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Published in: Journal of Anesthesia 2/2018

01-04-2018 | Original Article

The effect of sevoflurane on retinal angiogenesis in a mouse model of oxygen-induced retinopathy

Authors: Hee Young Kim, Seung-Hoon Baek, Seong Wan Baik, Sun Sik Bae, Jung Min Ha, Minkyoung Kim, Gyeong-Jo Byeon, Hye Jin Kim, Hyun-Su Ri, So Hyun Kim

Published in: Journal of Anesthesia | Issue 2/2018

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Abstract

Background

Sevoflurane is commonly used in general anesthesia for premature neonates. The main mechanism of retinopathy of prematurity (ROP) is increased levels of vascular endothelial growth factor (VEGF). For the investigation of sevoflurane’s effect on angiogenesis, the angiogenesis and VEGF expression in the retina were measured after administering sevoflurane in an oxygen-induced retinopathy mice model.

Materials and methods

The mice were divided into the normoxic group (Nc and Ns group; n = 6) and the ROP group (C, Rc, and Rs group; n = 6). Rc group were exposed to 75% oxygen for 5 days beginning on postnatal day (P) 7, and then returned to room air. Age-matched mice in the C group were exposed to room air. To observe angiogenesis of the retina, the mice were sacrificed on P16. The Rs group was exposed to 2 vol% sevoflurane for 2 h on P12, P13, and P14 with 40% oxygen.

Results

The angiogenic area and the spreading distance of vessels on P4 were statistically decreased in the Ns group, compared to the Nc group. The avascular area on P16 was significantly increased and the expression of VEGF was suppressed in the Rs group compared to the Rc group.

Conclusions

Sevoflurane can inhibit retinal angiogenesis via suppressing VEGF expression in an OIR mice model with exposure to relative hypoxia. Nevertheless, it is still difficult to apply the results of this study immediately to humans because of the heterogeneity of responses to sevoflurane.
Literature
1.
go back to reference Beck S, Wojdyla D, Say L, Betran AP, Merialdi M, Requejo JH, Rubens C, Menon R, Van Look PF. The worldwide incidence of preterm birth: a systematic review of maternal mortality and morbidity. Bull World Health Organ. 2010;88(1):31–8.CrossRefPubMed Beck S, Wojdyla D, Say L, Betran AP, Merialdi M, Requejo JH, Rubens C, Menon R, Van Look PF. The worldwide incidence of preterm birth: a systematic review of maternal mortality and morbidity. Bull World Health Organ. 2010;88(1):31–8.CrossRefPubMed
2.
go back to reference Austeng D, Källen KB, Ewald UW, Jakobsson PG, Holmström GE. Incidence of retinopathy of prematurity in infants born before 27 weeks’ gestation in Sweden. Arch Ophthalmol. 2009;127(10):1315–9.CrossRefPubMed Austeng D, Källen KB, Ewald UW, Jakobsson PG, Holmström GE. Incidence of retinopathy of prematurity in infants born before 27 weeks’ gestation in Sweden. Arch Ophthalmol. 2009;127(10):1315–9.CrossRefPubMed
4.
go back to reference Stahl A, Connor KM, Sapieha P, Chen J, Dennison RJ, Krah NM, Seaward MR, Willett KL, Aderman CM, Guerin KI, Hua J, Löfqvist C, Hellström A, Smith LE. The mouse retina as an angiogenesis model. Investig Ophthalmol Vis Sci. 2010;51(6):2813–26.CrossRef Stahl A, Connor KM, Sapieha P, Chen J, Dennison RJ, Krah NM, Seaward MR, Willett KL, Aderman CM, Guerin KI, Hua J, Löfqvist C, Hellström A, Smith LE. The mouse retina as an angiogenesis model. Investig Ophthalmol Vis Sci. 2010;51(6):2813–26.CrossRef
5.
6.
7.
go back to reference Hartrey R. Anaesthesia for the laser treatment of neonates with retinopathy of prematurity. Eye. 2007;21(8):1025–7.CrossRefPubMed Hartrey R. Anaesthesia for the laser treatment of neonates with retinopathy of prematurity. Eye. 2007;21(8):1025–7.CrossRefPubMed
8.
go back to reference Neema C. Anesthetic concerns in patients with retinopathy of prematurity. J Case Rep. 2013;3(1):59–63.CrossRef Neema C. Anesthetic concerns in patients with retinopathy of prematurity. J Case Rep. 2013;3(1):59–63.CrossRef
9.
go back to reference Hassid S, Nicaise C, Michel F, Vialet R, Thomachot L, Lagier P, Martin C. Randomized controlled trial of sevoflurane for intubation in neonates. Pediatr Anesth. 2007;17(11):1053–8.CrossRef Hassid S, Nicaise C, Michel F, Vialet R, Thomachot L, Lagier P, Martin C. Randomized controlled trial of sevoflurane for intubation in neonates. Pediatr Anesth. 2007;17(11):1053–8.CrossRef
10.
go back to reference Yu L, Sun H, Yao L, Feng Y, Yang B. Comparison of effective inspired concentration of sevoflurane in preterm infants with different postconceptual ages. Pediatr Anesth. 2011;21(2):148–52.CrossRef Yu L, Sun H, Yao L, Feng Y, Yang B. Comparison of effective inspired concentration of sevoflurane in preterm infants with different postconceptual ages. Pediatr Anesth. 2011;21(2):148–52.CrossRef
12.
go back to reference Lu Y, Wang J, Yan J, Yang Y, Sun Y, Huang Y, Hu R, Zhang Y, Jiang H. Sevoflurane attenuate hypoxia-induced VEGF level in tongue squamous cell carcinoma cell by upregulating the DNA methylation states of the promoter region. Biomed Pharmacother. 2015;71:139–45.CrossRefPubMed Lu Y, Wang J, Yan J, Yang Y, Sun Y, Huang Y, Hu R, Zhang Y, Jiang H. Sevoflurane attenuate hypoxia-induced VEGF level in tongue squamous cell carcinoma cell by upregulating the DNA methylation states of the promoter region. Biomed Pharmacother. 2015;71:139–45.CrossRefPubMed
13.
go back to reference Shi Q, Zhang S, Liu L, Chen Q, Yu L, Zhang F, Zhang F, Yan M. Sevoflurane promotes the expansion of glioma stem cells through activation of hypoxia-inducible factors in vitro. Br J Anaesth. 2014;2014:aeu402. Shi Q, Zhang S, Liu L, Chen Q, Yu L, Zhang F, Zhang F, Yan M. Sevoflurane promotes the expansion of glioma stem cells through activation of hypoxia-inducible factors in vitro. Br J Anaesth. 2014;2014:aeu402.
14.
go back to reference Smith L, Wesolowski E, McLellan A, Kostyk SK, D’Amato R, Sullivan R, D’Amore PA. Oxygen-induced retinopathy in the mouse. Investig Ophthalmol Vis Sci. 1994;35(1):101–11. Smith L, Wesolowski E, McLellan A, Kostyk SK, D’Amato R, Sullivan R, D’Amore PA. Oxygen-induced retinopathy in the mouse. Investig Ophthalmol Vis Sci. 1994;35(1):101–11.
15.
go back to reference Livak KJ, Schmittgen TD. Analysis of relative gene expression data using real-time quantitative PCR and the 2(−Delta Delta C(T)) method. Methods. 2001;25(4):402–8.CrossRefPubMed Livak KJ, Schmittgen TD. Analysis of relative gene expression data using real-time quantitative PCR and the 2(−Delta Delta C(T)) method. Methods. 2001;25(4):402–8.CrossRefPubMed
16.
go back to reference Istaphanous GK, Howard J, Nan X, Hughes EA, McCann JC, McAuliffe JJ, Danzer SC, Loepke AW. Comparison of the neuroapoptotic properties of equipotent anesthetic concentrations of desflurane, isoflurane, or sevoflurane in neonatal mice. J Am Soc Anesthesiol. 2011;114(3):578–87.CrossRef Istaphanous GK, Howard J, Nan X, Hughes EA, McCann JC, McAuliffe JJ, Danzer SC, Loepke AW. Comparison of the neuroapoptotic properties of equipotent anesthetic concentrations of desflurane, isoflurane, or sevoflurane in neonatal mice. J Am Soc Anesthesiol. 2011;114(3):578–87.CrossRef
17.
go back to reference Liu C, Shen Z, Liu Y, Peng J, Miao L, Zeng W, Li Y. Sevoflurane protects against intestinal ischemia–reperfusion injury partly by phosphatidylinositol 3 kinases/Akt pathway in rats. Surgery. 2015;157(5):924–33.CrossRefPubMed Liu C, Shen Z, Liu Y, Peng J, Miao L, Zeng W, Li Y. Sevoflurane protects against intestinal ischemia–reperfusion injury partly by phosphatidylinositol 3 kinases/Akt pathway in rats. Surgery. 2015;157(5):924–33.CrossRefPubMed
18.
go back to reference Zhang Y, Tian S-Y, Li Y-W, Zhang L, Yu J-B, Li J, Chen YY, Wang YX, Liang Y, Zhang XS, Wang WS, Liu HG. Sevoflurane preconditioning improving cerebral focal ischemia–reperfusion damage in a rat model via PI3K/Akt signaling pathway. Gene. 2015;569(1):60–5.CrossRefPubMed Zhang Y, Tian S-Y, Li Y-W, Zhang L, Yu J-B, Li J, Chen YY, Wang YX, Liang Y, Zhang XS, Wang WS, Liu HG. Sevoflurane preconditioning improving cerebral focal ischemia–reperfusion damage in a rat model via PI3K/Akt signaling pathway. Gene. 2015;569(1):60–5.CrossRefPubMed
19.
go back to reference Lai Z, Zhang L, Su J, Cai D, Xu Q. Sevoflurane postconditioning improves long-term learning and memory of neonatal hypoxia-ischemia brain damage rats via the PI3K/Akt-mPTP pathway. Brain Res. 2016;1630:25–37.CrossRefPubMed Lai Z, Zhang L, Su J, Cai D, Xu Q. Sevoflurane postconditioning improves long-term learning and memory of neonatal hypoxia-ischemia brain damage rats via the PI3K/Akt-mPTP pathway. Brain Res. 2016;1630:25–37.CrossRefPubMed
20.
go back to reference Dimmeler S, Zeiher AM. Akt takes center stage in angiogenesis signaling. Circ Res. 2000;86(1):4–5.CrossRefPubMed Dimmeler S, Zeiher AM. Akt takes center stage in angiogenesis signaling. Circ Res. 2000;86(1):4–5.CrossRefPubMed
21.
go back to reference Zhang L, Zhang J, Dong Y, Swain CA, Zhang Y, Xie Z. The potential dual effects of sevoflurane on AKT/GSK3β signaling pathway. Med Gas Res. 2014;4(1):1.CrossRef Zhang L, Zhang J, Dong Y, Swain CA, Zhang Y, Xie Z. The potential dual effects of sevoflurane on AKT/GSK3β signaling pathway. Med Gas Res. 2014;4(1):1.CrossRef
22.
23.
go back to reference Barnett JM, McCollum GW, Fowler JA, Duan JJ-W, Kay JD, Liu R-Q, Bingaman DP, Penn JS. Pharmacologic and genetic manipulation of MMP-2 and-9 affects retinal neovascularization in rodent models of OIR. Investig Ophthalmol Vis Sci. 2007;48(2):907–15.CrossRef Barnett JM, McCollum GW, Fowler JA, Duan JJ-W, Kay JD, Liu R-Q, Bingaman DP, Penn JS. Pharmacologic and genetic manipulation of MMP-2 and-9 affects retinal neovascularization in rodent models of OIR. Investig Ophthalmol Vis Sci. 2007;48(2):907–15.CrossRef
24.
go back to reference Liang H, Gu M, Yang C, Wang H, Wen X, Zhou Q. Sevoflurane inhibits invasion and migration of lung cancer cells by inactivating the p38 MAPK signaling pathway. J Anesth. 2012;26(3):381–92.CrossRefPubMed Liang H, Gu M, Yang C, Wang H, Wen X, Zhou Q. Sevoflurane inhibits invasion and migration of lung cancer cells by inactivating the p38 MAPK signaling pathway. J Anesth. 2012;26(3):381–92.CrossRefPubMed
25.
go back to reference Wilder RT, Flick RP, Sprung J, Katusic SK, Barbaresi WJ, Mickelson C, Gleich SJ, Schroeder DR, Weaver AL, Warner DO. Early exposure to anesthesia and learning disabilities in a population-based birth cohort. J Am Soc Anesthesiol. 2009;110(4):796–804.CrossRef Wilder RT, Flick RP, Sprung J, Katusic SK, Barbaresi WJ, Mickelson C, Gleich SJ, Schroeder DR, Weaver AL, Warner DO. Early exposure to anesthesia and learning disabilities in a population-based birth cohort. J Am Soc Anesthesiol. 2009;110(4):796–804.CrossRef
26.
go back to reference Flick RP, Katusic SK, Colligan RC, Wilder RT, Voigt RG, Olson MD, Sprung J, Weaver AL, Schroeder DR, Warner DO. Cognitive and behavioral outcomes after early exposure to anesthesia and surgery. Pediatrics. 2011;2011:peds. 2011-0351. Flick RP, Katusic SK, Colligan RC, Wilder RT, Voigt RG, Olson MD, Sprung J, Weaver AL, Schroeder DR, Warner DO. Cognitive and behavioral outcomes after early exposure to anesthesia and surgery. Pediatrics. 2011;2011:peds. 2011-0351.
Metadata
Title
The effect of sevoflurane on retinal angiogenesis in a mouse model of oxygen-induced retinopathy
Authors
Hee Young Kim
Seung-Hoon Baek
Seong Wan Baik
Sun Sik Bae
Jung Min Ha
Minkyoung Kim
Gyeong-Jo Byeon
Hye Jin Kim
Hyun-Su Ri
So Hyun Kim
Publication date
01-04-2018
Publisher
Springer Japan
Published in
Journal of Anesthesia / Issue 2/2018
Print ISSN: 0913-8668
Electronic ISSN: 1438-8359
DOI
https://doi.org/10.1007/s00540-018-2465-0

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