PMID- 28414034 OWN - NLM STAT- MEDLINE DCOM- 20180322 LR - 20181005 IS - 1872-6240 (Electronic) IS - 0006-8993 (Linking) VI - 1665 DP - 2017 Jun 15 TI - Age exacerbates surgery-induced cognitive impairment and neuroinflammation in Sprague-Dawley rats: the role of IL-4. PG - 65-73 LID - S0006-8993(17)30158-0 [pii] LID - 10.1016/j.brainres.2017.04.004 [doi] AB - Age is the most prominent risk factor for the development of postoperative cognitive dysfunction. This study investigated the potential role of anti-inflammatory interleukin (IL)-4 in age-related differences of surgery-induced cognitive deficits and neuroinflammatory responses. Both adult and aged Sprague-Dawley male rats were subjected to partial hepatectomy or partial hepatectomy with a cisterna magna infusion of IL-4. On postoperative days 1, 3, and 7, the rats were subjected to a reversed Morris water maze test. Hippocampal IL-1beta, IL-6, IL-4, and IL-4 receptor (IL-4R) were measured at each time point. Brain derived neurotrophic factor (BDNF), synaptophysin, Ionized calcium-binding adapter molecule 1 (Iba-1), microglial M2 phenotype marker Arg1, and CD200 were also examined in the hippocampus. Age induced an exacerbated cognitive impairment and an amplified neuroinflammatory response triggered by surgical stress on postoperative days 1 and 3. A corresponding decline in the anti-inflammatory cytokine IL-4 and BDNF were also found in the aged rats at the same time point. Treatment with IL-4 downregulated the expression of proinflammatory cytokines (e.g., IL-1beta and IL-6), increased the levels of BDNF and synaptophysin in the brain and improved the behavioral performance. An increased Arg1 expression and a high level of CD200 were also observed after a cisterna magna infusion of IL-4. An age-related decrease in IL-4 expression exacerbated surgery-induced cognitive deficits and exaggerated the neuroinflammatory responses. Treatment with IL-4 potentially attenuated these effects by enhancing BDNF and synaptophysin expression, inhibiting microglia activation and decreasing the associated production of proinflammatory cytokines. CI - Copyright (c) 2017 Elsevier B.V. All rights reserved. FAU - Li, Zhe AU - Li Z AD - Department of Anesthesiology, The First Hospital of China Medical University, Shenyang, Liaoning, China. Electronic address: jllizhe@126.com. FAU - Liu, Fang AU - Liu F AD - Department of Neurology, The First Hospital of China Medical University, Shenyang, Liaoning, China. Electronic address: liufang219@163.com. FAU - Ma, Hong AU - Ma H AD - Department of Anesthesiology, The First Hospital of China Medical University, Shenyang, Liaoning, China. Electronic address: cmumh2016@gmail.com. FAU - White, Paul F AU - White PF AD - Department of Anesthesiology, Cedars-Sinai Medical Center, Los Angeles, CA, USA; White Mountain Institute, The Sea Ranch, CA, USA. Electronic address: whitemountaininstitute@hotmail.com. FAU - Yumul, Roya AU - Yumul R AD - Department of Anesthesiology, Cedars-Sinai Medical Center, Los Angeles, CA, USA. Electronic address: Roya.Yumul@cshs.org. FAU - Jiang, Yanhua AU - Jiang Y AD - Department of Anesthesiology, The First Hospital of China Medical University, Shenyang, Liaoning, China. Electronic address: 13840152025@163.com. FAU - Wang, Na AU - Wang N AD - Department of Anesthesiology, The First Hospital of China Medical University, Shenyang, Liaoning, China. Electronic address: wangna19880229@126.com. FAU - Cao, Xuezhao AU - Cao X AD - Department of Anesthesiology, The First Hospital of China Medical University, Shenyang, Liaoning, China. Electronic address: xuezhaocao2011@hotmail.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20170414 PL - Netherlands TA - Brain Res JT - Brain research JID - 0045503 RN - 207137-56-2 (Interleukin-4) SB - IM MH - Aging MH - Animals MH - Cognitive Dysfunction/metabolism/*physiopathology MH - Disease Models, Animal MH - Hippocampus/metabolism/*surgery MH - Inflammation/*physiopathology MH - Interleukin-4/*metabolism MH - Microglia/metabolism MH - Rats, Sprague-Dawley OTO - NOTNLM OT - Aging OT - Cytokines OT - Hippocampus OT - Neuroinflammation OT - Postoperative cognitive dysfunction (POCD) EDAT- 2017/04/18 06:00 MHDA- 2018/03/23 06:00 CRDT- 2017/04/18 06:00 PHST- 2016/12/24 00:00 [received] PHST- 2017/03/31 00:00 [revised] PHST- 2017/04/10 00:00 [accepted] PHST- 2017/04/18 06:00 [pubmed] PHST- 2018/03/23 06:00 [medline] PHST- 2017/04/18 06:00 [entrez] AID - S0006-8993(17)30158-0 [pii] AID - 10.1016/j.brainres.2017.04.004 [doi] PST - ppublish SO - Brain Res. 2017 Jun 15;1665:65-73. doi: 10.1016/j.brainres.2017.04.004. Epub 2017 Apr 14.