Abstract

Endoplasmic reticulum stress-induced neuronal apoptosis contributes to neurotoxicity observed after sevoflurane exposure. However, the molecular mechanism underlying the resulting learning and memory impairments remains unknown. Here, we investigated the roles of miR-325-3p and Nupr1 in sevoflurane-induced learning and memory impairments in neonatal rats and HCN-2 human cortical neuronal cells. We found that in both neonatal rats and HCN-2 cells, sevoflurane exposure impairs learning and memory in neonatal rats and increases expression of Nupr1, the endoplasmic reticulum stress marker proteins C/EBPβ and IGFBP5, and the apoptosis-related protein markers cleaved-Caspase-3 and Bax. Using bioinformatics tools to identify microRNAs that bind to Nupr1, we found that miR-325-3p is downregulated in hippocampal neurons exposed to sevoflurane. Moreover, Nupr1 knockdown and miR-325-3p overexpression improved the rats’ performance in learning and memory tests and reduced sevoflurane-induced apoptosis in vitro and in vivo. These results suggest that miR-325-3p blocks sevoflurane-induced learning and memory impairments by inhibiting Nupr1 and the downstream C/EBPβ/IGFBP5 signaling axis in neonatal rats. MiR-325-3p may therefore be a useful therapeutic target in sevoflurane-induced neurotoxicity.

Highlights

  • Exposure to sevoflurane during brain development can cause long-term learning and memory deficits, longlasting complex social and emotional behavior disorders, and even increase the risk of Alzheimer's disease [1]

  • There were no signs of cardiorespiratory dysfunction after sevoflurane administration, and SaO2, PaO2, PaCO2, pH, and Mean arterial blood pressure (MAP) did not differ between the two groups. (Table 1)

  • In a novel object recognition test, neonatal rats exposed to sevoflurane exhibited shorter exploration times for the novel object during the recognition session and a lower discrimination index compared to the control group; the two groups did not differ in time spent exploring the familiar object (Figure 1A, 1B)

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Summary

Introduction

Exposure to sevoflurane during brain development can cause long-term learning and memory deficits, longlasting complex social and emotional behavior disorders, and even increase the risk of Alzheimer's disease [1]. Sevoflurane exposure can increase the expression of endoplasmic reticulum (ER) stress markers such as CCAAT/enhancer-binding protein homologous (C/EBPβ) and Caspase-3 both in vitro and in vivo, suggesting that ER stress response might play an important role in sevoflurane-induced neurotoxicity [4, 5]. Both IRE1 and PERK are crucial for the detection of and injury induced by ER stress [6]. Continuous upregulation of C/EBPβ and JNK can promote cell death [7]

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