Role of α7nAChR in postoperative cognitive dysfunction in aged rats with tibial fracture
	    		
		   		
		   			
		   		
	    	
    	 
    	10.3760∕cma.j.issn.0254-1416.2019.06.016
   		
        
        	
        		- VernacularTitle:α7烟碱型乙酰胆碱受体在胫骨折断老龄大鼠术后认知功能障碍中的作用
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Xu LIN
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Hongling LI
			        		
			        		;
		        		
		        		
		        		
			        		Chen LIU
			        		
			        		;
		        		
		        		
		        		
			        		Xiaoxuan LI
			        		
			        		;
		        		
		        		
		        		
			        		Bin WANG
			        		
			        		;
		        		
		        		
		        		
			        		Huailong CHEN
			        		
			        		;
		        		
		        		
		        		
			        		Lixin SUN
			        		
			        		;
		        		
		        		
		        		
			        		Yanlin BI
			        		
			        		;
		        		
		        		
		        		
			        		Fei SHI
			        		
			        		;
		        		
		        		
		        		
			        		Mingshan WANG
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. 青岛市市立医院麻醉科 266000
			        		
		        		
	        		
        		 
        	
        	
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Cholinergic agonists;
			        		
			        		
			        		
				        		Aged;
			        		
			        		
			        		
				        		Cognition disorders;
			        		
			        		
			        		
				        		Postoperative complications
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Chinese Journal of Anesthesiology
	            		
	            		 2019;39(6):699-702
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
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		        	Abstract:
			       	
			       		
				        
				        	Objective To evaluate the role of α7 nicotinic acetylcholine receptor (α7nAChR) in postoperative cognitive dysfunction in aged rats with tibial fracture. Methods One hundred and fifty clean-grade healthy male Sprague-Dawley rats, aged 18-22 months, weighing 440-580 g, were divided into 5 groups ( n=30 each ) using a random number table method: control group ( group C ) , sham operation group ( group S) , tibial fracture group ( group T) , normal saline group ( group N) and α7nAChR agonist PUN282987 group (group P). Group C received no treatment. Ten percent chloral hydrate 0. 4 ml/100 g was injected intraperitoneally in group S. Group T underwent tibial fracture. PUN2829872. 4 mg/kg was in-traperitoneally injected at 5 min before tibial fracture in group P . The equal volume of normal saline was giv-en at 5 min before tibial fracture in group N. Morris water maze test was performed at day 7 after surgery. At days 1, 3 and 7 after surgery, the pathological changes of the hippocampal CA3 region were observed by haematoxylin and eosin staining, and the expression of α7nAChR, choline acetyltransferase ( ChAT ) , tumor necrosis factor-α( TNF-α) and interleukin-1β( IL-1β) in the hippocampal CA3 region was measured by Western blot. Results Compared with group C, the postoperative escape latency and swimming dis-tance were significantly prolonged, and the expression of α7nAChR, ChAT, TNF-α and IL-1β was up-regulated at each time point after operation in T, N and P groups ( P<0. 05) , and no significant change was found in the parameters mentioned above in group S ( P>0. 05) . Compared with group T, the postoper-ative escape latency and swimming distance were significantly shortened, and the expression of α7nAChR and ChAT was up-regulated and the expression of TNF-α and IL-1β was down-regulated at each time point after operation in group P ( P<0. 05) , no significant change was found in the parameters mentioned above in group N ( P>0. 05) , and the pathological changes of the hippocampal CA3 region were significantly at-tenuated in group P. Conclusion α7nAChR antagonism is involved in the development of postoperative cognitive dysfunction in aged rats with tibial fracture.