PMID- 30178866 OWN - NLM STAT- MEDLINE DCOM- 20191105 LR - 20191105 IS - 2284-0729 (Electronic) IS - 1128-3602 (Linking) VI - 22 IP - 16 DP - 2018 Aug TI - Research on ketamine in mediating autophagy and inhibiting apoptosis of astrocytes in cerebral cortex of rats through NF-kappaB pathway. PG - 5385-5393 LID - 15741 [pii] LID - 10.26355/eurrev_201808_15741 [doi] AB - OBJECTIVE: To investigate the effects of ketamine on autophagy and apoptosis of astrocytes in the cerebral cortex of rats, and determine whether nuclear factor-kappaB (NF-kappaB) pathway is involved in the regulation of autophagy and apoptosis of astrocytes. MATERIALS AND METHODS: A total of 36 male Sprague-Dawley (SD) rats were randomly divided into 3 groups: control group (Group C: intraperitoneal injection of equal amount of normal saline), glutamic acid group (Group G: intraperitoneal injection of 1 mg/kg glutamic acid) and glutamic acid + ketamine group (Group GK: intraperitoneal injection of 1 mg/kg glutamic acid and then injection of 5 mg/kg ketamine after 30 min). The cerebral cortex of rats in each group was taken after successive administration for 5 d. The number of glial fibrillary acidic protein (GFAP)-positive cells in the cerebral cortex of rats in each group was detected via immunofluorescence. The number of terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL)-positive cells (apoptotic cells) in the cerebral cortex was detected via TUNEL staining. The levels of inflammatory factors were detected using the enzyme-linked immunosorbent assay (ELISA) kit. Moreover, the expressions of autophagy-related proteins and apoptosis-related proteins in the cerebral cortex were detected via Western blotting, and the expressions of IkappaB-a and NF-kappaBp65 were also detected. RESULTS: The results of immunofluorescence showed that the number of GFAP-positive cells in the cerebral cortex of rats in Group G was significantly increased compared with that in Group C (p<0.01), and it was significantly decreased in Group GK compared with that in Group G (p<0.01). The results of TUNEL staining revealed that the number of TUNEL-positive cells in the cerebral cortex in Group G was significantly larger than that in Group C, and it was significantly smaller in Group GK than that in Group G (p<0.01). Results of ELISA demonstrated that compared with those in Group C, the contents of interleukin-6 (IL-6) and tumor necrosis factor-a (TNF-a) in Group G were significantly increased (p<0.01), but the content of IL-10 was significantly decreased (p<0.01). Compared with those in Group G, the contents of IL-6 and TNF-a in Group GK were significantly decreased (p<0.01), but the level of IL-10 was statistically elevated (p<0.01). Compared with those in Group C, the levels of LC3 II/I and cleaved caspase-3 in the cerebral cortex in Group G were significantly increased (p<0.01), but the p62 level and B-cell lymphoma-2/Bcl-2 associated X protein (Bcl-2/Bax) ratio were significantly decreased (p<0.01). In Group GK, the levels of LC3 II/I and cleaved caspase-3 were reduced, but the p62 level and Bcl-2/Bax ratio were increased. The expressions of IkappaB-alpha and NF-kappaBp65 in Group G were significantly decreased compared with those in Group C (p<0.01), and they were significantly higher in Group GK than those in Group G (p<0.01). CONCLUSIONS: Ketamine can reduce the glutamic acid-induced activation of astrocytes in the cerebral cortex, inhibit the autophagy and alleviate the apoptosis of astrocytes, the process of which is mediated by the NF-kappaB pathway, which provides the new molecular basis of ketamine in protecting astrocytes. FAU - Yang, J AU - Yang J AD - Department of Anesthesiology, First People's Hospital of Changzhou & Third Affiliated Hospital of Suzhou University, Changzhou, Jiangsu, China. TaoHonghj@163.com. FAU - Li, X AU - Li X FAU - Yang, C AU - Yang C FAU - Bu, X-X AU - Bu XX FAU - Shen, J AU - Shen J FAU - Hong, T AU - Hong T LA - eng PT - Journal Article PL - Italy TA - Eur Rev Med Pharmacol Sci JT - European review for medical and pharmacological sciences JID - 9717360 RN - 0 (Glial Fibrillary Acidic Protein) RN - 0 (I-kappa B Proteins) RN - 0 (Interleukin-6) RN - 0 (NF-kappa B) RN - 690G0D6V8H (Ketamine) SB - IM MH - Animals MH - Apoptosis/drug effects MH - Astrocytes/*metabolism MH - Autophagy/*drug effects MH - Cerebral Cortex/*metabolism MH - Glial Fibrillary Acidic Protein/metabolism MH - I-kappa B Proteins/metabolism MH - Interleukin-6/metabolism MH - Ketamine/*pharmacology MH - Male MH - NF-kappa B/metabolism MH - Rats MH - Rats, Sprague-Dawley EDAT- 2018/09/05 06:00 MHDA- 2019/11/07 06:00 CRDT- 2018/09/05 06:00 PHST- 2018/09/05 06:00 [entrez] PHST- 2018/09/05 06:00 [pubmed] PHST- 2019/11/07 06:00 [medline] AID - 15741 [pii] AID - 10.26355/eurrev_201808_15741 [doi] PST - ppublish SO - Eur Rev Med Pharmacol Sci. 2018 Aug;22(16):5385-5393. doi: 10.26355/eurrev_201808_15741.