国际麻醉学与复苏杂志   2020, Issue (12): 0-0
    
全身麻醉药对发育神经元的神经毒性作用与线粒体动力学的关系
李文静, 白亚璠, 安立新1()
1.首都医科大学附属北京友谊医院麻醉科
The relationship between mitochondrial dynamics and neurotoxic effects of general anesthetics on developmental neurons
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摘要:

【摘要】 背景 近些年来,全身麻醉药对发育神经元的神经毒性作用已经越来越引发人们的重视,但其相关机制的研究仍没有确切的结论。有研究认为,线粒体动力学紊乱是细胞凋亡的早期表现,并可能在全麻药引起的神经毒性中发挥重要作用。 目的 探讨线粒体动力学在全身麻醉药对发育神经元的神经毒性作用中的可能机制。 内容 线粒体是细胞内物质代谢和能量转换的中心,全身麻醉药对发育神经元的毒性作用,可能是通过引起其结构功能的改变、诱发氧化应激、破坏呼吸链或干扰其分裂融合等机制而产生。 趋向 正确理解全身麻醉药对发育神经元线粒体功能的影响,对探讨其神经毒性作用机制具有深刻意义,而且为未来婴幼儿麻醉寻找可能的干预手段提供新的思路。

关键词: 全身麻醉药;发育神经元;神经毒性;线粒体动力学
Abstract:

【Abstract】 Background In recent years, more and more attention has been paid to the neurotoxic effects of general anesthetics on developing neurons, but the relevant mechanism is still unclear. It has been suggested that mitochondrial dynamic disorder is an early manifestation of apoptosis and may play an important role in the neurotoxicity effect caused by general anesthetics. Objective To investigate the possible mechanism of mitochondrial dynamics in neurotoxic effects of general anesthetics on developing neurons. Content Mitochondria are the center of substance metabolism and energy conversion in cells. The toxic effects of general anesthetics on developing neurons may be caused by the changes of mitochondrial structural functions, the induction of oxidative stress, the destruction of respiratory chains or the interference with their fission and fusion. Trend A correct understanding of the effect of general anesthetics on mitochondrial function of developmental neurons is of profound significance to explore the mechanism of neurotoxicity,and provides a new idea for finding possible intervention methods for infant anesthesia.

Key words: General anesthetics;Developmental neuron;Neurotoxicity;Mitochondrial dynamics