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Background: Sevoflurane has been shown to stimulate or depress memory in adult rats; however, the cellular mechanism of this bidirectional effect has not been fully investigated.
Methods: We used an intra-hippocampal microinfusion of U0126 to suppress ERK activation. Male SD rats were randomly assigned to four groups: Sham, 0.11%SEV, 0.3%SEV and 0.3%+U0126. They received bilateral injections of U0126 or saline. Rats were anesthetized, and Inhibitory Avoidance (IA) training was performed immediately after anesthesia. The memory retention latency was observed 24 h later. In another experiment, the hippocampus was removed 45 min after IA training to assess ARC expression, the synapsin 1 protein levels and the phosphorylation level of ERK.
Results: Treatment with 0.11%SEV led to rapid phosphorylation of ERK, while 0.3%SEV inhibited phosphorylation; the latter change was reversed by the microinfusion of U0126 in the hippocampus. The memory latency result had similar tendencies. The local infusion of U0126 abolished the 0.3%SEV-induced memory impairment and ERK inhibition. Selective upregulations of ARC and synapsin 1 proteins were observed in the 0.3%SEV group compared with the 0.11%SEV group.
Conclusions: The results indicate that different doses of sevoflurane trigger synaptic plasticity-related cytoskeleton proteins through the ERK signaling pathway. This novel modulation by inhalational agents may help to reduce their side-effects on memory function.
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http://dx.doi.org/10.1016/j.brainres.2017.10.019 | DOI Listing |
Drug Des Devel Ther
September 2025
Department of Anesthesiology, The Affiliated Women and Children's Hospital of Ningbo University, Ningbo, Zhejiang, People's Republic of China.
Background: Emergence delirium (ED) is a common postoperative complication during the recovery period in pediatric anesthesia. Continuous intravenous infusion of remimazolam can effectively prevent the occurrence of ED. However, the optimal dose for preventing ED in pediatric patients remains unclear.
View Article and Find Full Text PDFBr J Anaesth
September 2025
Department of Anaesthesia and Pain Management, Perth Children's Hospital, Perth, WA, Australia; Division of Emergency Medicine, Anaesthesia and Pain Medicine, The University of Western Australia, Perth, WA, Australia; Institute for Paediatric Perioperative Excellence, The University of Western Austr
Background: Obstructive sleep apnoea (OSA) has been thought to increase the risk of respiratory depression from opioids. The primary aim of this study was to assess whether preoperative hypoxaemia by sleep study pulse oximetry imparts greater opioid sensitivity.
Methods: A multicentre observational cohort study with in-cohort dose randomisation was performed in children 2-8 yr of age with OSA undergoing adenotonsillectomy.
J Nippon Med Sch
September 2025
Department of Anesthesiology and Pain Medicine, Graduate School of Medicine, Nippon Medical School.
Background: Remimazolam is an ultrashort-acting benzodiazepine that maintains stable hemodynamics during anesthesia. However, few reports have focused on hemodynamic stability and opioid use during cardiac surgery with remimazolam. We hypothesized that administration of remimazolam for induction and maintenance of anesthesia for transcatheter aortic valve implantation would maintain hemodynamics as effectively as conventional anesthetics and allow use of an appropriate dose of opioids.
View Article and Find Full Text PDFBMC Anesthesiol
September 2025
Department of Anesthesiology and Pain Medicine, Inje University Sanggye Paik Hospital, Seoul, Korea.
Background: Postoperative nausea and vomiting (PONV) is one of the most common and distressing side effects of general anesthesia. According to the Fourth Consensus Guidelines for the Management of Postoperative Nausea and Vomiting, patients at high risk of PONV should be given at least three prophylactic antiemetic agents. As previous studies have reported antiemetic effects of sub-hypnotic doses of midazolam, a benzodiazepine, we investigated the efficacy of remimazolam, an ultra-short-acting benzodiazepine, as a third prophylactic antiemetic agent when administered at a low target dose.
View Article and Find Full Text PDFVet Anaesth Analg
August 2025
Small Animal Clinic, Veterinary Faculty, University of Ljubljana, Ljubljana, Slovenia. Electronic address:
Objective: To evaluate the sedative and cardiovascular effects of premedication with acepromazine, methadone and dexmedetomidine or acepromazine and methadone in sevoflurane-anaesthetized dogs.
Study Design: A randomized, blinded, prospective clinical study.
Animals: A total of 38 client-owned healthy dogs scheduled for elective surgery.