PMID- 21860753 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20111110 LR - 20211020 IS - 2005-7563 (Electronic) IS - 2005-6419 (Print) IS - 2005-6419 (Linking) VI - 61 IP - 1 DP - 2011 Jul TI - Remifentanil alleviates transient cerebral ischemia-induced memory impairment through suppression of apoptotic neuronal cell death in gerbils. PG - 63-8 LID - 10.4097/kjae.2011.61.1.63 [doi] AB - BACKGROUND: During neurosurgical procedures, patients are often exposed to hypoxic and ischemic brain damage. Cerebral ischemia leads to neuronal cell death and eventually causes neurological impairments. Remifentanil is a new ultra-short acting phenylpiperidine opioid analgesic. In this study, we evaluated remifentanil to determine if it exerts an anti-apoptotic effect in the hippocampal dentate gyrus following transient global ischemia in gerbils. METHODS: Step-down avoidance task, terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL) assay, and immunohistochemical staining for caspase-3 were performed. RESULTS: The numbers of TUNEL-positive cells and caspase-3-positive cells in the dentate gyrus were increased by ransient global ischemia. Latency in the step-down avoidance task was increased by transient global ischemia. Results revealed that apoptotic cell death in the dentate gyrus was increased significantly following transient global ischemia, resulting in memory impairment. However, treatment with remifentanil suppressed ischemia-induced apoptosis in the dentate gyrus, thereby alleviating the memory impairment that was induced by ischemic cerebral injury. CONCLUSIONS: These results indicate that remifentanil may exert a neuroprotective effect on ischemic brain damage during surgery. FAU - Park, Sung-Wook AU - Park SW AD - Department of Anesthesiology and Pain Medicine, College of Medicine, Kyung Hee University, Seoul, Korea. FAU - Yi, Jae-Woo AU - Yi JW FAU - Kim, Young-Min AU - Kim YM FAU - Kang, Jong-Man AU - Kang JM FAU - Kim, Dong Ok AU - Kim DO FAU - Shin, Mal-Soon AU - Shin MS FAU - Kim, Chang-Ju AU - Kim CJ FAU - Lee, Doo Ik AU - Lee DI FAU - Kim, Dong-Hee AU - Kim DH FAU - Lee, Bong Jae AU - Lee BJ LA - eng PT - Journal Article DEP - 20110717 PL - Korea (South) TA - Korean J Anesthesiol JT - Korean journal of anesthesiology JID - 101502451 PMC - PMC3155139 OTO - NOTNLM OT - Apoptosis OT - Memory deficit OT - Remifenanil OT - Transient cerebral ischemia EDAT- 2011/08/24 06:00 MHDA- 2011/08/24 06:01 PMCR- 2011/07/01 CRDT- 2011/08/24 06:00 PHST- 2010/08/20 00:00 [received] PHST- 2011/01/10 00:00 [revised] PHST- 2011/01/20 00:00 [accepted] PHST- 2011/08/24 06:00 [entrez] PHST- 2011/08/24 06:00 [pubmed] PHST- 2011/08/24 06:01 [medline] PHST- 2011/07/01 00:00 [pmc-release] AID - 10.4097/kjae.2011.61.1.63 [doi] PST - ppublish SO - Korean J Anesthesiol. 2011 Jul;61(1):63-8. doi: 10.4097/kjae.2011.61.1.63. Epub 2011 Jul 17.