Decoding the neurotoxic effects of propofol: insights into the RARα-Snhg1-Bdnf regulatory cascade

Am J Physiol Cell Physiol. 2024 Jun 1;326(6):C1735-C1752. doi: 10.1152/ajpcell.00547.2023. Epub 2024 Apr 15.

Abstract

The potential neurotoxic effects of propofol, an extensively utilized anesthetic, underline the urgency to comprehend its influence on neuronal health. Insights into the role of the retinoic acid receptor-α, small nucleolar RNA host gene 1, and brain-derived neurotrophic factor (RARα-Snhg1-Bdnf) network can offer significant advancements in minimizing these effects. The study targets the exploration of the RARα and Snhg1 regulatory network's influence on Bdnf expression in the realm of propofol-induced neurotoxicity. Harnessing the Gene Expression Omnibus (GEO) database and utilizing JASPAR and RNA-Protein Interaction Prediction (RPISeq) database for projections, the study embarks on an in-depth analysis employing both in vitro and in vivo models. The findings draw a clear link between propofol-induced neurotoxicity and the amplification of RAR signaling pathways, impacting hippocampal development and apoptosis and leading to increased RARα and Snhg1 and decreased Bdnf. Propofol is inferred to accentuate neurotoxicity by heightening RARα and Snhg1 interactions, culminating in Bdnf suppression.NEW & NOTEWORTHY This study aimed to decode propofol's neurotoxic effects on the regulatory cascade, provide insights into the RARα-Snhg1-Bdnf interaction, apply extensive validation techniques, provide a detailed analysis and exploration of propofol's neurotoxicity, and offer a comprehensive approach to understanding molecular interactions.

Keywords: Bdnf; RARa; RARα; Snhg1; neurotoxicity; propofol.

MeSH terms

  • Animals
  • Apoptosis / drug effects
  • Brain-Derived Neurotrophic Factor* / genetics
  • Brain-Derived Neurotrophic Factor* / metabolism
  • Hippocampus / drug effects
  • Hippocampus / metabolism
  • Humans
  • Male
  • Neurons / drug effects
  • Neurons / metabolism
  • Neurons / pathology
  • Neurotoxicity Syndromes / genetics
  • Neurotoxicity Syndromes / metabolism
  • Propofol* / toxicity
  • Rats
  • Retinoic Acid Receptor alpha* / genetics
  • Retinoic Acid Receptor alpha* / metabolism
  • Signal Transduction / drug effects

Substances

  • Propofol
  • Brain-Derived Neurotrophic Factor
  • Retinoic Acid Receptor alpha
  • BDNF protein, human
  • Rara protein, rat
  • RARA protein, human
  • Bdnf protein, rat