Atorvastatin Attenuates Isoflurane-Induced Activation of ROS-p38MAPK/ATF2 Pathway, Neuronal Degeneration, and Cognitive Impairment of the Aged Mice

Isoflurane, a widely used volatile anesthetic, induces neuronal apoptosis and memory impairments in various animal models. However, the potential mechanisms and effective pharmacologic agents are still not fully understood. The p38MAPK/ATF-2 pathway has been proved to regulate neuronal cell survival...

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Main Authors: Pengfei Liu, Quansheng Gao, Lei Guan, Weixuan Sheng, Yanting Hu, Teng Gao, Jingwen Jiang, Yongxing Xu, Hui Qiao, Xinying Xue, Sanhong Liu, Tianzuo Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-01-01
Series:Frontiers in Aging Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnagi.2020.620946/full
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author Pengfei Liu
Quansheng Gao
Lei Guan
Weixuan Sheng
Yanting Hu
Teng Gao
Jingwen Jiang
Yongxing Xu
Hui Qiao
Xinying Xue
Sanhong Liu
Tianzuo Li
author_facet Pengfei Liu
Quansheng Gao
Lei Guan
Weixuan Sheng
Yanting Hu
Teng Gao
Jingwen Jiang
Yongxing Xu
Hui Qiao
Xinying Xue
Sanhong Liu
Tianzuo Li
author_sort Pengfei Liu
collection DOAJ
description Isoflurane, a widely used volatile anesthetic, induces neuronal apoptosis and memory impairments in various animal models. However, the potential mechanisms and effective pharmacologic agents are still not fully understood. The p38MAPK/ATF-2 pathway has been proved to regulate neuronal cell survival and inflammation. Besides, atorvastatin, a 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitor, exerts neuroprotective effects. Thus, this study aimed to explore the influence of atorvastatin on isoflurane-induced neurodegeneration and underlying mechanisms. Aged C57BL/6 mice (20 months old) were exposed to isoflurane (1.5%) anesthesia for 6 h. Atorvastatin (5, 10, or 20 mg/kg body weight) was administered to the mice for 7 days. Atorvastatin attenuated the isoflurane-induced generation of ROS and apoptosis. Western blotting revealed a decrease in cleaved caspase-9 and caspase-3 expression in line with ROS levels. Furthermore, atorvastatin ameliorated the isoflurane-induced activation of p38MAPK/ATF-2 signaling. In a cellular study, we proved that isoflurane could induce oxidative stress and inflammation by activating the p38MAPK/ATF-2 pathway in BV-2 microglia cells. In addition, SB203580, a selected p38MAPK inhibitor, inhibited the isoflurane-induced inflammation, oxidative stress, and apoptosis. The results implied that p38MAPK/ATF-2 was a potential target for the treatment of postoperative cognitive dysfunction.
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spelling doaj.art-28f7466fcf5844a8889631ad3e8d0ae52022-12-21T22:02:36ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652021-01-011210.3389/fnagi.2020.620946620946Atorvastatin Attenuates Isoflurane-Induced Activation of ROS-p38MAPK/ATF2 Pathway, Neuronal Degeneration, and Cognitive Impairment of the Aged MicePengfei Liu0Quansheng Gao1Lei Guan2Weixuan Sheng3Yanting Hu4Teng Gao5Jingwen Jiang6Yongxing Xu7Hui Qiao8Xinying Xue9Sanhong Liu10Tianzuo Li11Department of Anesthesiology, Beijing Shijitan Hospital, Capital Medical University, Beijing, ChinaDepartment of Operational Medicine, Tianjin Institute of Environmental and Operational Medicine, Tianjin, ChinaDepartment of Anesthesiology, Beijing Shijitan Hospital, Capital Medical University, Beijing, ChinaDepartment of Anesthesiology, Beijing Shijitan Hospital, Capital Medical University, Beijing, ChinaDepartment of Anesthesiology, Beijing Shijitan Hospital, Capital Medical University, Beijing, ChinaDepartment of Anesthesiology, Beijing Shijitan Hospital, Capital Medical University, Beijing, ChinaDepartment of Anesthesiology, Beijing Shijitan Hospital, Capital Medical University, Beijing, ChinaDepartment of Nephrology, Chinese PLA Strategic Support Force Characteristic Medical Center, Beijing, ChinaDepartment of Anesthesiology, Beijing Shijitan Hospital, Capital Medical University, Beijing, ChinaDepartment of Respiratory and Critical Care, Beijing Shijitan Hospital, Capital Medical University, Beijing, ChinaInstitute of Interdisciplinary Integrative Medicine Research, Shanghai University of Traditional Chinese Medicine, Shanghai, ChinaDepartment of Anesthesiology, Beijing Shijitan Hospital, Capital Medical University, Beijing, ChinaIsoflurane, a widely used volatile anesthetic, induces neuronal apoptosis and memory impairments in various animal models. However, the potential mechanisms and effective pharmacologic agents are still not fully understood. The p38MAPK/ATF-2 pathway has been proved to regulate neuronal cell survival and inflammation. Besides, atorvastatin, a 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitor, exerts neuroprotective effects. Thus, this study aimed to explore the influence of atorvastatin on isoflurane-induced neurodegeneration and underlying mechanisms. Aged C57BL/6 mice (20 months old) were exposed to isoflurane (1.5%) anesthesia for 6 h. Atorvastatin (5, 10, or 20 mg/kg body weight) was administered to the mice for 7 days. Atorvastatin attenuated the isoflurane-induced generation of ROS and apoptosis. Western blotting revealed a decrease in cleaved caspase-9 and caspase-3 expression in line with ROS levels. Furthermore, atorvastatin ameliorated the isoflurane-induced activation of p38MAPK/ATF-2 signaling. In a cellular study, we proved that isoflurane could induce oxidative stress and inflammation by activating the p38MAPK/ATF-2 pathway in BV-2 microglia cells. In addition, SB203580, a selected p38MAPK inhibitor, inhibited the isoflurane-induced inflammation, oxidative stress, and apoptosis. The results implied that p38MAPK/ATF-2 was a potential target for the treatment of postoperative cognitive dysfunction.https://www.frontiersin.org/articles/10.3389/fnagi.2020.620946/fullmitogen activated protein kinasesneuronal degenerationreactive oxygen speciesisofluraneatorvastatinaging
spellingShingle Pengfei Liu
Quansheng Gao
Lei Guan
Weixuan Sheng
Yanting Hu
Teng Gao
Jingwen Jiang
Yongxing Xu
Hui Qiao
Xinying Xue
Sanhong Liu
Tianzuo Li
Atorvastatin Attenuates Isoflurane-Induced Activation of ROS-p38MAPK/ATF2 Pathway, Neuronal Degeneration, and Cognitive Impairment of the Aged Mice
Frontiers in Aging Neuroscience
mitogen activated protein kinases
neuronal degeneration
reactive oxygen species
isoflurane
atorvastatin
aging
title Atorvastatin Attenuates Isoflurane-Induced Activation of ROS-p38MAPK/ATF2 Pathway, Neuronal Degeneration, and Cognitive Impairment of the Aged Mice
title_full Atorvastatin Attenuates Isoflurane-Induced Activation of ROS-p38MAPK/ATF2 Pathway, Neuronal Degeneration, and Cognitive Impairment of the Aged Mice
title_fullStr Atorvastatin Attenuates Isoflurane-Induced Activation of ROS-p38MAPK/ATF2 Pathway, Neuronal Degeneration, and Cognitive Impairment of the Aged Mice
title_full_unstemmed Atorvastatin Attenuates Isoflurane-Induced Activation of ROS-p38MAPK/ATF2 Pathway, Neuronal Degeneration, and Cognitive Impairment of the Aged Mice
title_short Atorvastatin Attenuates Isoflurane-Induced Activation of ROS-p38MAPK/ATF2 Pathway, Neuronal Degeneration, and Cognitive Impairment of the Aged Mice
title_sort atorvastatin attenuates isoflurane induced activation of ros p38mapk atf2 pathway neuronal degeneration and cognitive impairment of the aged mice
topic mitogen activated protein kinases
neuronal degeneration
reactive oxygen species
isoflurane
atorvastatin
aging
url https://www.frontiersin.org/articles/10.3389/fnagi.2020.620946/full
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