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Article Open Access

Dexmedetomidine attenuates sevoflurane‑induced neurocognitive impairment through α2‑adrenoceptors

  • Authors:
    • Yufeng Zhang
    • Mao Li
    • Enhui Cui
    • Hao Zhang
    • Xiaozhong Zhu
    • Jing Zhou
    • Ming Yan
    • Jian Sun
  • View Affiliations / Copyright

    Affiliations: Department of Anesthesiology, The Huai'an Maternity and Child Clinical College of Xuzhou Medical University, Huai'an, Jiangsu 223002, P.R. China
    Copyright: © Zhang et al. This is an open access article distributed under the terms of Creative Commons Attribution License [CC BY 4.0].
  • Article Number: 38
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    Published online on: November 10, 2020
       https://doi.org/10.3892/mmr.2020.11676
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Abstract

It has been reported that sevoflurane induces neurotoxicity in the developing brain. Dexmedetomidine is an α2 adrenoceptor agonist used for the prevention of sevoflurane‑induced agitation in children in clinical practice. The aim of the present study was to determine whether dexmedetomidine could prevent sevoflurane‑induced neuroapoptosis, neuroinflammation, oxidative stress and neurocognitive impairment. Additionally, the involvement of α2 adrenoceptors in the neuroprotective effect of dexmedetomidine was assessed. Postnatal day (P)6 C57BL/6 male mice were randomly divided into four groups (n=6 in each group). Mice were pretreated with dexmedetomidine, either alone or together with yohimbine, an α2 adrenoceptor inhibitor, then exposed to 3% sevoflurane in 25% oxygen. Control mice either received normal saline alone or with sevoflurane exposure. Following sevoflurane exposure, the expression of cleaved caspase‑3 was detected by immunohistochemistry in hippocampal tissue sections. In addition, the levels of tumor necrosis factor‑α (TNF‑α), interleukin (IL)‑1β, IL‑6 and malondialdehyde, as well as superoxide dismutase (SOD) activity in the hippocampus were measured. At P35, the learning and memory abilities were assessed in each mouse using a Morris water maze test. Dexmedetomidine significantly decreased the expression of activated caspase‑3 following sevoflurane exposure. Moreover, dexmedetomidine significantly decreased the levels of TNF‑α, IL‑1β and IL‑6 in the hippocampus. SOD activity also increased in a dose‑dependent manner in dexmedetomidine‑treated mice. MDA decreased in a dose‑dependent manner in dexmedetomidine‑treated mice. Lastly, sevoflurane‑induced learning and memory impairment was reversed by dexmedetomidine treatment. By contrast, co‑administration of yohimbine significantly attenuated the neuroprotective effects of dexmedetomidine. These findings suggested that dexmedetomidine exerted a neuroprotective effect against sevoflurane‑induced apoptosis, inflammation, oxidative stress and neurocognitive impairment, which was mediated, at least in part, by α2 adrenoceptors.
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Copy and paste a formatted citation
Spandidos Publications style
Zhang Y, Li M, Cui E, Zhang H, Zhu X, Zhou J, Yan M and Sun J: Dexmedetomidine attenuates sevoflurane‑induced neurocognitive impairment through α2‑adrenoceptors. Mol Med Rep 23: 38, 2021.
APA
Zhang, Y., Li, M., Cui, E., Zhang, H., Zhu, X., Zhou, J. ... Sun, J. (2021). Dexmedetomidine attenuates sevoflurane‑induced neurocognitive impairment through α2‑adrenoceptors. Molecular Medicine Reports, 23, 38. https://doi.org/10.3892/mmr.2020.11676
MLA
Zhang, Y., Li, M., Cui, E., Zhang, H., Zhu, X., Zhou, J., Yan, M., Sun, J."Dexmedetomidine attenuates sevoflurane‑induced neurocognitive impairment through α2‑adrenoceptors". Molecular Medicine Reports 23.1 (2021): 38.
Chicago
Zhang, Y., Li, M., Cui, E., Zhang, H., Zhu, X., Zhou, J., Yan, M., Sun, J."Dexmedetomidine attenuates sevoflurane‑induced neurocognitive impairment through α2‑adrenoceptors". Molecular Medicine Reports 23, no. 1 (2021): 38. https://doi.org/10.3892/mmr.2020.11676
Copy and paste a formatted citation
x
Spandidos Publications style
Zhang Y, Li M, Cui E, Zhang H, Zhu X, Zhou J, Yan M and Sun J: Dexmedetomidine attenuates sevoflurane‑induced neurocognitive impairment through α2‑adrenoceptors. Mol Med Rep 23: 38, 2021.
APA
Zhang, Y., Li, M., Cui, E., Zhang, H., Zhu, X., Zhou, J. ... Sun, J. (2021). Dexmedetomidine attenuates sevoflurane‑induced neurocognitive impairment through α2‑adrenoceptors. Molecular Medicine Reports, 23, 38. https://doi.org/10.3892/mmr.2020.11676
MLA
Zhang, Y., Li, M., Cui, E., Zhang, H., Zhu, X., Zhou, J., Yan, M., Sun, J."Dexmedetomidine attenuates sevoflurane‑induced neurocognitive impairment through α2‑adrenoceptors". Molecular Medicine Reports 23.1 (2021): 38.
Chicago
Zhang, Y., Li, M., Cui, E., Zhang, H., Zhu, X., Zhou, J., Yan, M., Sun, J."Dexmedetomidine attenuates sevoflurane‑induced neurocognitive impairment through α2‑adrenoceptors". Molecular Medicine Reports 23, no. 1 (2021): 38. https://doi.org/10.3892/mmr.2020.11676
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