Evidence map›Paper›PMID 21190757›Full record

ArticleNeurobiology of aging2012

The inhalation anesthetic isoflurane increases levels of proinflammatory TNF-α, IL-6, and IL-1β.

Xu Wu, Yan Lu, Yuanlin Dong, Guohua Zhang, Yiying Zhang, Zhipeng Xu, Deborah J Culley, Gregory Crosby, Edward R Marcantonio, Rudolph E Tanzi and 1 more

Open access · greenAbstract read
In one paragraph

Article in Neurobiology of aging, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 137 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
137citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

137 citing papers in PubMed, 1 synthesis or guideline pooled it, 251 citations in OpenAlex.

  1. Pooled it
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  15. Complement receptorBrain communications · 2025
    Article
  16. Article
  17. Effects of anesthesia with sevoflurane on outcome parameters in murine experimental studies.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
  18. Article
  19. Review
  20. Article

77 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 2 countries.

Xu WuGeriatric Anesthesia Research Unit, Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA 02129-2060, USA.
Yan Lu
Yuanlin Dong
Guohua Zhang
Yiying Zhang
Zhipeng Xu
Deborah J Culley
Gregory Crosby
Edward R Marcantonio
Rudolph E Tanzi
Zhongcong Xie
Massachusetts General Hospital · USHarvard University · USMaineGeneral Medical Center · USBrigham and Women's Hospital · USChina Medical University · CN

Funding

Identification and Characterization of Novel AD GenesR37MH060009 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI TANZI, RUDOLPH EMILE · 2003 to 2012
$7.6M
General Anesthesia and Alzheimer's Disease NeuropathogenesisR01GM088801 · NIGMS · MASSACHUSETTS GENERAL HOSPITAL · PI XIE, ZHONGCONG · 2009 to 2017
$3.1M
Mid-Career Mentoring Award for Patient-Oriented Research in AgingK24AG035075 · NIA · BETH ISRAEL DEACONESS MEDICAL CENTER · PI MARCANTONIO, EDWARD R · 2010 to 2021
$1.9M
Crosby_Gregory_Mechanisms of Post-Anesthetic CNS Dysfunction in AgingR01GM088817 · NIGMS · BRIGHAM AND WOMEN'S HOSPITAL · PI CROSBY, GREGORY · 2009 to 2012
$1.5M
Functional Analysis of Alzheimer's Disease GenesK08NS048140 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI XIE, ZHONGCONG · 2005 to 2009
$867k
Cellular Mechanisms of General Anesthetic Mediated NeurotoxicityK08GM077057 · NIGMS · BRIGHAM AND WOMEN'S HOSPITAL · PI CULLEY, DEBORAH J · 2006 to 2010
$724k
Role of Anesthetic Isoflurane in Alzheimer's Disease: In Vivo InvestigationR21AG029856 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI XIE, ZHONGCONG · 2008 to 2009
$408k
NIA NIH HHS K24 AG035075NIA NIH HHS R21 AG029856NIA NIH HHS R21AG029856NIGMS NIH HHS K08 GM077057NIGMS NIH HHS K08GM077057NIGMS NIH HHS R01 GM088801NIGMS NIH HHS R01 GM088817NIMH NIH HHS R37 MH060009NIMH NIH HHS R37MH 60009NINDS NIH HHS K08 NS048140NINDS NIH HHS K08NS048140
6 · The paper itself

Abstract

Anesthetics have been reported to promote Alzheimer's disease (AD) neuropathogenesis by inducing β-amyloid protein accumulation and apoptosis. Neuroinflammation is associated with the emergence of AD. We therefore set out to determine the effects of the common anesthetic isoflurane on the levels of tumor necrosis factor (TNF)-α, interleukin (IL)-6, and IL-1β, the proinflammatory cytokines, in vitro and in vivo, employing Western blot, immunohistochemistry, enzyme-linked immunosorbent assay (ELISA), and reverse transcriptase polymerase chain reaction (RT-PCR). Here, we show that a clinically relevant isoflurane anesthesia increased the protein and messenger ribonucleic acid (mRNA) levels of TNF-α, IL-6, and IL-1β in the brain tissues of mice. The isoflurane anesthesia increased the amounts of TNF-α immunostaining positive cells in the brain tissues of mice, the majority of which were neurons. Furthermore, isoflurane increased TNF-α levels in primary neurons, but not microglia cells, of mice. Finally, isoflurane induced a greater degree of TNF-α increase in the AD transgenic mice than in the wild-type mice. These results suggest that isoflurane may increase the levels of proinflammatory cytokines, which may cause neuroinflammation, leading to promotion of AD neuropathogenesis.

Indexed as

Administration, InhalationAnesthetics, InhalationAnimalsFemaleInflammation MediatorsInterleukin-1betaInterleukin-6IsofluraneMaleMiceMice, Inbred C57BLMice, TransgenicRandom AllocationTumor Necrosis Factor-alphaUp-RegulationAnesthetics, InhalationInflammation MediatorsInterleukin-1betaInterleukin-6IsofluraneTumor Necrosis Factor-alpha

Identifiers

PMID21190757
PMCPMC3117127
OpenAlexW2049809499

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.