PMID- 16738805 OWN - NLM STAT- MEDLINE DCOM- 20061214 LR - 20220408 IS - 1360-8185 (Print) IS - 1360-8185 (Linking) VI - 11 IP - 9 DP - 2006 Sep TI - General anesthesia activates BDNF-dependent neuroapoptosis in the developing rat brain. PG - 1603-15 AB - Brain-derived neurotrophic factor (BDNF) is important in supporting neuronal development. BDNF imbalance due to excessive neuronal inhibition can result in the apoptotic degeneration of developing neurons. Since general anesthetics cause profound depression of neuronal activity and are known to induce widespread degeneration in the developing brain, we studied their potential to activate BDNF-mediated developmental neuroapoptosis. When P7 rats (at the peak of brain development) were exposed to a commonly-used and highly pro-apoptotic anesthesia protocol (midazolam, isoflurane, nitrous oxide) for a period of 2, 4 or 6 h, we found that anesthesia modulates the key steps in BDNF-activated apoptotic cascade in two of the most vulnerable brain regions--cerebral cortex and thalamus in time-dependent fashion by activating both Trk-dependent (in thalamus) and Trk-independent p75NTR dependent (in cerebral cortex) neurotrophic pathways. beta-estradiol, a sex hormone that upregulates the protein levels of the activated Akt, protects against anesthesia-induced neuroapoptosis. FAU - Lu, Lucy X AU - Lu LX AD - Department of Anasthesiology, University of Virginia Health System, P.O. Box 800710, Charlottesville, 22908, USA. FAU - Yon, Jun-Heum AU - Yon JH FAU - Carter, Lisa B AU - Carter LB FAU - Jevtovic-Todorovic, Vesna AU - Jevtovic-Todorovic V LA - eng GR - AG 11355/AG/NIA NIH HHS/United States GR - HD 44517/HD/NICHD NIH HHS/United States GR - K08-DA00406/DA/NIDA NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - Apoptosis JT - Apoptosis : an international journal on programmed cell death JID - 9712129 RN - 0 (Anesthetics) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Oncogene Proteins) RN - 0 (oncogene protein trk) RN - 4TI98Z838E (Estradiol) RN - EC 2.7.11.1 (Oncogene Protein v-akt) SB - IM MH - Anesthesia, General/*adverse effects MH - Anesthetics/adverse effects/pharmacology MH - Animals MH - Apoptosis/*drug effects/physiology MH - Brain/drug effects/*growth & development MH - Brain-Derived Neurotrophic Factor/metabolism/*physiology MH - Cerebral Cortex/drug effects/growth & development MH - Down-Regulation/drug effects MH - Estradiol/pharmacology MH - Models, Biological MH - Nerve Degeneration/chemically induced MH - Neurons/*drug effects MH - Oncogene Protein v-akt/metabolism MH - Oncogene Proteins/metabolism MH - Rats MH - Rats, Sprague-Dawley MH - Respiratory Insufficiency/chemically induced MH - Signal Transduction/drug effects MH - Thalamus/drug effects/growth & development EDAT- 2006/06/02 09:00 MHDA- 2006/12/15 09:00 CRDT- 2006/06/02 09:00 PHST- 2006/06/02 09:00 [pubmed] PHST- 2006/12/15 09:00 [medline] PHST- 2006/06/02 09:00 [entrez] AID - 10.1007/s10495-006-8762-3 [doi] PST - ppublish SO - Apoptosis. 2006 Sep;11(9):1603-15. doi: 10.1007/s10495-006-8762-3.