Isoflurane induces endothelial apoptosis of the post-hypoxic blood-brain barrier in a transdifferentiated human umbilical vein endothelial cell model.

Isoflurane is a popular volatile anesthetic agent used in humans as well as in experimental animal research. In previous animal studies of the blood-brain barrier (BBB), observations towards an increased permeability after exposure to isoflurane are reported. In this study we investigated the effect...

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Main Authors: Michael S Dittmar, Walter Petermichl, Felix Schlachetzki, Bernhard M Graf, Michael Gruber
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2012-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3377664?pdf=render
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author Michael S Dittmar
Walter Petermichl
Felix Schlachetzki
Bernhard M Graf
Michael Gruber
author_facet Michael S Dittmar
Walter Petermichl
Felix Schlachetzki
Bernhard M Graf
Michael Gruber
author_sort Michael S Dittmar
collection DOAJ
description Isoflurane is a popular volatile anesthetic agent used in humans as well as in experimental animal research. In previous animal studies of the blood-brain barrier (BBB), observations towards an increased permeability after exposure to isoflurane are reported. In this study we investigated the effect of a 2-hour isoflurane exposure on apoptosis of the cerebral endothelium following 24 hours of hypoxia in an in vitro BBB model using astrocyte-conditioned human umbilical vein endothelial cells (AC-HUVECs). Apoptosis of AC-HUVECs was investigated using light microscopy of the native culture for morphological changes, Western blot (WB) analysis of Bax and Bcl-2, and a TUNEL assay. Treatment of AC-HUVECs with isoflurane resulted in severe cellular morphological changes and a significant dose-dependent increase in DNA fragmentation, which was observed during the TUNEL assay analysis. WB analysis confirmed increases in pro-apoptotic Bax levels at 4 hours and 24 hours and decreases in anti-apoptotic Bcl-2 in a dose-dependent manner compared with the control group. These negative effects of isoflurane on the BBB after a hypoxic challenge need to be taken into account not only in experimental stroke research, but possibly also in clinical practice.
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spelling doaj.art-b2e692d2f52b46aca23792f2fc1ac6282022-12-21T17:31:57ZengPublic Library of Science (PLoS)PLoS ONE1932-62032012-01-0176e3826010.1371/journal.pone.0038260Isoflurane induces endothelial apoptosis of the post-hypoxic blood-brain barrier in a transdifferentiated human umbilical vein endothelial cell model.Michael S DittmarWalter PetermichlFelix SchlachetzkiBernhard M GrafMichael GruberIsoflurane is a popular volatile anesthetic agent used in humans as well as in experimental animal research. In previous animal studies of the blood-brain barrier (BBB), observations towards an increased permeability after exposure to isoflurane are reported. In this study we investigated the effect of a 2-hour isoflurane exposure on apoptosis of the cerebral endothelium following 24 hours of hypoxia in an in vitro BBB model using astrocyte-conditioned human umbilical vein endothelial cells (AC-HUVECs). Apoptosis of AC-HUVECs was investigated using light microscopy of the native culture for morphological changes, Western blot (WB) analysis of Bax and Bcl-2, and a TUNEL assay. Treatment of AC-HUVECs with isoflurane resulted in severe cellular morphological changes and a significant dose-dependent increase in DNA fragmentation, which was observed during the TUNEL assay analysis. WB analysis confirmed increases in pro-apoptotic Bax levels at 4 hours and 24 hours and decreases in anti-apoptotic Bcl-2 in a dose-dependent manner compared with the control group. These negative effects of isoflurane on the BBB after a hypoxic challenge need to be taken into account not only in experimental stroke research, but possibly also in clinical practice.http://europepmc.org/articles/PMC3377664?pdf=render
spellingShingle Michael S Dittmar
Walter Petermichl
Felix Schlachetzki
Bernhard M Graf
Michael Gruber
Isoflurane induces endothelial apoptosis of the post-hypoxic blood-brain barrier in a transdifferentiated human umbilical vein endothelial cell model.
PLoS ONE
title Isoflurane induces endothelial apoptosis of the post-hypoxic blood-brain barrier in a transdifferentiated human umbilical vein endothelial cell model.
title_full Isoflurane induces endothelial apoptosis of the post-hypoxic blood-brain barrier in a transdifferentiated human umbilical vein endothelial cell model.
title_fullStr Isoflurane induces endothelial apoptosis of the post-hypoxic blood-brain barrier in a transdifferentiated human umbilical vein endothelial cell model.
title_full_unstemmed Isoflurane induces endothelial apoptosis of the post-hypoxic blood-brain barrier in a transdifferentiated human umbilical vein endothelial cell model.
title_short Isoflurane induces endothelial apoptosis of the post-hypoxic blood-brain barrier in a transdifferentiated human umbilical vein endothelial cell model.
title_sort isoflurane induces endothelial apoptosis of the post hypoxic blood brain barrier in a transdifferentiated human umbilical vein endothelial cell model
url http://europepmc.org/articles/PMC3377664?pdf=render
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AT walterpetermichl isofluraneinducesendothelialapoptosisoftheposthypoxicbloodbrainbarrierinatransdifferentiatedhumanumbilicalveinendothelialcellmodel
AT felixschlachetzki isofluraneinducesendothelialapoptosisoftheposthypoxicbloodbrainbarrierinatransdifferentiatedhumanumbilicalveinendothelialcellmodel
AT bernhardmgraf isofluraneinducesendothelialapoptosisoftheposthypoxicbloodbrainbarrierinatransdifferentiatedhumanumbilicalveinendothelialcellmodel
AT michaelgruber isofluraneinducesendothelialapoptosisoftheposthypoxicbloodbrainbarrierinatransdifferentiatedhumanumbilicalveinendothelialcellmodel