机构:[1]Section of Anaesthetics, Pain Medicine and Intensive Care, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, Chelsea and Westminster Hospital, London, UK[2]Department of Anesthesiology, Xuanwu Hospital, Capital Medical University, Beijing, China麻醉手术科首都医科大学宣武医院[3]Department of Anaesthetics, Wycombe Hospital, Buckinghamshire Hospitals NHS Trust, High Wycombe, Buckinghamshire, UK
Inhalational anesthetics-induced organoprotection has received much research interest and has been consistently demonstrated in different models of organ damage, in particular, ischemia-reperfusion injury, which features prominently in the perioperative period and in cardiovascular events. The cellular mechanisms accountable for effective organoprotection over heart, brain, kidneys, and other vital organs have been elucidated in turn in the past two decades, including receptor stimulations, second-messenger signal relay and amplification, end-effector activation, and transcriptional modification. This review summarizes the signaling pathways and the molecular participants in inhalational anesthetics-mediated organ protection published in the current literature, comparing and contrasting the 'preconditioning' and 'postconditioning' phenomena, and the similarities and differences in mechanisms between organs. The salubrious effects of inhalational anesthetics on vital organs, if reproducible in human subjects in clinical settings, would be of exceptional clinical importance, but clinical studies with better design and execution are prerequisites for valid conclusions to be made. Xenon as the emerging inhalational anesthetic, and its organoprotective efficacy, mechanism, and relative advantages over other anesthetics, are also discussed.
基金:
Medical Research Council (MRC),
Alzheimer’s Society, BJA/RCoA,SPARKS, London, UK,
Action Medical Research, West Sussex, UK
European Society of Anaesthesiology, Brussels, Belgium.
第一作者机构:[1]Section of Anaesthetics, Pain Medicine and Intensive Care, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, Chelsea and Westminster Hospital, London, UK
通讯作者:
通讯机构:[1]Section of Anaesthetics, Pain Medicine and Intensive Care, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, Chelsea and Westminster Hospital, London, UK
推荐引用方式(GB/T 7714):
Lingzhi Wu,Hailin Zhao,Tianlong Wang,et al.Cellular signaling pathways and molecular mechanisms involving inhalational anesthetics-induced organoprotection[J].JOURNAL OF ANESTHESIA.2014,28(5):740-758.doi:10.1007/s00540-014-1805-y.
APA:
Lingzhi Wu,Hailin Zhao,Tianlong Wang,Chen Pac-Soo&Daqing Ma.(2014).Cellular signaling pathways and molecular mechanisms involving inhalational anesthetics-induced organoprotection.JOURNAL OF ANESTHESIA,28,(5)
MLA:
Lingzhi Wu,et al."Cellular signaling pathways and molecular mechanisms involving inhalational anesthetics-induced organoprotection".JOURNAL OF ANESTHESIA 28..5(2014):740-758