PMID- 31865521 OWN - NLM STAT- MEDLINE DCOM- 20201117 LR - 20211204 IS - 1573-6903 (Electronic) IS - 0364-3190 (Linking) VI - 45 IP - 2 DP - 2020 Feb TI - Autophagy Dysfunction and mTOR Hyperactivation Is Involved in Surgery: Induced Behavioral Deficits in Aged C57BL/6J Mice. PG - 331-344 LID - 10.1007/s11064-019-02918-x [doi] AB - Autophagy is crucial for cell survival, development, division, and homeostasis. The mammalian target of rapamycin (mTOR), which is the foremost negative controller of autophagy, plays a key role in many endogenous processes. The present study investigated whether rapamycin can ameliorate surgery-induced cognitive deficits by inhibiting mTOR and activating autophagy in the hippocampus. Both adult and aged C57BL/6J mice received an intraperitoneal injection of rapamycin (10 mg/kg/day) for 5 days per week for one and a half months. Mice were then subjected to partial hepatectomy under general anesthesia. Behavioral performance was assessed on postoperative days 3, 7, and 14. Hippocampal autophagy-related (Atg)-5, phosphorylated mTOR, and phosphorylated p70S6K were examined at each time point. Brain derived neurotrophic factor (BDNF), synaptophysin, and tau hyperphosphorylation (T396) in the hippocampus were also examined. Surgical trauma and anesthesia exacerbated spatial learning and memory impairment in aged mice on postoperative days 3 and 7. Following partial hepatectomy, the levels of phosphorylated mTOR, phosphorylated 70S6K, and phosphorylated tau were all increased in the hippocampus. A corresponding decline in BDNF and synaptophysin were observed. Rapamycin treatment restored autophagy function, attenuated phosphorylation of tau protein, and increased BDNF and synaptophysin expression in the hippocampus of surgical mice. Furthermore, surgery and anesthesia induced spatial learning and memory impairments were also reversed by rapamycin treatment. Autophagy impairments and mTOR hyperactivation were detected along with surgery-induced behavioral deficits. Inhibiting the mTOR signaling pathway with rapamycin successfully ameliorated surgery-related cognitive impairments by sustaining autophagic degradation, inhibiting tau hyperphosphorylation, and increasing synaptophysin and BDNF expression. FAU - Jiang, Yanhua AU - Jiang Y AD - Department of Anesthesiology, The First Hospital of China Medical University, Shenyang, Liaoning, China. FAU - Zhou, Yongjian AU - Zhou Y AD - Department of Anesthesiology, The First Hospital of China Medical University, Shenyang, Liaoning, China. FAU - Ma, Hong AU - Ma H AD - Department of Anesthesiology, The First Hospital of China Medical University, Shenyang, Liaoning, China. mahong5466@yahoo.com. FAU - Cao, Xuezhao AU - Cao X AD - Department of Anesthesiology, The First Hospital of China Medical University, Shenyang, Liaoning, China. FAU - Li, Zhe AU - Li Z AD - Department of Anesthesiology, The First Hospital of China Medical University, Shenyang, Liaoning, China. FAU - Chen, Fengshou AU - Chen F AD - Department of Anesthesiology, The First Hospital of China Medical University, Shenyang, Liaoning, China. FAU - Wang, Hongnan AU - Wang H AD - Department of Anesthesiology, The First Hospital of China Medical University, Shenyang, Liaoning, China. LA - eng PT - Journal Article DEP - 20191221 PL - United States TA - Neurochem Res JT - Neurochemical research JID - 7613461 RN - 0 (Neuroprotective Agents) RN - 38LVP0K73A (Sevoflurane) RN - EC 2.7.1.1 (mTOR protein, mouse) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Age Factors MH - Animals MH - Autophagy/*physiology MH - Hepatectomy/*adverse effects MH - Hippocampus/metabolism MH - Liver/surgery MH - Male MH - Maze Learning/drug effects/physiology MH - Mice, Inbred C57BL MH - Neuroprotective Agents/*therapeutic use MH - Postoperative Cognitive Complications/etiology/*prevention & control MH - Sevoflurane/adverse effects MH - Sirolimus/*therapeutic use MH - TOR Serine-Threonine Kinases/*metabolism MH - Up-Regulation OTO - NOTNLM OT - Aged OT - Autophagy OT - Behavioral deficits OT - Surgery-induced OT - mTOR EDAT- 2019/12/23 06:00 MHDA- 2020/11/18 06:00 CRDT- 2019/12/23 06:00 PHST- 2019/03/14 00:00 [received] PHST- 2019/11/22 00:00 [accepted] PHST- 2019/10/29 00:00 [revised] PHST- 2019/12/23 06:00 [pubmed] PHST- 2020/11/18 06:00 [medline] PHST- 2019/12/23 06:00 [entrez] AID - 10.1007/s11064-019-02918-x [pii] AID - 10.1007/s11064-019-02918-x [doi] PST - ppublish SO - Neurochem Res. 2020 Feb;45(2):331-344. doi: 10.1007/s11064-019-02918-x. Epub 2019 Dec 21.