Effect of the inhaled anesthetics isoflurane, sevoflurane and desflurane on the neuropathogenesis of Alzheimer's disease (Review)

The incidence of Alzheimer's disease (AD) in individuals >65 years of age is 13% and ~66 million individuals in this age group undergo surgery annually under anesthesia. It is therefore important to determine whether commonly used inhaled anesthetics induce cytotoxicity, which may lead to ne...

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Veröffentlicht in:Molecular medicine reports 2015-07, Vol.12 (1), p.3-12
Hauptverfasser: JIANG, JUE, JIANG, HONG
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description The incidence of Alzheimer's disease (AD) in individuals >65 years of age is 13% and ~66 million individuals in this age group undergo surgery annually under anesthesia. It is therefore important to determine whether commonly used inhaled anesthetics induce cytotoxicity, which may lead to neurodegeneration. Findings from several studies suggest that the anesthetics, isoflurane, sevoflurane and desflurane, may activate caspases, increase the synthesis and accumulation of β-amyloid (Aβ) protein, and induce hyperphosphorylation of tau proteins, all of which are cellular responses consistent with the neuropathogenesis of AD. Other studies have arrived at different and occasionally contradictory conclusions. The present review attempts to resolve this discrepancy by reviewing previous studies, which have investigated the effects of commonly used inhaled anesthetics on the synthesis and accumulation of Aβ, tau pathology and cognitive function. The possible underlying mechanism was also reviewed. However, several aspects of this phenomenon remain to be elucidated. Further studies are required to fully examine anesthesia-induced neurotoxicity and elucidate the effect of inhaled anesthetics on the onset and progression of AD.
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source Spandidos Publications Journals; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Alzheimer Disease - drug therapy
Alzheimer Disease - metabolism
Alzheimer Disease - physiopathology
Alzheimer's disease
Amyloid beta-Peptides - metabolism
Anesthesia
Anesthetics
Anesthetics, Inhalation - adverse effects
Anesthetics, Inhalation - therapeutic use
Apolipoproteins
Brain
Care and treatment
Caspases - metabolism
Cognition - drug effects
Cognitive ability
cognitive deficits
Cytotoxicity
Desflurane
Development and progression
Enzymes
Health aspects
Humans
Isoflurane
Isoflurane - adverse effects
Isoflurane - analogs & derivatives
Metabolism
Metabolites
Methyl Ethers - adverse effects
Methyl Ethers - therapeutic use
Mutation
Neurodegeneration
Neurodegenerative diseases
Neuropathogenesis
Neuropathology
Neurotoxicity
Pathology
Peptides
Phosphorylation
Proteins
Reviews
Sevoflurane
Studies
Surgery
tau
Tau protein
tau Proteins - metabolism
β-Amyloid
β-amyloid protein
title Effect of the inhaled anesthetics isoflurane, sevoflurane and desflurane on the neuropathogenesis of Alzheimer's disease (Review)
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