Abstract

Propofol is widely used in clinical practice, including non‐obstetric surgery in pregnant women. Previously, we found that propofol anaesthesia in maternal rats during the third trimester (E18) caused learning and memory impairment to the offspring rats, but how about the exposure during early pregnancy and the underlying mechanisms? Histone acetylation plays an important role in synaptic plasticity. In this study, propofol was administered to the pregnant rats in the early pregnancy (E7). The learning and memory function of the offspring were tested by Morris water maze (MWM) test on post‐natal day 30. Two hours before each MWM trial, histone deacetylase 2 (HDAC2) inhibitor, suberoylanilide hydroxamic acid (SAHA), Senegenin (SEN, traditional Chinese medicine), hippyragranin (HGN) antisense oligonucleotide (HGNA) or vehicle were given to the offspring. The protein levels of HDAC2, acetylated histone 3 (H3) and 4 (H4), cyclic adenosine monophosphate (cAMP) response element‐binding protein (CREB), N‐methyl‐D‐aspartate receptor (NMDAR) 2 subunit B (NR2B), HGN and synaptophysin in offspring's hippocampus were determined by Western blot or immunofluorescence test. It was discovered that infusion with propofol in maternal rats on E7 leads to impairment of learning and memory in offspring, increased the protein levels of HDAC2 and HGN, decreased the levels of acetylated H3 and H4 and phosphorylated CREB, NR2B and synaptophysin. HDAC2 inhibitor SAHA, Senegenin or HGN antisense oligonucleotide reversed all the changes. Thus, present results indicate exposure to propofol during the early gestation impairs offspring's learning and memory via inhibiting histone acetylation. SAHA, Senegenin and HGN antisense oligonucleotide might have therapeutic value for the adverse effect of propofol.

Highlights

  • Accumulating evidence indicates general anaesthetics exposure during pregnancy may cause neurotoxic effects and induce persistent cognitive dysfunction of offspring rats.[1,2,3] Propofol is commonly used in pregnancy for non-obstetric surgery

  • suberoylanilide hydroxamic acid (SAHA), Senegenin and HGN antisense oligonucleotide alleviated these changes (Figures 5 and 6, P < .05). These results indicate that propofol anaesthesia during pregnancy inhibits histone acetylation in offspring rats’ hippocampus, which could be alleviated by SAHA, Senegenin or HGN antisense oligonucleotide

  • The results showed that the protein level of synaptophysin in maternal propofol exposure group was lower than control condition (Figure 9), indicating maternal propofol exposure on E7 impairs the synaptic plasticity in offspring rats’ hippocampus, whereas the level of synaptophysin in SAHA, Senegenin or HGN antisense oligonucleotide-treated group was higher than propofol exposure group (Figure 9), suggesting that SAHA, Senegenin and HGN antisense oligonucleotide can reverse the down-regulated expression of synaptophysin caused by propofol

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Summary

| INTRODUCTION

Accumulating evidence indicates general anaesthetics exposure during pregnancy may cause neurotoxic effects and induce persistent cognitive dysfunction of offspring rats.[1,2,3] Propofol is commonly used in pregnancy for non-obstetric surgery. Growing evidence indicated that SAHA, which mainly targeting HDAC2, probably has therapeutic potentialities for the learning impairment caused by neurodegenerative diseases.[22,23,24] Histone deacetylase inhibitors facilitated synaptic plasticity and memory by promoting the combination of CREB with CREB-binding protein (CBP) domain, which subsequently activate CREB-mediated transcription.[25,26,27] Our early researches showed that anaesthesia during early gestation damaged the neurons and reduced the expression of NR2B in hippocampus, leading to learning and memory impairments in offspring rats.[11,12] In this study, we aim to investigate whether histone acetylation involves in the cognitive function impairment induced by propofol anaesthesia during early pregnancy

| MATERIALS AND METHODS
| RESULTS
Findings
| DISCUSSION
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