Abstract: Objective Observing the effects of ginsenoside Rg1(Rg1) on sevoflurane anesthesia induced cognitive dysfunction in neonatal mice. Methods Seventy two C57BL/6J mice at postnatal day 6 were randomly divided into the following four groups(n=18) according to the random number table: control with normal saline(NS) group(Con+NS group), control with Rg1 group (Con+Rg1 group), sevoflurane anesthesia with NS group (Sev+NS group) and sevoflurane anesthesia with Rg1 group (Sev+Rg1 group). The mice were subjected to 3% sevoflurane plus 100% O2 or 100% O2 2 h daily for 3 consecutive days, respectively. The mice in different groups were given intraperitoneal injections of NS (1 ml·kg-1·d-1) or Rg1 (10 mg·kg-1·d-1) half an hour before anesthesia, respectively. The Morris Water Maze test was performed at postnatal day 31-37 with 12 mice in each group. The hippocampus tissue was collected after the behavioral test to measure the expression level of postsynaptic density 95 protein (PSD-95). ELISA was used to test the ATP and reactive oxygen species(ROS) levels in the hippocampus immediately after the last anesthesia at day 8 with 6 mice in each group. Results Compared with the Con+NS group[(35.6±4.5), (28.3±3.5), (21.9±2.4) s], the escape latency in morris water maze test of Sev+NS group at postnatal day 35-37 were increased significantly[(45.7±8.1), (41.9±8.8), (35.1±12.4) s](P<0.05). Compared with the Con+NS group 4(8, 2), times across the platform in morris water maze test of Sev+NS group were decreased significantly 2(6, 0)(P<0.05). Compared with the Con+NS group [(100±6)%] (P<0.05), the expression level of PSD-95 of Sev+NS group [(77±6) %] were decreased significantly. Compared with the Con+NS group[(100±4)%], the ROS level of Sev+NS group[(121±11)%] were increased significantly(P<0.05). Compared with the Con+NS group[(100±6)%], the ATP levels of Sev+NS group[(82±7)%] were decreased significantly(P<0.05). In addition, for Sev+Rg1 group, the escape latency and times across the platform in morris water maze test, the content of PSD-95, the ROS and ATP levels were not significantly different with Con+Rg1 group(P>0.05). Conclusions Rg1 can alleviate sevoflurane anesthesia induced hippocampus-dependent long-term cognitive dysfunction in neonatal mice, which is associated with the oxidative stress, mitochondrial dysfunction and synaptic plasticity in hippocampus.
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