Abstract

This study examines the association between isoflurane mediated effects on neuropathology, cognitive performance, and synaptic physiology in early postnatal and aged triple transgenic Alzheimer's disease (3xTg-AD) mice. Male and female C57BL6/J (NonTg) and 3xTg-AD mice (age: PND 7 and 14+ months) were anesthetized with isoflurane in oxygen/air for 2 hours each day over five consecutive days. Mice from each strain and age groups exposed to just oxygen/air served as controls. Plasma levels of S100β 6 hrs after anesthesia were elevated in both NonTg and 3xTg-AD, which was more profound in the 3xTg-AD mice. Isoflurane increased the number of positive neurons for Aβ deposition and oligomers in 3xTg-AD mice. Morris Water Maze (MWM) test showed that young NonTg and 3xTg-AD mice were slow to learn during reference learning test and performed poorly in short-term and working memory tests compared to age-matched controls. Young 3xTg-AD treated with isoflurane performed significantly worse in these spatial learning tests than the isoflurane-treated NonTg mice. Cognitive impairments in the aged mice were noted in short-term memory test in the aged 3xTg-AD mice and in both strains during the long-term and working memory tests. Extracellular field recordings showed hyperexcitable basal synaptic transmission, unstable LTP, and reduced paired pulse facilitation (PPF) in untreated aged 3xTg-AD mice compared to NonTg mice. Isoflurane depressed basal synaptic transmission, more pronounced in the aged 3xTg-AD group. PPF was significantly reduced in both young and old NonTg and 3xTg-AD mice following isoflurane, but more profound in aged 3xTg-AD mice. Isoflurane impaired LTP in young 3xTg and in both young and aged NonTg mice as reflected in the lack of change in extracellular field potential (fEPSP) slope from baseline. Isoflurane normalized and potentiated fEPSP slope to control levels in aged 3xTg mice . Acute treatment of isoflurane to ex-vivo hippocampal slices from young and aged NonTg and 3xTg-AD mice previously exposed to the same anesthetic in vivo suppressed LTP. Acute application of isoflurane to slices from aged 3xTg-AD mice previously exposed to iso displayed severely reduced LTP. isoflurane-mediated neuropathologic and cognitive defects in AD mice are associated with synaptic pathologies in an age-dependent manner.

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