Key result
Sevoflurane upregulates neuron death-related gene DDIT4 via NMDAR in the hippocampus of aged mice.
Why the study?
A comprehensive analysis of general anesthesia-regulated gene expression patterns and further research on molecular mechanisms underlying general anesthetic neurotoxicity are lacking.
Sevoflurane-induced neurotoxicity may be mediated by NMDAR-dependent upregulation of DDIT4, providing a potential therapeutic target for postoperative cognitive dysfunction.
May implicate NMDAR-DDIT4 in sevoflurane neurotoxicity; hypothesis-generating for POCD targets, should not yet change practice.
Postoperative cognitive dysfunction (POCD) is a serious and common complication induced by anesthesia and surgery. Neuronal apoptosis induced by general anesthetic neurotoxicity is a high-risk factor. However, a comprehensive analysis of general anesthesia-regulated gene expression patterns and further research on molecular mechanisms are lacking. Here, we performed bioinformatics analysis of gene expression in the hippocampus of aged rats that received sevoflurane anesthesia in GSE139220 from the GEO database, found a total of 226 differentially expressed genes (DEGs) and investigated hub genes according to the number of biological processes in which the genes were enriched and performed screening by 12 algorithms with cytoHubba in Cytoscape. Among the screened hub genes, Agt, Cdkn1a, Ddit4, and Rhob are related to the neuronal death process. We further confirmed that these genes, especially Ddit4, were upregulated in the hippocampus of aged mice that received sevoflurane anesthesia. NMDAR, the core target receptor of sevoflurane, rather than GABAAR, mediates the sevoflurane regulation of DDIT4 expression. Our study screened sevoflurane-regulated DEGs and focused on the neuronal death process to reveal DDIT4 as a potential target mediated by NMDAR, which may provide a new target for the treatment of sevoflurane neurotoxicity.
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Li et al. (2023) studied Postoperative cognitive dysfunction (POCD). Sevoflurane anesthesia was evaluated on Differentially expressed genes (DEGs) and hub genes related to the neuronal death process. Bioinformatics analysis identified 226 differentially expressed genes, revealing that sevoflurane upregulates the neuron death-related gene DDIT4 via NMDAR in the hippocampus of aged mice.
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