Evidence map›Paper›PMID 31929114›Full record

ArticleAging2020

Surgery/Anesthesia disturbs mitochondrial fission/fusion dynamics in the brain of aged mice with postoperative delirium.

Yayuan Lu, Lei Chen, Jishi Ye, Chang Chen, Ying Zhou, Ke Li, Zongze Zhang, Mian Peng

Open access · greenAbstract read
In one paragraph

Article in Aging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 6% 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

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Animal models of delirium: a narrative review.Translational psychiatry · 2026
    Review
  5. Article
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  8. Article
  9. Molecular and Clinical Considerations for Anesthesia in the Aging Brain.International journal of molecular sciences · 2025
    Review
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  11. Article
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  13. Article
  14. Review
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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

8 authors at 2 institutions in 1 country.

Yayuan LuDepartment of Anesthesiology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Lei ChenDepartment of Anesthesiology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Jishi YeDepartment of Anesthesiology, Renmin Hospital of Wuhan University, Wuhan, China.
Chang ChenDepartment of Anesthesiology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Ying ZhouDepartment of Anesthesiology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Ke LiDepartment of Anesthesiology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Zongze ZhangDepartment of Anesthesiology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Mian PengDepartment of Anesthesiology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Wuhan University · CNZhongnan Hospital of Wuhan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Postoperative delirium (POD) is a common complication following surgery and anesthesia (Surgery/Anesthesia). Mitochondrial dysfunction, which is demonstrated by energy deficits and excessively activated oxidative stress, has been reported to contribute to POD. The dynamic balance between mitochondrial fusion and fission processes is critical in regulating mitochondrial function. However, the impact of Surgery/Anesthesia on mitochondrial fusion/fission dynamics remains unclear. Here, we evaluate the effects of laparotomy under 1.4% isoflurane anesthesia for 2 hours on mitochondrial fission/fusion dynamics in the brain of aged mice. Mice in Surgery/Anesthesia group showed unbalanced fission/fusion dynamics, with decreased DISC1 expression and increased expression of Drp1 and Mfn2 in the mitochondrial fraction, leading to excessive mitochondrial fission and disturbed mitochondrial morphogenesis in the hippocampus and prefrontal cortex. In addition, surgical mice presented mitochondrial dysfunction, demonstrated by abnormally activated oxidative stress (increased ROS level, decreased SOD level) and energy deficits (decreased levels of ATP and MMP). Surgery/Anesthesia also decreased the expression of neuronal/synaptic plasticity-related proteins such as PSD-95 and BDNF. Furthermore, Surgery/Anesthesia induced delirium-like behavior in aged mice. In conclusion, Surgery/Anesthesia disturbed mitochondrial fission/fusion dynamics and then impaired mitochondrial function in the brain of aged mice; these effects may be involved in the underlying mechanism of POD.

Indexed as

Mitochondrial DynamicsAnesthesiaAnimalsBiomarkersBrainDeliriumDisease Models, AnimalHippocampusMiceMitochondriaPostoperative ComplicationsPrefrontal CortexReactive Oxygen SpeciesSurgical Procedures, OperativeBiomarkersReactive Oxygen Specieshippocampusmitochondrial dynamicsmitochondrial functionpostoperative deliriumprefrontal cortex

Identifiers

PMID31929114
PMCPMC6977661
OpenAlexW2999585926

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.