Effects of Apolipoprotein Ε ε4 allele on early postoperative cognitive dysfunction after anesthesia Auswirkungen des Apolipoprotein Ε‑ε4-Allels auf die frühe postoperative kognitive Dysfunktion nach der Anästhesie

Ding，Deng feng1,2; Wang，Ping1,2; Jiang，Yuan xu1,2; Zhang，Xue ping1,2; Shi，Wei1,2; Luo，Yao wen1,2

2021

10.1007/s00101-021-00972-1

ANAESTHESIST   影响因子和分区

0003-2417

1432-055X

Background: Postoperative cognitive dysfunction (POCD) is one of the main causes of morbidity after noncardiac surgery; however, the pathogenic mechanisms of POCD have remained unclear until now. In this study, we performed a pilot study to investigate the association between apolipoprotein E (ApoE) ε4 and POCD in older patients undergoing intravenous anesthesia (IVA) and inhalation anesthesia (IAA). Methods: In total, 180 patients from Shenzhen People’s Hospital were recruited and randomly divided into an IVA group and an IAA group. The IVA group and IAA group received propofol and sevoflurane treatment, respectively. Within 7 days after surgery, the mini-mental state examination (MMSE) was used daily to assess the cognitive function of both groups of patients. The genotypes of the ApoE gene were detected using the restriction fragment length polymorphism technique. In addition, the serum levels of (soluble protein-100β) S‑100β and (Interleukin- 6) L‑6 were also analyzed. Results: Compared to the preoperative and IVA groups, the MMSE score in the IAA group significantly decreased at 3 days after surgery. Furthermore, the IAA group had a higher percentage of patients who scored less than 25 points than the IVA group at 3 days after surgery. The decrease in the MMSE score was closely related to the ApoE ε4 allele in the IAA group, but this correlation was not observed in the IVA group. The levels of S‑100β and IL‑6 were increased sharply in patients with the ε4/ε4 genotype who received IAA compared with IVA at 1 day after surgery. Conclusion: The results of the study indicated that the ApoΕ ε4/ε4 genotype was a risk factor for early POCD in older patients undergoing sevoflurane anesthesia.

Apolipoprotein Ε Older patients Postoperative cognitive dysfunction Sevoflurane anesthesia ε4 allele

SCI

德语

其他

WOS:000663264300004

CLINICAL MEDICINE

2-s2.0-85108227425

Scopus

1.Department of Anesthesiology,Shenzhen People’s Hospital,The Second Clinical Medical College,Jinan University,Shenzhen,No. 1017, Dongmen North Road,518020,China
2.The First Affiliated Hospital,Southern University of Science and Technology,Shenzhen Engineering Research Center of Anesthesiology,Jinan University,Shenzhen,No. 1017 North Dongmen road,518020,China

Ding，Deng feng,Wang，Ping,Jiang，Yuan xu,等. Effects of Apolipoprotein Ε ε4 allele on early postoperative cognitive dysfunction after anesthesia Auswirkungen des Apolipoprotein Ε‑ε4-Allels auf die frühe postoperative kognitive Dysfunktion nach der Anästhesie[J]. ANAESTHESIST,2021.

Ding，Deng feng,Wang，Ping,Jiang，Yuan xu,Zhang，Xue ping,Shi，Wei,&Luo，Yao wen.(2021).Effects of Apolipoprotein Ε ε4 allele on early postoperative cognitive dysfunction after anesthesia Auswirkungen des Apolipoprotein Ε‑ε4-Allels auf die frühe postoperative kognitive Dysfunktion nach der Anästhesie.ANAESTHESIST.

Ding，Deng feng,et al."Effects of Apolipoprotein Ε ε4 allele on early postoperative cognitive dysfunction after anesthesia Auswirkungen des Apolipoprotein Ε‑ε4-Allels auf die frühe postoperative kognitive Dysfunktion nach der Anästhesie".ANAESTHESIST (2021).