Pre-existing weakness is critical for the occurrence of postoperative cognitive dysfunction in mice of the same age

Occurrence of postoperative cognitive dysfunction (POCD) is age-dependent and heterogenous. Factors deciding the occurrence of POCD in patients of the same age undergone same surgeries remain unclear. Here we investigated the effects of pre-existing weakness on the occurrence of POCD in mice of the...

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Veröffentlicht in:PloS one 2017-08, Vol.12 (8), p.e0182471-e0182471
Hauptverfasser: Tang, Yujie, Wang, Xueqin, Zhang, Shuibing, Duan, Shangchun, Qing, Wenxiang, Chen, Gong, Ye, Feng, Le, Yuan, Ouyang, Wen
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container_title PloS one
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Wang, Xueqin
Zhang, Shuibing
Duan, Shangchun
Qing, Wenxiang
Chen, Gong
Ye, Feng
Le, Yuan
Ouyang, Wen
description Occurrence of postoperative cognitive dysfunction (POCD) is age-dependent and heterogenous. Factors deciding the occurrence of POCD in patients of the same age undergone same surgeries remain unclear. Here we investigated the effects of pre-existing weakness on the occurrence of POCD in mice of the same age. Pre-existing weakness of mice was induced by intraperitoneal injection of lipopolysaccharide (8mg/kg) and was evaluated by physical frailty index (by open field test), neuroinflammation level (by Iba1 immunostaining and inflammatory factors TNF-α and IL-1β), and neuronal activity (by p-CREB immunostaining). POCD was induced by partial hepatolobectomy and was evaluated by puzzle box test and Morris water maze test. The brains were collected to detect the levels of neuroinflammation, synaptophysin and NMDA receptor subunits NR2A, NR2B and NR1 (by western blot), and oxidative stress (by Dihydroethidium). Compared to the normal adult mice of the same age, LPS pretreated mice had increased physical frailty index, higher levels of neuroinflammation, and lower neuronal activity. Partial hepatolobectomy induced obvious impairments in executive function, learning and memory in LPS pretreated mice after surgery, but not in normal mice of the same age. Partial hepatolobectomy also induced heightened neuroinflammation, obvious loss of NMDA receptor subunits, strong oxidative stress in LPS pretreated mice on the 1st and 3rd postoperative day. However, the POCD-associated pathological changes didn't occur in normal mice of the same age after surgery. These results suggest that pre-existing weakness is critical for the occurrence of POCD in mice of the same age.
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Compared to the normal adult mice of the same age, LPS pretreated mice had increased physical frailty index, higher levels of neuroinflammation, and lower neuronal activity. Partial hepatolobectomy induced obvious impairments in executive function, learning and memory in LPS pretreated mice after surgery, but not in normal mice of the same age. Partial hepatolobectomy also induced heightened neuroinflammation, obvious loss of NMDA receptor subunits, strong oxidative stress in LPS pretreated mice on the 1st and 3rd postoperative day. However, the POCD-associated pathological changes didn't occur in normal mice of the same age after surgery. 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Factors deciding the occurrence of POCD in patients of the same age undergone same surgeries remain unclear. Here we investigated the effects of pre-existing weakness on the occurrence of POCD in mice of the same age. Pre-existing weakness of mice was induced by intraperitoneal injection of lipopolysaccharide (8mg/kg) and was evaluated by physical frailty index (by open field test), neuroinflammation level (by Iba1 immunostaining and inflammatory factors TNF-α and IL-1β), and neuronal activity (by p-CREB immunostaining). POCD was induced by partial hepatolobectomy and was evaluated by puzzle box test and Morris water maze test. The brains were collected to detect the levels of neuroinflammation, synaptophysin and NMDA receptor subunits NR2A, NR2B and NR1 (by western blot), and oxidative stress (by Dihydroethidium). 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Factors deciding the occurrence of POCD in patients of the same age undergone same surgeries remain unclear. Here we investigated the effects of pre-existing weakness on the occurrence of POCD in mice of the same age. Pre-existing weakness of mice was induced by intraperitoneal injection of lipopolysaccharide (8mg/kg) and was evaluated by physical frailty index (by open field test), neuroinflammation level (by Iba1 immunostaining and inflammatory factors TNF-α and IL-1β), and neuronal activity (by p-CREB immunostaining). POCD was induced by partial hepatolobectomy and was evaluated by puzzle box test and Morris water maze test. The brains were collected to detect the levels of neuroinflammation, synaptophysin and NMDA receptor subunits NR2A, NR2B and NR1 (by western blot), and oxidative stress (by Dihydroethidium). Compared to the normal adult mice of the same age, LPS pretreated mice had increased physical frailty index, higher levels of neuroinflammation, and lower neuronal activity. Partial hepatolobectomy induced obvious impairments in executive function, learning and memory in LPS pretreated mice after surgery, but not in normal mice of the same age. Partial hepatolobectomy also induced heightened neuroinflammation, obvious loss of NMDA receptor subunits, strong oxidative stress in LPS pretreated mice on the 1st and 3rd postoperative day. However, the POCD-associated pathological changes didn't occur in normal mice of the same age after surgery. These results suggest that pre-existing weakness is critical for the occurrence of POCD in mice of the same age.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>28787017</pmid><doi>10.1371/journal.pone.0182471</doi><tpages>e0182471</tpages><orcidid>https://orcid.org/0000-0002-0062-3318</orcidid><oa>free_for_read</oa></addata></record>
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subjects Age
Anesthesiology
Animal cognition
Animals
Biology and Life Sciences
Brain research
Cognitive ability
Cognitive disorders
Cognitive Dysfunction - metabolism
Cognitive Dysfunction - physiopathology
Cyclic AMP response element-binding protein
Disease Susceptibility
Executive function
Experiments
Gene expression
Glutamic acid receptors (ionotropic)
Hippocampus - drug effects
Hippocampus - metabolism
Hippocampus - physiopathology
House mouse
Inflammation
Injection
Interleukin 1
Learning
Lipopolysaccharides
Lipopolysaccharides - pharmacology
Male
Medicine and Health Sciences
Memory
Mice
Mice, Inbred C57BL
Mortality
N-Methyl-D-aspartic acid receptors
Open-field behavior
Oxidative stress
Patients
Postoperative complications
Postoperative Complications - metabolism
Postoperative Complications - physiopathology
Reactive Oxygen Species - metabolism
Receptors, N-Methyl-D-Aspartate - metabolism
Research and Analysis Methods
Risk factors
Rodents
Studies
Surgery
Synaptophysin
Tumor necrosis factor
title Pre-existing weakness is critical for the occurrence of postoperative cognitive dysfunction in mice of the same age
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