Sevoflurane Postconditioning Reduces Apoptosis by Activating the JAK-STAT Pathway After Transient Global Cerebral Ischemia in Rats

被引：75

作者：

Kim, Hyun-Chang ^{[1
]}

Kim, Eugene ^{[2
]}

Bae, Jung Il ^{[3
]}

Lee, Kook Hyun ^{[3
]}

Jeon, Young-Tae ^{[5
]}

Hwang, Jung-Won ^{[5
]}

Lim, Young-Jin ^{[3
]}

Min, Seong-Won ^{[4
]}

Park, Hee-Pyoung ^{[3
]}

机构：

[1] Keimyung Univ, Dongsan Hosp, Coll Med, Dept Anesthesiol & Pain Med, Daegu, South Korea

[2] Hosp Catholic Univ Daegu, Dept Anesthesiol & Pain Med, Daegu, South Korea

[3] Seoul Natl Univ Hosp, Dept Anesthesiol & Pain Med, Seoul, South Korea

[4] Seoul Natl Univ, Coll Med, SMG SNU Boramae Med Ctr, Dept Anesthesiol & Pain Med, 5-20 Boramae Ro, Seoul 07061, South Korea

[5] Seoul Natl Univ, Coll Med, Bundang Hosp, Dept Anesthesiol & Pain Med, Seongnam, South Korea

来源：

JOURNAL OF NEUROSURGICAL ANESTHESIOLOGY | 2017年 / 29卷 / 01期

关键词：

apoptosis; brain; ischemia; JAK/STAT signaling pathway; sevoflurane; COLONY-STIMULATING FACTOR; TRAUMATIC BRAIN-INJURY; REPERFUSION INJURY; JAK2/STAT3; PATHWAY; SIGNAL TRANSDUCER; NEURONAL APOPTOSIS; JAK/STAT PATHWAY; EXPRESSION; BCL-2; NEUROPROTECTION;

D O I：

10.1097/ANA.0000000000000331

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Background: The antiapoptotic effects of sevoflurane post-conditioning are responsible for neuroprotection against cerebral ischemia-reperfusion injury. Phosphorylation of the Janus family tyrosine kinases (JAK) 2-signal transducers and activators of transcription (STAT) 3 pathway is linked to antiapoptosis. Here, we determined whether the antiapoptotic effects of sevoflurane postconditioning are associated with activation of the JAK2-STAT3 pathway after global transient cerebral ischemia in rats. Materials and Methods: Forty-five rats were randomly assigned to 5 groups: sham (n=5), control (10 min of ischemia, n=10), sevoflurane postconditioning (2 periods of sevoflurane inhalation after ischemia for 10 min, n=10), AG490 (a JAK2 selective inhibitor, intraperitoneal administration of 40 mg/kg before ischemia, n=10), and sevoflurane postconditioning plus AG490 group (n=10). The number of apoptotic cells as well as the expression of JAK2, phosphorylated JAK2 (P-JAK2), STAT3, phosphorylated STAT3 (P-STAT3), Bcl-2 (antiapoptotic protein), and Bax (proapoptotic protein) were evaluated 3 days after ischemia. Results: The apoptotic cell count was significantly lower in the sevoflurane postconditioning group than in the control, AG490, and sevoflurane postconditioning plus AG490 groups. JAK2 and STAT3 levels were comparable among all 5 groups. P-JAK2, P-STAT3, and Bcl-2 levels were higher and Bax levels were lower in the sevoflurane postconditioning group relative to the control, AG490, and sevoflurane postconditioning plus AG490 groups. Conclusions: Sevoflurane postconditioning reduced apoptosis by increasing P-JAK and P-STAT expression after transient global ischemia in rats, and AG490 reversed the beneficial antiapoptotic effects of sevoflurane postconditioning, suggesting that the JAK-STAT pathway may be involved in the antiapoptotic mechanism of sevoflurane postconditioning.

引用

页码：37 / 45

页数：9