The neuroprotective effect of dexmedetomidine and its mechanism

Dexmedetomidine (DEX) is a highly selective α2 receptor agonist that is routinely used in the clinic for sedation and anesthesia. Recently, an increasing number of studies have shown that DEX has a protective effect against brain injury caused by traumatic brain injury (TBI), subarachnoid hemorrhage...

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Main Authors: Yijun Hu, Hong Zhou, Huanxin Zhang, Yunlong Sui, Zhen Zhang, Yuntao Zou, Kunquan Li, Yunyi Zhao, Jiangbo Xie, Lunzhong Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2022.965661/full
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author Yijun Hu
Yijun Hu
Hong Zhou
Huanxin Zhang
Yunlong Sui
Zhen Zhang
Yuntao Zou
Kunquan Li
Yunyi Zhao
Jiangbo Xie
Lunzhong Zhang
author_facet Yijun Hu
Yijun Hu
Hong Zhou
Huanxin Zhang
Yunlong Sui
Zhen Zhang
Yuntao Zou
Kunquan Li
Yunyi Zhao
Jiangbo Xie
Lunzhong Zhang
author_sort Yijun Hu
collection DOAJ
description Dexmedetomidine (DEX) is a highly selective α2 receptor agonist that is routinely used in the clinic for sedation and anesthesia. Recently, an increasing number of studies have shown that DEX has a protective effect against brain injury caused by traumatic brain injury (TBI), subarachnoid hemorrhage (SAH), cerebral ischemia and ischemia–reperfusion (I/R), suggesting its potential as a neuroprotective agent. Here, we summarized the neuroprotective effects of DEX in several models of neurological damage and examined its mechanism based on the current literature. Ultimately, we found that the neuroprotective effect of DEX mainly involved inhibition of inflammatory reactions, reduction of apoptosis and autophagy, and protection of the blood–brain barrier and enhancement of stable cell structures in five way. Therefore, DEX can provide a crucial advantage in neurological recovery for patients with brain injury. The purpose of this study was to further clarify the neuroprotective mechanisms of DEX therefore suggesting its potential in the clinical management of the neurological injuries.
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spelling doaj.art-3f60d76e3ffc4fcfb8c9bdd0ccb14a752022-12-22T03:17:26ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122022-09-011310.3389/fphar.2022.965661965661The neuroprotective effect of dexmedetomidine and its mechanismYijun Hu0Yijun Hu1Hong Zhou2Huanxin Zhang3Yunlong Sui4Zhen Zhang5Yuntao Zou6Kunquan Li7Yunyi Zhao8Jiangbo Xie9Lunzhong Zhang10Neurology Department, Weifang Hospital of Traditional Chinese Medicine, Weifang, ChinaGraduate School, Shandong University of Traditional Chinese Medicine, Jinan, ChinaNeurology Department, Weifang Hospital of Traditional Chinese Medicine, Weifang, ChinaNeurology Department, Weifang Hospital of Traditional Chinese Medicine, Weifang, ChinaNeurology Department, Weifang Hospital of Traditional Chinese Medicine, Weifang, ChinaNeurology Department, Weifang Hospital of Traditional Chinese Medicine, Weifang, ChinaNeurology Department, Weifang Hospital of Traditional Chinese Medicine, Weifang, ChinaNeurology Department, Weifang Hospital of Traditional Chinese Medicine, Weifang, ChinaNeurology Department, Weifang Hospital of Traditional Chinese Medicine, Weifang, ChinaNeurology Department, Weifang Hospital of Traditional Chinese Medicine, Weifang, ChinaNeurology Department, Weifang Hospital of Traditional Chinese Medicine, Weifang, ChinaDexmedetomidine (DEX) is a highly selective α2 receptor agonist that is routinely used in the clinic for sedation and anesthesia. Recently, an increasing number of studies have shown that DEX has a protective effect against brain injury caused by traumatic brain injury (TBI), subarachnoid hemorrhage (SAH), cerebral ischemia and ischemia–reperfusion (I/R), suggesting its potential as a neuroprotective agent. Here, we summarized the neuroprotective effects of DEX in several models of neurological damage and examined its mechanism based on the current literature. Ultimately, we found that the neuroprotective effect of DEX mainly involved inhibition of inflammatory reactions, reduction of apoptosis and autophagy, and protection of the blood–brain barrier and enhancement of stable cell structures in five way. Therefore, DEX can provide a crucial advantage in neurological recovery for patients with brain injury. The purpose of this study was to further clarify the neuroprotective mechanisms of DEX therefore suggesting its potential in the clinical management of the neurological injuries.https://www.frontiersin.org/articles/10.3389/fphar.2022.965661/fulldexmedetomidineneuroprotectiveinflammatory responsecell apoptosisblood-brain barriercell structure protection
spellingShingle Yijun Hu
Yijun Hu
Hong Zhou
Huanxin Zhang
Yunlong Sui
Zhen Zhang
Yuntao Zou
Kunquan Li
Yunyi Zhao
Jiangbo Xie
Lunzhong Zhang
The neuroprotective effect of dexmedetomidine and its mechanism
Frontiers in Pharmacology
dexmedetomidine
neuroprotective
inflammatory response
cell apoptosis
blood-brain barrier
cell structure protection
title The neuroprotective effect of dexmedetomidine and its mechanism
title_full The neuroprotective effect of dexmedetomidine and its mechanism
title_fullStr The neuroprotective effect of dexmedetomidine and its mechanism
title_full_unstemmed The neuroprotective effect of dexmedetomidine and its mechanism
title_short The neuroprotective effect of dexmedetomidine and its mechanism
title_sort neuroprotective effect of dexmedetomidine and its mechanism
topic dexmedetomidine
neuroprotective
inflammatory response
cell apoptosis
blood-brain barrier
cell structure protection
url https://www.frontiersin.org/articles/10.3389/fphar.2022.965661/full
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