PMID- 29155302 OWN - NLM STAT- MEDLINE DCOM- 20180108 LR - 20191210 IS - 1879-0631 (Electronic) IS - 0024-3205 (Linking) VI - 192 DP - 2018 Jan 1 TI - Repeated exposure to sevoflurane impairs the learning and memory of older male rats. PG - 75-83 LID - S0024-3205(17)30602-1 [pii] LID - 10.1016/j.lfs.2017.11.025 [doi] AB - AIMS: Critically ill old patients sometimes require repeated surgical interventions, and thus it is important to determine the influence of repeated exposure to anesthetics on learning and memory. Sevoflurane, a widely used inhalation anesthetic, has few neurological adverse effects and offers a rapid return to consciousness. But the long-term influence of sevoflurane exposure and the effect of repeated sevoflurane exposure on cognition have rarely been reported, and available studies are contradictory. MATERIALS AND METHODS: In the present study, the Morris water maze test was employed to investigate the long-term influence of single (4h) or repeated (2h daily for 5 consecutive days) exposure to 1.5% or 2.5% sevoflurane on the learning ability and memory of old (16-18months old) male rats. Testing was performed from 1day to 4weeks after the last exposure. In the hippocampus, brain derived neurotrophic factor (BDNF), NF-kappaB mRNA, and apoptosis rate were also examined to determine whether cellular biochemical changes related to cognition and memory occurred after single or repeated exposure to sevoflurane. KEY FINDINGS: Repeated exposure to 2.5% sevoflurane decreased hippocampal levels of BDNF protein, enhanced hippocampal levels of NF-kappaB mRNA, and increased the apoptosis rate of pyramidal cells. Single exposure to 2.5% sevoflurane, and repeated exposure to either 1.5% or 2.5% sevoflurane significantly compromised learning and memory of old male rats. SIGNIFICANCE: Repeated exposure to sevoflurane impaired the learning and memory of old male rats, an impairment that was accompanied by cognition-related biochemical changes in the hippocampus. CI - Copyright (c) 2017 Elsevier Inc. All rights reserved. FAU - Guo, Shanbin AU - Guo S AD - Department of Pharmacy, Shengjing Hospital of China Medical University, No 36, Sanhao Street, Herping District, Shenyang 110004, China. FAU - Liu, Lidan AU - Liu L AD - Department of Anaesthesiology, Shengjing Hospital of China Medical University, No 36, Sanhao Street, Herping District, Shenyang 110004, China. FAU - Wang, Cong AU - Wang C AD - Department of Anaesthesiology, Shengjing Hospital of China Medical University, No 36, Sanhao Street, Herping District, Shenyang 110004, China. FAU - Jiang, Qian AU - Jiang Q AD - Department of Anaesthesiology, Shengjing Hospital of China Medical University, No 36, Sanhao Street, Herping District, Shenyang 110004, China. FAU - Dong, Yunxia AU - Dong Y AD - Department of Anaesthesiology, Shengjing Hospital of China Medical University, No 36, Sanhao Street, Herping District, Shenyang 110004, China. FAU - Tian, Yue AU - Tian Y AD - Department of Anaesthesiology, Shengjing Hospital of China Medical University, No 36, Sanhao Street, Herping District, Shenyang 110004, China. Electronic address: tianyue_tougao@yeah.net. LA - eng PT - Journal Article DEP - 20171117 PL - Netherlands TA - Life Sci JT - Life sciences JID - 0375521 RN - 0 (Anesthetics, Inhalation) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Methyl Ethers) RN - 0 (NF-kappa B) RN - 38LVP0K73A (Sevoflurane) SB - IM MH - Aging/*psychology MH - Anesthetics, Inhalation/*toxicity MH - Animals MH - Apoptosis/drug effects MH - Brain Chemistry/drug effects MH - Brain-Derived Neurotrophic Factor/metabolism MH - Cognition/drug effects MH - Hippocampus/drug effects MH - Learning Disabilities/*chemically induced/psychology MH - Male MH - Maze Learning/drug effects MH - Memory Disorders/*chemically induced/psychology MH - Methyl Ethers/*toxicity MH - NF-kappa B/biosynthesis MH - Pyramidal Cells/drug effects MH - Rats MH - Rats, Sprague-Dawley MH - Sevoflurane OTO - NOTNLM OT - Anesthetics OT - Cognition OT - Hippocampus OT - Neurological adverse effect EDAT- 2017/11/21 06:00 MHDA- 2018/01/09 06:00 CRDT- 2017/11/21 06:00 PHST- 2017/06/27 00:00 [received] PHST- 2017/11/08 00:00 [revised] PHST- 2017/11/16 00:00 [accepted] PHST- 2017/11/21 06:00 [pubmed] PHST- 2018/01/09 06:00 [medline] PHST- 2017/11/21 06:00 [entrez] AID - S0024-3205(17)30602-1 [pii] AID - 10.1016/j.lfs.2017.11.025 [doi] PST - ppublish SO - Life Sci. 2018 Jan 1;192:75-83. doi: 10.1016/j.lfs.2017.11.025. Epub 2017 Nov 17.