{"title":"Isoflurane aggravates cognitive deficits in aged rats via lncRNA GABPB1-AS1/miR-361-3p-mediated NLRP3 inflammasome activation","authors":"Guorui Miao , Yiwei Zhang , Hui Wang","doi":"10.1016/j.taap.2025.117571","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>Postoperative cognitive dysfunction (POCD) following isoflurane (ISO) anesthesia in elderly patients is associated with neuroinflammation, but the molecular mechanisms remain unclear. This study aimed to elucidate the role and mechanism of long non-coding RNA (lncRNA) GA binding protein beta 1 subunit antisense RNA 1 (GABPB1-AS1) in ISO-induced POCD.</div></div><div><h3>Methods</h3><div>Aged rats were exposed to ISO to establish a POCD model. Cognitive deficits were assessed via morris water maze tests. Hippocampal expression of GABPB1-AS1, microglial activation markers (Iba1), pro−/anti-inflammatory cytokines, and NLRP3 inflammasome components was quantified using quantitative Reverse Transcription-PCR (qRT-PCR), enzyme-linked immunosorbent assay (ELISA), and Western blotting. In vitro, BV-2 microglia treated with ISO were analyzed for polarization markers and cytokine secretion. Dual-luciferase assays validated interactions between GABPB1-AS1, microRNA-361-3p (miR-361-3p), and NLR family pyrin domain containing 3 (NLRP3).</div></div><div><h3>Results</h3><div>ISO upregulated hippocampal GABPB1-AS1 in aged rats, correlating with prolonged escape latency, reduced target quadrant time, and elevated pro-inflammatory cytokines. GABPB1-AS1 knockdown reversed these effects. In microglia, ISO increased GABPB1-AS1 expression, M1 polarization markers, and NLRP3 inflammasome activation, while suppressing M2 markers and miR-361-3p. GABPB1-AS1 acted as a competing endogenous RNA (ceRNA) to sponge miR-361-3p, relieving translational inhibition of NLRP3 and activating the NLRP3 inflammasome. GABPB1-AS1 knockdown restored miR-361-3p expression, suppressed NLRP3 inflammasome activation, and attenuated ISO-induced microglial M1 polarization and neuroinflammatory responses.</div></div><div><h3>Conclusion</h3><div>ISO induces POCD via the GABPB1-AS1/miR-361-3p/NLRP3 axis, driving microglial M1 polarization and neuroinflammation. Targeting this axis may offer therapeutic strategies to mitigate anesthesia-related cognitive decline in elderly patients.</div></div>","PeriodicalId":23174,"journal":{"name":"Toxicology and applied pharmacology","volume":"505 ","pages":"Article 117571"},"PeriodicalIF":3.4000,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Toxicology and applied pharmacology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0041008X25003473","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PHARMACOLOGY & PHARMACY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective
Postoperative cognitive dysfunction (POCD) following isoflurane (ISO) anesthesia in elderly patients is associated with neuroinflammation, but the molecular mechanisms remain unclear. This study aimed to elucidate the role and mechanism of long non-coding RNA (lncRNA) GA binding protein beta 1 subunit antisense RNA 1 (GABPB1-AS1) in ISO-induced POCD.
Methods
Aged rats were exposed to ISO to establish a POCD model. Cognitive deficits were assessed via morris water maze tests. Hippocampal expression of GABPB1-AS1, microglial activation markers (Iba1), pro−/anti-inflammatory cytokines, and NLRP3 inflammasome components was quantified using quantitative Reverse Transcription-PCR (qRT-PCR), enzyme-linked immunosorbent assay (ELISA), and Western blotting. In vitro, BV-2 microglia treated with ISO were analyzed for polarization markers and cytokine secretion. Dual-luciferase assays validated interactions between GABPB1-AS1, microRNA-361-3p (miR-361-3p), and NLR family pyrin domain containing 3 (NLRP3).
Results
ISO upregulated hippocampal GABPB1-AS1 in aged rats, correlating with prolonged escape latency, reduced target quadrant time, and elevated pro-inflammatory cytokines. GABPB1-AS1 knockdown reversed these effects. In microglia, ISO increased GABPB1-AS1 expression, M1 polarization markers, and NLRP3 inflammasome activation, while suppressing M2 markers and miR-361-3p. GABPB1-AS1 acted as a competing endogenous RNA (ceRNA) to sponge miR-361-3p, relieving translational inhibition of NLRP3 and activating the NLRP3 inflammasome. GABPB1-AS1 knockdown restored miR-361-3p expression, suppressed NLRP3 inflammasome activation, and attenuated ISO-induced microglial M1 polarization and neuroinflammatory responses.
Conclusion
ISO induces POCD via the GABPB1-AS1/miR-361-3p/NLRP3 axis, driving microglial M1 polarization and neuroinflammation. Targeting this axis may offer therapeutic strategies to mitigate anesthesia-related cognitive decline in elderly patients.
期刊介绍:
Toxicology and Applied Pharmacology publishes original scientific research of relevance to animals or humans pertaining to the action of chemicals, drugs, or chemically-defined natural products.
Regular articles address mechanistic approaches to physiological, pharmacologic, biochemical, cellular, or molecular understanding of toxicologic/pathologic lesions and to methods used to describe these responses. Safety Science articles address outstanding state-of-the-art preclinical and human translational characterization of drug and chemical safety employing cutting-edge science. Highly significant Regulatory Safety Science articles will also be considered in this category. Papers concerned with alternatives to the use of experimental animals are encouraged.
Short articles report on high impact studies of broad interest to readers of TAAP that would benefit from rapid publication. These articles should contain no more than a combined total of four figures and tables. Authors should include in their cover letter the justification for consideration of their manuscript as a short article.