PMID- 28870160 OWN - NLM STAT- MEDLINE DCOM- 20180516 LR - 20181113 IS - 1471-2253 (Electronic) IS - 1471-2253 (Linking) VI - 17 IP - 1 DP - 2017 Sep 5 TI - TREK-1 mediates isoflurane-induced cytotoxicity in astrocytes. PG - 124 LID - 10.1186/s12871-017-0420-5 [doi] LID - 124 AB - BACKGROUND: There are growing concerns that anaesthetic exposure can cause extensive apoptotic degeneration of neurons and the impairment of normal synaptic development and remodelling. However, little attention has been paid to exploring the possible cytotoxicity of inhalation anaesthetics, such as isoflurane, in astrocytes. In this research, we determined that prolonged exposure to an inhalation anaesthetic caused cytotoxicity in astrocytes, and we identified the underlying molecular mechanism responsible for this process. METHODS: Astrocytes were exposed to isoflurane, and astrocytic survival was then measured via LDH release assays, MTT assays, and TUNEL staining. TWIK-related potassium (K(+)) channel-1 (TREK-1) over-expression and knockdown models were also created using lentiviruses. The levels of TREK-1 and brain-derived neurotrophic factor (BDNF) were measured via Western blot and qRT-PCR. RESULTS: Prolonged exposure to isoflurane decreased primary astrocytic viability in a dose- and time-dependent manner. Moreover, with prolonged exposure to isoflurane, the TREK-1 level increased, and the BDNF level was reduced. TREK-1 knockdown promoted the survival of astrocytes and increased BDNF expression following isoflurane exposure. CONCLUSIONS: Overdoses of and prolonged exposure to isoflurane induce cytotoxicity in primary astrocytes. TREK-1 plays an important role in isoflurane-induced cultured astrocytic cytotoxicity by down-regulating the expression of BDNF. FAU - Guo, Haiyun AU - Guo H AD - Department of Anesthesiology and Perioperative Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, 710032, China. FAU - Peng, Zhengwu AU - Peng Z AD - Department of Psychiatry, Xijing Hospital, Fourth Military Medical University, Xi'an, 710032, China. FAU - Yang, Liu AU - Yang L AD - Department of Neurobiology and Collaborative Innovation Center for Brain Science, Fourth Military Medical University, Xi'an, 710032, China. FAU - Liu, Xue AU - Liu X AD - Department of Anesthesiology and Perioperative Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, 710032, China. FAU - Xie, Yaning AU - Xie Y AD - Department of Anesthesiology and Perioperative Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, 710032, China. FAU - Cai, Yanhui AU - Cai Y AD - Department of Anesthesiology and Perioperative Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, 710032, China. FAU - Xiong, Lize AU - Xiong L AUID- ORCID: 0000-0002-3087-2569 AD - Department of Anesthesiology and Perioperative Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, 710032, China. mzkxlz@126.com. FAU - Zeng, Yi AU - Zeng Y AD - Department of Anesthesiology and Perioperative Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, 710032, China. zengyi1014@163.com. LA - eng PT - Journal Article DEP - 20170905 PL - England TA - BMC Anesthesiol JT - BMC anesthesiology JID - 100968535 RN - 0 (Anesthetics, Inhalation) RN - 0 (Cytotoxins) RN - 0 (Potassium Channels, Tandem Pore Domain) RN - 0 (potassium channel protein TREK-1) RN - CYS9AKD70P (Isoflurane) SB - IM MH - Anesthetics, Inhalation/*toxicity MH - Animals MH - Animals, Newborn MH - Astrocytes/*drug effects/*metabolism/pathology MH - Cell Survival/drug effects/physiology MH - Cells, Cultured MH - Cytotoxins/*toxicity MH - Dose-Response Relationship, Drug MH - Isoflurane/*toxicity MH - Mice MH - Mice, Inbred C57BL MH - Neurons/drug effects/metabolism/pathology MH - Potassium Channels, Tandem Pore Domain/*physiology PMC - PMC5584525 OTO - NOTNLM OT - Astrocyte OT - BDNF OT - Cytotoxicity OT - Isoflurane OT - TREK-1 COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: The experiments were performed in compliance with the National Institutes of Health Guidelines on the Use of Laboratory Animals and were approved by the Fourth Military Medical University Ethic Committee on Animal Care. CONSENT FOR PUBLICATION: Not applicable. COMPETING INTERESTS: The authors declare that they have no competing interests. PUBLISHER'S NOTE: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. EDAT- 2017/09/06 06:00 MHDA- 2018/05/17 06:00 PMCR- 2017/09/05 CRDT- 2017/09/06 06:00 PHST- 2017/02/19 00:00 [received] PHST- 2017/08/27 00:00 [accepted] PHST- 2017/09/06 06:00 [entrez] PHST- 2017/09/06 06:00 [pubmed] PHST- 2018/05/17 06:00 [medline] PHST- 2017/09/05 00:00 [pmc-release] AID - 10.1186/s12871-017-0420-5 [pii] AID - 420 [pii] AID - 10.1186/s12871-017-0420-5 [doi] PST - epublish SO - BMC Anesthesiol. 2017 Sep 5;17(1):124. doi: 10.1186/s12871-017-0420-5.