Evidence map›Paper›PMID 32650051›Full record

ArticleNeuroscience letters2020

Neonatal exposure to sevoflurane expands the window of vulnerability to adverse effects of subsequent exposure to sevoflurane and alters hippocampal morphology via decitabine-sensitive mechanisms.

Yunan Lin, Lei Lei, Ling-Sha Ju, Ning Xu, Timothy E Morey, Nikolaus Gravenstein, Jianjun Yang, Anatoly E Martynyuk

Open access · greenAbstract read
In one paragraph

Article in Neuroscience letters, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 33% 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

5 citing papers in PubMed, 7 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

8 authors at 3 institutions in 2 countries.

Yunan LinDepartment of Anesthesiology, University of Florida College of Medicine, Gainesville, FL, United States; Department of Anesthesiology, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Lei LeiDepartment of Anesthesiology, University of Florida College of Medicine, Gainesville, FL, United States.
Ling-Sha JuDepartment of Anesthesiology, University of Florida College of Medicine, Gainesville, FL, United States.
Ning XuDepartment of Anesthesiology, University of Florida College of Medicine, Gainesville, FL, United States.
Timothy E MoreyDepartment of Anesthesiology, University of Florida College of Medicine, Gainesville, FL, United States.
Nikolaus GravensteinDepartment of Anesthesiology, University of Florida College of Medicine, Gainesville, FL, United States; McKnight Brain Institute, University of Florida College of Medicine, Gainesville, FL, United States.
Jianjun YangDepartment of Anesthesiology, Pain and Perioperative Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Anatoly E MartynyukDepartment of Anesthesiology, University of Florida College of Medicine, Gainesville, FL, United States; McKnight Brain Institute, University of Florida College of Medicine, Gainesville, FL, United States. Electronic address: amartynyuk@anest.ufl.edu.
University of Florida · USFirst Affiliated Hospital of Zhengzhou University · CNGuangxi Medical University · CN

Funding

Role of the limbic-hypothalamic-pituitary-adrenal axis and gamma-aminobutyric acid type A receptor-mediated excitation in the developmental central and systemic effects of neonatal anesthesiaR01NS091542 · NINDS · UNIVERSITY OF FLORIDA · PI MARTYNYUK, ANATOLY E · 2015 to 2018
$1.4M
NINDS NIH HHS R01 NS091542
6 · The paper itself

Abstract

backgroundDeficiencies in neurocognitive function have been found in late childhood or adolescence in patients who had prolonged and/or repeated early-life general anesthesia. Animal studies suggest that anesthetic-induced impairment in the neuron-specific K

methodsSprague-Dawley male rats were injected with vehicle or decitabine 30 min before 2.1 % sevoflurane exposure for 5 h on postnatal day 5 (P5). On P19, P20, or P21, electroencephalography-detectable seizures were measured during 1 h of sevoflurane exposure, followed by collection of the trunk blood and brain tissue samples. Other rats were evaluated for changes in hippocampal CA1 dendrite morphology and gene expressions on ≥ P120.

resultsRats in the vehicle plus sevoflurane group responded to sevoflurane exposure on P19, P20 or P21 with electroencephalography-detectable seizures and stress-like corticosterone secretion and had altered hippocampal dendrite morphology in adulthood. These rats had expressions of Kcc2 and Dnmt genes downregulated and upregulated, respectively, in the P19 - P21 cortex and hypothalamus and the ≥ P120 hippocampus. All measured parameters in the sevoflurane-exposed rats that were pretreated with decitabine were not different from those in the control group.

conclusionsNeonatal exposure to sevoflurane sensitizes rats to adverse effects of repeated exposure to the anesthetic. The anesthetic-caused changes in the decitabine-sensitive mechanisms may play a mediating role in the developmental effects of early-life anesthesia.

Indexed as

Age FactorsAnesthetics, InhalationAnimalsAnimals, NewbornDecitabineDNA (Cytosine-5-)-Methyltransferase 1ElectroencephalographyEnzyme InhibitorsHippocampusMaleRandom AllocationRatsRats, Sprague-DawleySevofluraneAnesthetics, InhalationDecitabineDNA (Cytosine-5-)-Methyltransferase 1Dnmt1 protein, ratEnzyme InhibitorsSevofluraneDnmtHippocampal morphologyKcc2Neonatal anesthesiaSeizuresSevoflurane

Identifiers

PMID32650051
PMCPMC7484112
OpenAlexW3039657401

What OpenQuestion holds

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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.