Abstract

Commonly used anesthetic isoflurane has been reported to promote Alzheimer’s disease (AD) neuropathogenesis by inducing caspase-3 activation. However, the up-stream mechanisms of isoflurane’s effects remain largely to be determined. Specifically, there is a lack of a good model/system to elucidate the underlying mechanism of the isoflurane-induced caspase-3 activation. We therefore set out to assess and compare the effects of isoflurane on caspase-3 activation in neural progenitor cells (NPCs) and in primary neurons from wild-type (WT) and AD transgenic (Tg) mice. The NPCs and neurons were obtained, cultured and then treated with either 2% isoflurane or under control condition for 6 h. The NPCs or neurons were harvested at the end of the treatment and were subjected to Western blot analysis. Here we showed for the first time that the isoflurane treatment induced caspase-3 activation in neurons, but not in NPCs, from either WT or AD Tg mice. Consistently, the isoflurane treatment increased cytosol levels of cytochrome c, a potential up-stream mechanism of isoflurane-induced caspase-3 activation in the mice neurons, but not NPCs. Finally, the isoflurane treatment induced a greater casapse-3 activation in the neurons, but not the NPCs, from AD Tg mice as compared to the WT mice. These data demonstrated that investigation and comparison of isoflurane’s effects between mice NPCs and neurons would serve as a model/system to determine the underlying mechanism by which isoflurane induces caspase-3 activation. These findings would promote more research to investigate the effects of anesthetics on AD neuropathogenesis and the underlying mechanisms.

Highlights

  • Alzheimer’s disease (AD) is one of the most common forms of dementia

  • In the WT mice neurons, the quantification of the Western blot showed that the isoflurane treatment induced caspase-3 activation as compared to control condition: 250% versus 100%, ∗∗ P = 0.001 (Figure 2C)

  • The quantification of the Western blot showed that the isoflurane treatment increased the cytosol levels of cytochrome c as compared to the control condition in WT mice neurons (Figure 3E): 140% versus 100%, ∗ P = 0.025; and in AD Tg mice neurons (Figure 3F): 143% versus 100%, ∗∗ P = 0.003

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Summary

Introduction

Alzheimer’s disease (AD) is one of the most common forms of dementia. Early studies showed that the age of onset of AD was inversely related to the cumulative exposure to general anesthesia before the age of 50 (Bohnen et al, 1994b; Muravchick and Smith, 1995). Lee et al illustrated that patients having coronary artery bypass graft surgery under general anesthesia were at increased risk for the emergence of AD compared to those having percutaneous transluminal coronary angioplasty under local anesthesia (Lee et al, 2005). Other studies showed that there was no association between anesthesia/surgery and AD (Bohnen et al, 1994a; Knopman et al, 2005; Avidan et al, 2009; Sprung et al, 2013). A retrospective study, including 24,901 patients in the anesthesia/surgery group and 110,972 participants in the control group, has demonstrated that patients who undergo anesthesia and surgery may be at increased risk for dementia (hazard ratio = 1.99; Chen et al, 2013b).

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