Evidence map›Paper›PMID 31250275›Full record

ArticleJournal of molecular neuroscience : MN2019

Isoflurane-Induced Postoperative Neurovascular and Cognitive Dysfunction Is Associated with VEGF Overexpression in Aged Rats.

Yiyun Cao, Zhengqian Li, Lijun Ma, Ning Yang, Xiangyang Guo

Open access · hybridAbstract read
PubMed Publisher
In one paragraph

Article in Journal of molecular neuroscience : MN, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

13 citing papers in PubMed, 17 citations in OpenAlex.

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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

5 authors at 2 institutions in 1 country.

Yiyun CaoDepartment of Anesthesiology, Shanghai Sixth People's Hospital East Affiliated to Shanghai University of Medicine & Health Sciences, Shanghai, 200233, China.ORCID http://orcid.org/0000-0002-9491-7973
Zhengqian LiDepartment of Anesthesiology, Peking University Third Hospital, Beijing, 100191, China.
Lijun MaDepartment of Medical Imaging, North Minzu University, Yinchuan, 750021, Ningxia, China.
Ning YangDepartment of Anesthesiology, Peking University Third Hospital, Beijing, 100191, China.
Xiangyang GuoDepartment of Anesthesiology, Peking University Third Hospital, Beijing, 100191, China. puthmzk@163.com.
Peking University · CNNorth Minzu University · CN

Funding

Shanghai Pudong New District Science and Technology Development Fund Medical and Health Project of China PKJ2018-Y56the Hundred Faculty Talent Pool Program at Shanghai University of Medicine & Health Sciences in China NOthe National Natural Science Foundation of China 81571036 and 81600933
6 · The paper itself

Abstract

Postoperative cognitive dysfunction (POCD) is a common complication in older adults; however, its aetiology remains unclear. Although vascular endothelial growth factor (VEGF) is associated with blood-brain barrier (BBB) disorders and neurological disease, its role in POCD is unknown. Here, we investigated the effect of brain VEGF inhibition on isoflurane-induced cognitive impairment in an aged rat model of POCD. VEGF protein expression was increased in the hippocampus after isoflurane exposure, suggesting that inhalation anaesthesia induces hippocampal VEGF protein overexpression in aged rats. Pretreatment with 2 mg/kg RB-222, an anti-VEGF neutralizing antibody, may partially abolish the degradation of occludin protein in cerebral capillaries, thereby maintaining the ultrastructural and functional integrity of the hippocampal BBB. Inhibition of VEGF also significantly attenuated the isoflurane-induced cognitive deficits in the Morris water maze task. Together, our findings show, for the first time, that elevated expression of brain VEGF after isoflurane exposure contributes to POCD in aged rats. Therefore, therapeutic strategies involving VEGF should take into consideration its role in the pathogenesis of POCD.

Indexed as

AgingAnesthetics, InhalationAnimalsBlood-Brain BarrierCognitive DysfunctionHippocampusIsofluraneMaleMicrovesselsOccludinRatsRats, Sprague-DawleyVascular Endothelial Growth Factor AAnesthetics, InhalationIsofluraneOccludinVascular Endothelial Growth Factor ABlood–brain barrierIsofluranePostoperative cognitive dysfunctionVascular endothelial growth factor

Identifiers

PMID31250275
OpenAlexW2953510259

What OpenQuestion holds

Textmetadata
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.