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Isoflurane but not Fentanyl Causes Apoptosis in Immature Primary Neuronal Cells

机译:异氟烷而非芬太尼引起未成熟原代神经元细胞凋亡

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Background:Anaesthetics are widely used in new-borns and preterm infants, although it is known that they may adversely affect the developing brain.Objective:We assessed the impact of the volatile anaesthetic, isoflurane, and the intravenous analgesic, fentanyl, on immature and mature embryonic neuronal cells.Methods:Primary neuronal cultures from embryonic rats (E18) cultured for 5 (immature) or 15 days (mature) in vitro (DIV), respectively, were exposed to isoflurane (1.5 Vol.%) or fentanyl (0.8 - 200 ng/ml) for 24 hours. Experiments were repeated in the presence of the γ-amino butyric acid-A (GABA_(A)) receptor antagonists, bicuculline or picrotoxin (0.1 mmol/l), or the pancaspase inhibitor zVAD-fmk (20 nmol/l). Cell viability was assessed by methyltetrazolium (MTT) metabolism or lactate dehydrogenase (LDH) release.Results:Isoflurane reduced cell viability significantly in primary neuronal cells cultured for 5 DIV (Δ MTT -28 ±13%, Δ LDH +143 ±15%). Incubation with bicuculline, picrotoxin or zVAD-fmk protected the cells mostly from isoflurane toxicity. After 15 DIV, cell viability was not reduced by isoflurane. Viability of primary neurons cultured for 5 DIV did not change with fentanyl over the wide range of concentrations tested.Conclusion:Immature primary neurons may undergo apoptosis following exposure to isoflurane but are unaffected by fentanyl. Mature primary neurons were not affected by isoflurane exposure.
机译:背景:麻醉药已广泛用于新生儿和早产儿,尽管已知它们可能会对发育中的大脑造成不利影响。方法:将分别在体外(DIV)培养5天(未成熟)或15天(成熟)的胚胎大鼠(E18)的原始神经元培养物暴露于异氟烷(1.5 Vol。%)或芬太尼(0.8 -200 ng / ml),持续24小时。在γ-氨基丁酸-A(GABA_(A))受体拮抗剂,双小分子或微毒素(0.1 mmol / l)或泛半胱氨酸蛋白酶抑制剂zVAD-fmk(20 nmol / l)的存在下重复实验。通过甲基四氮唑(MTT)代谢或乳酸脱氢酶(LDH)释放评估细胞活力。结果:异氟烷显着降低了培养5 ​​DIV的原代神经元细胞的细胞活力(ΔMTT -28±13%,ΔLDH +143±15%) 。与小分子,苦瓜毒素或zVAD-fmk一起温育可保护细胞免受异氟烷的毒性。 15 DIV后,异氟烷不会降低细胞活力。在不同浓度的芬太尼中,培养5 DIV的原代神经元的活力并未改变。结论:未成熟的原代神经元在暴露于异氟烷后可能会发生凋亡,但不受芬太尼影响。成熟的原代神经元不受异氟烷暴露的影响。

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