Skip to main content
Top
Published in: Medical Gas Research 1/2013

Open Access 01-12-2013 | Review

Volatile anesthetics-induced neuroinflammatory and anti-inflammatory responses

Authors: Franziska E Blum, Zhiyi Zuo

Published in: Medical Gas Research | Issue 1/2013

Login to get access

Abstract

Volatile anesthetics have been the major anesthetics used clinically for more than 150 years. They provide all components of general anesthesia and are easy to be applied and monitored with modern equipment and technology. In addition to having anesthetic property, volatile anesthetics have multiple other effects. Many studies have clearly shown that volatile anesthetics can reduce systemic and local inflammatory responses induced by various stimuli in humans and animals. On the other hand, recent animal studies have shown that volatile anesthetics may induce mild neuroinflammation. These dual effects on inflammation may have significant biological implications and are briefly reviewed here.
Literature
2.
go back to reference Schifilliti D, Grasso G, Conti A, Fodale V: Anaesthetic-related neuroprotection: intravenous or inhalational agents?. CNS Drugs. 2010, 24 (11): 893-907.PubMed Schifilliti D, Grasso G, Conti A, Fodale V: Anaesthetic-related neuroprotection: intravenous or inhalational agents?. CNS Drugs. 2010, 24 (11): 893-907.PubMed
3.
go back to reference Sonner JM, Antognini JF, Dutton RC, Flood P, Gray AT, Harris RA, et al: Inhaled anesthetics and immobility: mechanisms, mysteries, and minimum alveolar anesthetic concentration. Anesth Analg. 2003, 97 (3): 718-740.PubMedCrossRef Sonner JM, Antognini JF, Dutton RC, Flood P, Gray AT, Harris RA, et al: Inhaled anesthetics and immobility: mechanisms, mysteries, and minimum alveolar anesthetic concentration. Anesth Analg. 2003, 97 (3): 718-740.PubMedCrossRef
4.
go back to reference Li H, Yin J, Li L, Deng J, Feng C, Zuo Z: Isoflurane postconditioning reduces ischemia-induced nuclear factor-kappaB activation and interleukin 1beta production to provide neuroprotection in rats and mice. Neurobiol Dis. 2013, 54: 216-224.PubMedCentralPubMedCrossRef Li H, Yin J, Li L, Deng J, Feng C, Zuo Z: Isoflurane postconditioning reduces ischemia-induced nuclear factor-kappaB activation and interleukin 1beta production to provide neuroprotection in rats and mice. Neurobiol Dis. 2013, 54: 216-224.PubMedCentralPubMedCrossRef
5.
go back to reference Cao L, Li L, Lin D, Zuo Z: Isoflurane induces learning impairment that is mediated by interleukin 1beta in rodents. PLoS One. 2012, 7 (12): e51431-10.1371/journal.pone.0051431.PubMedCentralPubMedCrossRef Cao L, Li L, Lin D, Zuo Z: Isoflurane induces learning impairment that is mediated by interleukin 1beta in rodents. PLoS One. 2012, 7 (12): e51431-10.1371/journal.pone.0051431.PubMedCentralPubMedCrossRef
6.
go back to reference Karasinska JM, De Haan W, Franciosi S, Ruddle P, Fan J, Kruit JK, et al: ABCA1 influences neuroinflammation and neuronal death. Neurobiol Dis. 2013, 55: 445-455.CrossRef Karasinska JM, De Haan W, Franciosi S, Ruddle P, Fan J, Kruit JK, et al: ABCA1 influences neuroinflammation and neuronal death. Neurobiol Dis. 2013, 55: 445-455.CrossRef
7.
go back to reference Moller T: Neuroinflammation in Huntington’s disease. J Neural Transm. 2010, 117 (8): 1001-1008. 10.1007/s00702-010-0430-7.PubMedCrossRef Moller T: Neuroinflammation in Huntington’s disease. J Neural Transm. 2010, 117 (8): 1001-1008. 10.1007/s00702-010-0430-7.PubMedCrossRef
9.
go back to reference Scott A, Khan KM, Cook JL, Duronio V: What is "inflammation"? Are we ready to move beyond Celsus?. Br J Sports Med. 2004, 38 (3): 248-249. 10.1136/bjsm.2003.011221.PubMedCentralPubMedCrossRef Scott A, Khan KM, Cook JL, Duronio V: What is "inflammation"? Are we ready to move beyond Celsus?. Br J Sports Med. 2004, 38 (3): 248-249. 10.1136/bjsm.2003.011221.PubMedCentralPubMedCrossRef
10.
go back to reference Banchereau J, Steinman RM: Dendritic cells and the control of immunity. Nature. 1998, 392 (6673): 245-252. 10.1038/32588.PubMedCrossRef Banchereau J, Steinman RM: Dendritic cells and the control of immunity. Nature. 1998, 392 (6673): 245-252. 10.1038/32588.PubMedCrossRef
11.
go back to reference Spencer JP, Vafeiadou K, Williams RJ, Vauzour D: Neuroinflammation: modulation by flavonoids and mechanisms of action. Mol Aspects Med. 2012, 33 (1): 83-97. 10.1016/j.mam.2011.10.016.PubMedCrossRef Spencer JP, Vafeiadou K, Williams RJ, Vauzour D: Neuroinflammation: modulation by flavonoids and mechanisms of action. Mol Aspects Med. 2012, 33 (1): 83-97. 10.1016/j.mam.2011.10.016.PubMedCrossRef
12.
go back to reference Tang JX, Eckenhoff MF, Eckenhoff RG: Anesthetic modulation of neuroinflammation in Alzheimer’s disease. Curr Opin Anaesthesiol. 2011, 24 (4): 389-394. 10.1097/ACO.0b013e32834871c5.PubMedCentralPubMedCrossRef Tang JX, Eckenhoff MF, Eckenhoff RG: Anesthetic modulation of neuroinflammation in Alzheimer’s disease. Curr Opin Anaesthesiol. 2011, 24 (4): 389-394. 10.1097/ACO.0b013e32834871c5.PubMedCentralPubMedCrossRef
13.
go back to reference Pacheco R, Oliva H, Martinez-Navio JM, Climent N, Ciruela F, Gatell JM, et al: Glutamate released by dendritic cells as a novel modulator of T cell activation. J Immunol. 2006, 177 (10): 6695-6704.PubMedCrossRef Pacheco R, Oliva H, Martinez-Navio JM, Climent N, Ciruela F, Gatell JM, et al: Glutamate released by dendritic cells as a novel modulator of T cell activation. J Immunol. 2006, 177 (10): 6695-6704.PubMedCrossRef
14.
go back to reference Xu X, Feng J, Zuo Z: Isoflurane preconditioning reduces the rat NR8383 macrophage injury induced by lipopolysaccharide and interferon gamma. Anesthesiology. 2008, 108 (4): 643-650. 10.1097/ALN.0b013e318167aeb4.PubMedCrossRef Xu X, Feng J, Zuo Z: Isoflurane preconditioning reduces the rat NR8383 macrophage injury induced by lipopolysaccharide and interferon gamma. Anesthesiology. 2008, 108 (4): 643-650. 10.1097/ALN.0b013e318167aeb4.PubMedCrossRef
15.
go back to reference Fuentes JM, Hanly EJ, Aurora AR, De Maio A, Talamini MA: Anesthesia-specific protection from endotoxic shock is not mediated through the vagus nerve. Surgery. 2005, 138 (4): 766-771. 10.1016/j.surg.2005.06.057.PubMedCrossRef Fuentes JM, Hanly EJ, Aurora AR, De Maio A, Talamini MA: Anesthesia-specific protection from endotoxic shock is not mediated through the vagus nerve. Surgery. 2005, 138 (4): 766-771. 10.1016/j.surg.2005.06.057.PubMedCrossRef
16.
go back to reference Fuentes JM, Talamini MA, Fulton WB, Hanly EJ, Aurora AR, De Maio A: General anesthesia delays the inflammatory response and increases survival for mice with endotoxic shock. Clin Vaccine Immunol. 2006, 13 (2): 281-288. 10.1128/CVI.13.2.281-288.2006.PubMedCentralPubMedCrossRef Fuentes JM, Talamini MA, Fulton WB, Hanly EJ, Aurora AR, De Maio A: General anesthesia delays the inflammatory response and increases survival for mice with endotoxic shock. Clin Vaccine Immunol. 2006, 13 (2): 281-288. 10.1128/CVI.13.2.281-288.2006.PubMedCentralPubMedCrossRef
17.
go back to reference Giraud O, Seince PF, Rolland C, Lecon-Malas V, Desmonts JM, Aubier M, et al: Halothane reduces the early lipopolysaccharide-induced lung inflammation in mechanically ventilated rats. Am J Respir Crit Care Med. 2000, 162 (6): 2278-2286. 10.1164/ajrccm.162.6.9807113.PubMedCrossRef Giraud O, Seince PF, Rolland C, Lecon-Malas V, Desmonts JM, Aubier M, et al: Halothane reduces the early lipopolysaccharide-induced lung inflammation in mechanically ventilated rats. Am J Respir Crit Care Med. 2000, 162 (6): 2278-2286. 10.1164/ajrccm.162.6.9807113.PubMedCrossRef
18.
go back to reference Chiang N, Schwab JM, Fredman G, Kasuga K, Gelman S, Serhan CN: Anesthetics impact the resolution of inflammation. PLoS One. 2008, 3 (4): e1879-10.1371/journal.pone.0001879.PubMedCentralPubMedCrossRef Chiang N, Schwab JM, Fredman G, Kasuga K, Gelman S, Serhan CN: Anesthetics impact the resolution of inflammation. PLoS One. 2008, 3 (4): e1879-10.1371/journal.pone.0001879.PubMedCentralPubMedCrossRef
19.
go back to reference Bedirli N, Demirtas CY, Akkaya T, Salman B, Alper M, Bedirli A, et al: Volatile anesthetic preconditioning attenuated sepsis induced lung inflammation. J Surg Res. 2012, 178 (1): e17-e23. 10.1016/j.jss.2011.12.037.PubMedCrossRef Bedirli N, Demirtas CY, Akkaya T, Salman B, Alper M, Bedirli A, et al: Volatile anesthetic preconditioning attenuated sepsis induced lung inflammation. J Surg Res. 2012, 178 (1): e17-e23. 10.1016/j.jss.2011.12.037.PubMedCrossRef
20.
go back to reference Hu G, Vasiliauskas T, Salem MR, Rhone DP, Crystal GJ: Neutrophils pretreated with volatile anesthetics lose ability to cause cardiac dysfunction. Anesthesiology. 2003, 98 (3): 712-718. 10.1097/00000542-200303000-00020.PubMedCrossRef Hu G, Vasiliauskas T, Salem MR, Rhone DP, Crystal GJ: Neutrophils pretreated with volatile anesthetics lose ability to cause cardiac dysfunction. Anesthesiology. 2003, 98 (3): 712-718. 10.1097/00000542-200303000-00020.PubMedCrossRef
21.
go back to reference Lee HT, Kim M, Jan M, Emala CW: Anti-inflammatory and antinecrotic effects of the volatile anesthetic sevoflurane in kidney proximal tubule cells. Am J Physiol Renal Physiol. 2006, 291 (1): F67-F78. 10.1152/ajprenal.00412.2005.PubMedCrossRef Lee HT, Kim M, Jan M, Emala CW: Anti-inflammatory and antinecrotic effects of the volatile anesthetic sevoflurane in kidney proximal tubule cells. Am J Physiol Renal Physiol. 2006, 291 (1): F67-F78. 10.1152/ajprenal.00412.2005.PubMedCrossRef
22.
go back to reference Xu X, Kim JA, Zuo Z: Isoflurane preconditioning reduces mouse microglial activation and injury induced by lipopolysaccharide and interferon-gamma. Neurosci. 2008, 154 (3): 1002-1008. 10.1016/j.neuroscience.2008.04.013.CrossRef Xu X, Kim JA, Zuo Z: Isoflurane preconditioning reduces mouse microglial activation and injury induced by lipopolysaccharide and interferon-gamma. Neurosci. 2008, 154 (3): 1002-1008. 10.1016/j.neuroscience.2008.04.013.CrossRef
23.
go back to reference Kim J, Li L, Zuo Z: Delayed treatment with isoflurane attenuates lipopolysaccharide and interferon ?-induced activation and injury of mouse microglial cells. Anesthesiology. 2009, 111: 566-573. 10.1097/ALN.0b013e3181af5b3d.PubMedCentralPubMedCrossRef Kim J, Li L, Zuo Z: Delayed treatment with isoflurane attenuates lipopolysaccharide and interferon ?-induced activation and injury of mouse microglial cells. Anesthesiology. 2009, 111: 566-573. 10.1097/ALN.0b013e3181af5b3d.PubMedCentralPubMedCrossRef
24.
go back to reference Schmid E, Krajewski S, Bachmann D, Kurz J, Wendel HP, Rosenberger P, et al: The volatile anesthetic sevoflurane inhibits activation of neutrophil granulocytes during simulated extracorporeal circulation. Int Immunopharmacol. 2012, 14 (2): 202-208. 10.1016/j.intimp.2012.07.009.PubMedCrossRef Schmid E, Krajewski S, Bachmann D, Kurz J, Wendel HP, Rosenberger P, et al: The volatile anesthetic sevoflurane inhibits activation of neutrophil granulocytes during simulated extracorporeal circulation. Int Immunopharmacol. 2012, 14 (2): 202-208. 10.1016/j.intimp.2012.07.009.PubMedCrossRef
25.
go back to reference Nader ND, Li CM, Khadra WZ, Reedy R, Panos AL: Anesthetic myocardial protection with sevoflurane. J Cardiothorac Vasc Anesth. 2004, 18 (3): 269-274. 10.1053/j.jvca.2004.03.004.PubMedCrossRef Nader ND, Li CM, Khadra WZ, Reedy R, Panos AL: Anesthetic myocardial protection with sevoflurane. J Cardiothorac Vasc Anesth. 2004, 18 (3): 269-274. 10.1053/j.jvca.2004.03.004.PubMedCrossRef
26.
go back to reference Kawamura T, Kadosaki M, Nara N, Kaise A, Suzuki H, Endo S, et al: Effects of sevoflurane on cytokine balance in patients undergoing coronary artery bypass graft surgery. J Cardiothorac Vasc Anesth. 2006, 20 (4): 503-508. 10.1053/j.jvca.2006.01.011.PubMedCrossRef Kawamura T, Kadosaki M, Nara N, Kaise A, Suzuki H, Endo S, et al: Effects of sevoflurane on cytokine balance in patients undergoing coronary artery bypass graft surgery. J Cardiothorac Vasc Anesth. 2006, 20 (4): 503-508. 10.1053/j.jvca.2006.01.011.PubMedCrossRef
27.
go back to reference Mahmoud K, Ammar A: Immunomodulatory Effects of Anesthetics during Thoracic Surgery. Anesthesiol Res Prac. 2011, 2011: 317410- Mahmoud K, Ammar A: Immunomodulatory Effects of Anesthetics during Thoracic Surgery. Anesthesiol Res Prac. 2011, 2011: 317410-
28.
go back to reference De Conno E, Steurer MP, Wittlinger M, Zalunardo MP, Weder W, Schneiter D, et al: Anesthetic-induced improvement of the inflammatory response to one-lung ventilation. Anesthesiology. 2009, 110 (6): 1316-1326. 10.1097/ALN.0b013e3181a10731.PubMedCrossRef De Conno E, Steurer MP, Wittlinger M, Zalunardo MP, Weder W, Schneiter D, et al: Anesthetic-induced improvement of the inflammatory response to one-lung ventilation. Anesthesiology. 2009, 110 (6): 1316-1326. 10.1097/ALN.0b013e3181a10731.PubMedCrossRef
29.
go back to reference Lin D, Cao L, Wang Z, Li J, Washington JM, Zuo Z: Lidocaine attenuates cognitive impairment after isoflurane anesthesia in old rats. Behav Brain Res. 2012, 228 (2): 319-327. 10.1016/j.bbr.2011.12.010.PubMedCentralPubMedCrossRef Lin D, Cao L, Wang Z, Li J, Washington JM, Zuo Z: Lidocaine attenuates cognitive impairment after isoflurane anesthesia in old rats. Behav Brain Res. 2012, 228 (2): 319-327. 10.1016/j.bbr.2011.12.010.PubMedCentralPubMedCrossRef
30.
go back to reference Shen X, Dong Y, Xu Z, Wang H, Miao C, Soriano SG, et al: Selective anesthesia-induced neuroinflammation in developing mouse brain and cognitive impairment. Anesthesiology. 2013, 118 (3): 502-515. 10.1097/ALN.0b013e3182834d77.PubMedCentralPubMedCrossRef Shen X, Dong Y, Xu Z, Wang H, Miao C, Soriano SG, et al: Selective anesthesia-induced neuroinflammation in developing mouse brain and cognitive impairment. Anesthesiology. 2013, 118 (3): 502-515. 10.1097/ALN.0b013e3182834d77.PubMedCentralPubMedCrossRef
31.
go back to reference Tetrault S, Chever O, Sik A, Amzica F: Opening of the blood–brain barrier during isoflurane anaesthesia. Eur J Neurosci. 2008, 28 (7): 1330-1341. 10.1111/j.1460-9568.2008.06443.x.PubMedCrossRef Tetrault S, Chever O, Sik A, Amzica F: Opening of the blood–brain barrier during isoflurane anaesthesia. Eur J Neurosci. 2008, 28 (7): 1330-1341. 10.1111/j.1460-9568.2008.06443.x.PubMedCrossRef
32.
go back to reference Zhang L, Zhang J, Yang L, Dong Y, Zhang Y, Xie Z: Isoflurane and sevoflurane increase interleukin-6 levels through the nuclear factor-kappa B pathway in neuroglioma cells. Br J Anaesth. 2013, 110 (Suppl 1): i82-i91. 10.1093/bja/aet115.PubMedCentralPubMedCrossRef Zhang L, Zhang J, Yang L, Dong Y, Zhang Y, Xie Z: Isoflurane and sevoflurane increase interleukin-6 levels through the nuclear factor-kappa B pathway in neuroglioma cells. Br J Anaesth. 2013, 110 (Suppl 1): i82-i91. 10.1093/bja/aet115.PubMedCentralPubMedCrossRef
33.
go back to reference Liu SF, Ye X, Malik AB: Inhibition of NF-kappaB activation by pyrrolidine dithiocarbamate prevents In vivo expression of proinflammatory genes. Circulation. 1999, 100 (12): 1330-1337. 10.1161/01.CIR.100.12.1330.PubMedCrossRef Liu SF, Ye X, Malik AB: Inhibition of NF-kappaB activation by pyrrolidine dithiocarbamate prevents In vivo expression of proinflammatory genes. Circulation. 1999, 100 (12): 1330-1337. 10.1161/01.CIR.100.12.1330.PubMedCrossRef
34.
go back to reference Goto Y, Ho SL, McAdoo J, Fanning NF, Wang J, Redmond HP, et al: General versus regional anaesthesia for cataract surgery: effects on neutrophil apoptosis and the postoperative pro-inflammatory state. Eur J Anaesthesiol. 2000, 17 (8): 474-480.PubMedCrossRef Goto Y, Ho SL, McAdoo J, Fanning NF, Wang J, Redmond HP, et al: General versus regional anaesthesia for cataract surgery: effects on neutrophil apoptosis and the postoperative pro-inflammatory state. Eur J Anaesthesiol. 2000, 17 (8): 474-480.PubMedCrossRef
Metadata
Title
Volatile anesthetics-induced neuroinflammatory and anti-inflammatory responses
Authors
Franziska E Blum
Zhiyi Zuo
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Medical Gas Research / Issue 1/2013
Electronic ISSN: 2045-9912
DOI
https://doi.org/10.1186/2045-9912-3-16

Other articles of this Issue 1/2013

Medical Gas Research 1/2013 Go to the issue