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Yang CY, Liu SY, Wang HY, Li YL, Guo D, Wang XY, Hua W, Wang GL. Neuroprotection by Propofol Post-Conditioning: Focus on PKMζ/KCC2 Pathway Activity. Cell Mol Neurobiol 2018; 38:691-701. [PMID: 28779332 DOI: 10.1007/s10571-017-0530-0] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2017] [Accepted: 07/31/2017] [Indexed: 12/11/2022]
Abstract
Critical and major operations are often accompanied by brain ischemic complications. Previous studies found that propofol post-conditioning provided neuroprotective functions through upregulating the expression of potassium chloride cotransporter 2 (KCC2) in gamma-aminobutyric acid (GABA) interneurons. Membrane expression and phosphorylation represents KCC2 activity, which were modulated by a protein kinase C (PKC)-dependent mechanism. However, the role of propofol in increasing KCC2 phosphorylation and the involvement of protein kinase Mζ (PKMζ), a major subtype of PKC, in the KCC2 pathway remained unclear. In this study, we established middle cerebral artery occlusion model in rats to evaluate the long-term recovery of brain functions using behavioral experiments. KCC2 and PKMζ were assessed via western blot. We used the selective inhibitor, zeta inhibitory peptide (ZIP), to investigate the relationship between KCC2 and PKMζ. Intracellular chloride concentration in the hippocampal CA1 area was measured to determine KCC2 activity. We found that propofol, infused at a speed of 20 mg kg-1 h-1 for 2 h at the onset of reperfusion, improved neurological deficits and cognitive dysfunction following ischemia/reperfusion injury. PKMζ expression was significantly upregulated, which improved KCC2 membrane expression and phosphorylation in the ischemic hippocampal CA1 area, and these effects could last up to 28 days. But ZIP inhibited this process. Ultimately, we showed that propofol increased KCC2 phosphorylation and PKMζ was the upstream of KCC2. Propofol led to long-term recovery of brain functions by upregulating the activity of the PKMζ/KCC2 pathway.
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Affiliation(s)
- Chen-Yi Yang
- Department of Anesthesiology, Tianjin Third Central Hospital, Third Central Clinical College of Tianjin Medical University, Tianjin Key Laboratory of Artificial Cell, Artificial Cell Engineering Research Centre of the Ministry of Health, Tianjin, 300170, China
| | - Shu-Ying Liu
- Department of Anesthesiology, Tianjin Third Central Hospital, Third Central Clinical College of Tianjin Medical University, Tianjin Key Laboratory of Artificial Cell, Artificial Cell Engineering Research Centre of the Ministry of Health, Tianjin, 300170, China
| | - Hai-Yun Wang
- Department of Anesthesiology, Tianjin Third Central Hospital, Third Central Clinical College of Tianjin Medical University, Tianjin Key Laboratory of Artificial Cell, Artificial Cell Engineering Research Centre of the Ministry of Health, Tianjin, 300170, China.
- Tianjin Research Institute of Anesthesiology, Tianjin Medical University General Hospital, Tianjin, 300052, China.
| | - Yan-Li Li
- Department of Anesthesiology, Tianjin Third Central Hospital, Third Central Clinical College of Tianjin Medical University, Tianjin Key Laboratory of Artificial Cell, Artificial Cell Engineering Research Centre of the Ministry of Health, Tianjin, 300170, China
| | - Di Guo
- Department of Anesthesiology, Tianjin Third Central Hospital, Third Central Clinical College of Tianjin Medical University, Tianjin Key Laboratory of Artificial Cell, Artificial Cell Engineering Research Centre of the Ministry of Health, Tianjin, 300170, China
| | - Xin-Yue Wang
- Department of Anesthesiology, Tianjin Third Central Hospital, Third Central Clinical College of Tianjin Medical University, Tianjin Key Laboratory of Artificial Cell, Artificial Cell Engineering Research Centre of the Ministry of Health, Tianjin, 300170, China
| | - Wei Hua
- Department of Anesthesiology, Tianjin Third Central Hospital, Third Central Clinical College of Tianjin Medical University, Tianjin Key Laboratory of Artificial Cell, Artificial Cell Engineering Research Centre of the Ministry of Health, Tianjin, 300170, China
| | - Guo-Lin Wang
- Tianjin Research Institute of Anesthesiology, Tianjin Medical University General Hospital, Tianjin, 300052, China
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