Evidence map›Paper›PMID 38965013›Full record

ArticleBritish journal of anaesthesia2024

Dopaminergic psychostimulants cause arousal from isoflurane-induced sedation without reversing memory impairment in rats.

Michael R Fettiplace, Kathleen F Vincent, Angel Cho, Emmaline Dillon, Brendan M Stapley, Victoria Stewart, Ken Solt

Abstract read
In one paragraph

Article in British journal of anaesthesia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

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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

7 authors.

Michael R FettiplaceDepartment of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA; Department of Anaesthesia, Harvard Medical School, Boston, MA, USA. Electronic address: fettiplace@gmail.com.
Kathleen F VincentDepartment of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA; Department of Anaesthesia, Harvard Medical School, Boston, MA, USA.
Angel ChoTouro College of Osteopathic Medicine, New York, NY, USA.
Emmaline DillonDepartment of Cell Biology and Physiology, Brigham Young University, Provo, UT, USA.
Brendan M StapleyDepartment of Cell Biology and Physiology, Brigham Young University, Provo, UT, USA.
Victoria StewartUniversity of California Irvine School of Medicine, Irvine, CA, USA.
Ken SoltDepartment of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA; Department of Anaesthesia, Harvard Medical School, Boston, MA, USA.

Funding

Research Training for AnesthetistsT32GM007592 · NIGMS · MASSACHUSETTS GENERAL HOSPITAL · PI STUART A FORMAN · 1985 to 2026
$11.8M
The Anesthetic Circuitry of the MidbrainR01GM126155 · NIGMS · MASSACHUSETTS GENERAL HOSPITAL · PI SOLT, KEN · 2019 to 2022
$1.5M
Anesthesia and ConsciousnessR35GM152187 · NIGMS · MASSACHUSETTS GENERAL HOSPITAL · PI Ken Solt · 2024 to 2026
$1.3M
Neural Circuits Underlying Post-operative Delirium in Early Stage Alzheimer's DiseaseK99AG076877 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI VINCENT, KATHLEEN FRANCES · 2023 to 2024
$270k
NIA NIH HHS K99 AG076877NIGMS NIH HHS R01 GM126155NIGMS NIH HHS R35 GM152187NIGMS NIH HHS T32 GM007592
6 · The paper itself

Abstract

backgroundDopaminergic psychostimulants can restore arousal in anaesthetised animals, and dopaminergic signalling contributes to hippocampal-dependent memory formation. We tested the hypothesis that dopaminergic psychostimulants can antagonise the amnestic effects of isoflurane on visuospatial working memory.

methodsSixteen adult Sprague-Dawley rats were trained on a trial-unique nonmatching-to-location (TUNL) task which assessed the ability to identify a novel touchscreen location after a fixed delay. Once trained, the effects of low-dose isoflurane (0.3 vol%) on task performance and activity, assessed by infrared beam breaks, were assessed. We attempted to rescue deficits in performance and activity with a dopamine D1 receptor agonist (chloro-APB), a noradrenergic reuptake inhibitor (atomoxetine), and a mixed dopamine/norepinephrine releasing agent (dextroamphetamine). Anaesthetic induction, emergence, and recovery from anaesthesia were also investigated.

resultsLow-dose isoflurane impaired working memory in a sex-independent and intra-trial delay-independent manner as assessed by task performance, and caused an overall reduction in activity. Administration of chloro-APB, atomoxetine, or dextroamphetamine did not restore visuospatial working memory, but chloro-APB and dextroamphetamine recovered arousal to levels observed in the baseline awake state. Performance did not differ between induction and emergence. Animals recovered to baseline performance within 15 min of discontinuing isoflurane.

conclusionsLow-dose isoflurane impairs visuospatial working memory in a nondurable and delay-independent manner that potentially implicates non-hippocampal structures in isoflurane-induced memory deficits. Dopaminergic psychostimulants counteracted sedation but did not reverse memory impairments, suggesting that isoflurane-induced amnesia and isoflurane-induced sedation have distinct underlying mechanisms that can be antagonised independently.

Indexed as

Anesthetics, InhalationIsofluraneMemory DisordersRats, Sprague-DawleyAnimalsArousalCentral Nervous System StimulantsDopamine AgonistsFemaleMaleMemory, Short-TermRatsAnesthetics, InhalationCentral Nervous System StimulantsDopamine AgonistsIsofluraneamnesiaarousaldopamineisofluranememorypsychostimulant

Identifiers

PMID38965013
PMCPMC11443133

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Registered trials

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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.