Evidence map›Paper›PMID 27435414›Full record

ArticleJournal of anesthesia2016

Heightened stress response and cognitive impairment after repeated neonatal sevoflurane exposures might be linked to excessive GABAAR-mediated depolarization.

Guanghai Liu, Tiangui Zhu, Aihua Zhang, Feng Li, Weidong Qian, Bin Qian

Abstract read
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In one paragraph

Article in Journal of anesthesia, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

15 citing papers in PubMed, 25 citations in OpenAlex.

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  6. [Effect of Long-time Postnatal Exposure to Sevoflurane on Causing Attention-deficit/Hyperactivity Disorder in Rats].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2021
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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

6 authors at 2 institutions in 1 country.

Guanghai LiuDepartment of Anesthesiology, The First People's Hospital of Yancheng, Yancheng, 224005, Jiangsu, People's Republic of China.
Tiangui ZhuDepartment of Anesthesiology, The First People's Hospital of Yancheng, Yancheng, 224005, Jiangsu, People's Republic of China.
Aihua ZhangDepartment of Anesthesiology, The First People's Hospital of Yancheng, Yancheng, 224005, Jiangsu, People's Republic of China.
Feng LiDepartment of Anesthesiology, The First People's Hospital of Yancheng, Yancheng, 224005, Jiangsu, People's Republic of China.
Weidong QianDepartment of Anesthesiology, The First People's Hospital of Yancheng, Yancheng, 224005, Jiangsu, People's Republic of China.
Bin QianDepartment of Anesthesiology, The First People's Hospital of Yancheng, Yancheng, 224005, Jiangsu, People's Republic of China. ddxh2012@163.com.
Nantong University · CNYancheng First People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveChildren with repeated exposures to anesthesia at an early age are at an increased risk of cognitive impairment. Data in the literature link increased developmental depolarizing γ-aminobutyric acid (GABA) type A receptor (GABAAR) at younger age to neurodevelopmental disorders. Here we investigated the involvement of GABAergic signaling during development in mediating the adverse effects of repeated sevoflurane exposures.

methodsSprague-Dawley male rats received repeated exposures to 3 % sevoflurane for 2 h daily for 3 consecutive days on postnatal days (P) 4, 5, and 6; maternally separated and unseparated rats served as controls. A subgroup of rats received three injections of the Na(+)-K(+)-2Cl(-) cotransporter inhibitor, bumetanide (1.82 mg/kg, intraperitoneally) 15 min prior to initiation of each sevoflurane exposure.

resultsThe results showed that repeated neonatal sevoflurane exposures contribute to learning and memory impairment in the Morris water maze (MWM) at P60. The corticosterone level was significantly increased immediately after repeated neonatal sevoflurane exposures. Repeated neonatal sevoflurane exposures heightened the secretion of corticosterone in response to stress in P7 and P60 rats. Pretreatment of male rats prior to each sevoflurane exposure with bumetanide attenuated the corticosterone level immediately after repeated neonatal sevoflurane exposures, normalized endocrine response to stress at P7 and P60, and attenuated the sevoflurane-induced learning and memory impairment in the MWM.

conclusionThese data suggested that the heightened stress response and cognitive impairment after repeated neonatal sevoflurane exposures might be linked to excessive GABAAR-mediated depolarization.

Indexed as

Anesthetics, InhalationAnimalsAnimals, NewbornBumetanideCognitive DysfunctionCorticosteroneDiureticsFemaleMaleMaze LearningMemory DisordersMethyl EthersPregnancyRatsRats, Sprague-DawleyReceptors, GABA-AAnesthetics, InhalationBumetanideCorticosteroneDiureticsMethyl EthersReceptors, GABA-ASevofluraneSodium-Potassium-Chloride SymportersBumetanideCorticosteroneEndocrine responseRepeated neonatal sevoflurane exposuresγ-Aminobutyric acid type A receptor

Identifiers

PMID27435414
OpenAlexW2499324323

What OpenQuestion holds

Textmetadata
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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.