 ± 1.18 vs. 2.06 ± 0.80, t = 2.896, P 0.0072; duration： 34.00± 4.24 s vs. 18.07 ±4.79 s, t = 3.023, P= 0.0053; total swimming distance： 40.73 ±3.45 cm vs. 27.40± 6.56 cm, t = 2.798, P = 0.0086） but no neuronal death. Furthermore, etomidate did not cause oxidative stress or deficits in CREB phosphorylation. The levels of multiple lEGs （Arc： vehicle treated rats 100%, etomidate treated rats 86%, t = 2.876, P 0.0086; c-los： Vehicle treated rats 100%, etomidate treated rats 72%, t =2.996, P = 0.0076; Egrl ： Vehicle treated rats 100%, etomidate treated rats 58%, t = 3.011, P=0.0057） were significantly reduced in hippocampi ofetomidate-treated rats. Conclusion： Our data suggested that etomidate might induce memory impairment in rats via inhibition of lEG expres

关键词： Anesthesia Cyclic Adenosine 3',5'-Monophosphate Response Element-binding Phosphorylation Etomidate immediateearly genes Neuronal Death Oxidative Stress

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