Sevoflurane Postconditioning-Induced Anti-Inflammation via Inhibition of the Toll-Like Receptor-4/Nuclear Factor Kappa B Pathway Contributes to Neuroprotection against Transient Global Cerebral Ischemia in Rats.
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ABSTRACT: The anti-inflammatory actions of sevoflurane postconditioning are suggested as an important mechanism of sevoflurane postconditioning-induced neuroprotection against cerebral ischemia. Here, we determined whether the anti-inflammatory effects of sevoflurane postconditioning were mediated via inhibition of the toll-like receptor (TLR)-4/nuclear factor kappa B (NF-?B) pathway after global transient cerebral ischemia in rats. Forty-five rats were randomly assigned to five groups as follows: (1) control (10 min of ischemia, n = 10); (2) sevoflurane postconditioning (two periods of sevoflurane inhalation after ischemia for 10 min with a wash period of 10 min, n = 10); (3) resatorvid (intraperitoneal injection of a selective TLR-4 antagonist (3 mg/kg) 30 min before ischemia, n = 10); (4) sevoflurane postconditioning plus resatorvid (n = 10), and sham (n = 5). The numbers of necrotic and apoptotic cells in the hippocampal CA1 region, the expression levels of TLR-4, NF-?B, cleaved caspase-3, and tumor necrosis factor alpha (TNF-?) in the anterior part of each brain, and the serum levels of TNF-?, interleukin 6 (IL-6), and interleukin 1 beta (IL-1?) were assessed 1 day after ischemia. The necrotic cell counts and expression levels of TLR-4, NF-?B, caspase-3, and TNF-? in brain tissue as well as serum levels of pro-inflammatory cytokines (TNF-?, IL-6, and IL-1?) were significantly higher in the control group than in the other groups. Our findings suggest that the anti-inflammatory actions of sevoflurane postconditioning via inactivation of the TLR-4/NF-?B pathway and subsequent reduction in pro-inflammatory cytokine production, in part, contribute to sevoflurane postconditioning-induced neuroprotection after global transient cerebral ischemia in rats.
SUBMITTER: Hwang JW
PROVIDER: S-EPMC5713316 | biostudies-literature | 2017 Nov
REPOSITORIES: biostudies-literature
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