Background: Surgery can induce severe neuroinflammation and negative emotional symptoms, such as anxiety-like behaviour. We studied whether reactive astrocytes in the zona incerta (ZI) mediate surgery-induced anxiety in mice.
Methods: Laparotomy under isoflurane 1.5 vol% was used as a model in adult mice. The role of the ZI in surgery-induced anxiety was evaluated by behavioural tests, optical fibre recordings of neuronal activity, in vivo electrophysiological recordings, chemogenetics, and optogenetics.
Results: Operative mice showed increased anxiety-like behaviour. Immunostaining and optical calcium recording revealed that astrocytes were abnormally activated in the ZI. Pharmacologic (F=5.837, P=0.044) or genetic manipulation (open field test: t=3.66, P=0.007; elevated plus maze [EPM]: t=2.70, P=0.022) of astrocyte activation in the ZI relieved anxiety-like behaviour in surgery-treated mice. Compared with the sham group, the surgery group showed increased extrasynaptic GABA concentrations and decreased GABA transporter-3 (GAT-3) expression, and inactivation of GABAergic neurones in the ZI. Upregulating GAT-3 in ZI astrocytes (OFT: t=2.91, P=0.014; EPM: t=3.55, P=0.006) or activating the GABAergic projection from ZI to the median raphe nucleus (ZI→median raphe nucleus) (EPM: entries: F=3.45, P=0.027; time: F=4.07, P=0.043) ameliorated surgery-induced anxiety.
Conclusions: Reactive astrocytes in the zona incerta mediate surgery-induced anxiety, possibly by regulating GAT-3-mediated GABA homeostasis and inactivating ZI→median raphe nucleus projections in mice.
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http://dx.doi.org/10.1016/j.bja.2024.08.043 | DOI Listing |
Br J Anaesth
January 2025
NMPA Key Laboratory for Research and Evaluation of Narcotic and Psychotropic Drugs, Jiangsu Province Key Laboratory of Anesthesiology, Jiangsu Province Key Laboratory of Anesthesia and Analgesia Application, Xuzhou Medical University, Xuzhou, Jiangsu, China; School of Life Sciences, Xuzhou Medical University, Xuzhou, Jiangsu, China. Electronic address:
Background: Surgery can induce severe neuroinflammation and negative emotional symptoms, such as anxiety-like behaviour. We studied whether reactive astrocytes in the zona incerta (ZI) mediate surgery-induced anxiety in mice.
Methods: Laparotomy under isoflurane 1.
CNS Neurosci Ther
February 2024
Department of Anesthesiology, University of Virginia, Charlottesville, Virginia, USA.
Aims: Postoperative cognitive dysfunction (POCD) is a common complication associated with poor outcome. Our previous study has shown that living with familiar observers in the same cage reduces anxiety of mice with surgery. Anxiety can impair learning and memory.
View Article and Find Full Text PDFMetab Brain Dis
August 2023
Department of Anesthesiology, First Hospital of Qinhuangdao, Qinhuangdao, China.
Brain Behav Immun Health
December 2022
Department of Neurobiology, Groningen Institute for Evolutionary Life Sciences (GELIFES), University of Groningen, the Netherlands.
J Pediatr Surg
March 2023
Emma Children's Hospital, Amsterdam UMC, University of Amsterdam & Vrije Universiteit Amsterdam, Department of Pediatric Surgery, Amsterdam Reproduction and Development Research Institute and the Amsterdam Public Health Research Institute, Meibergdreef 9, 1105 AZ Amsterdam, the Netherlands.
Background: Surgery induced stress and anxiety in children and parents can be reduced by providing preoperative information adapted to their needs. Aim of this study was to evaluate the effects of three different information modalities (coloring page, mobile application and videos) to prepare children and their parents for day-care surgery on preoperative anxiety and postoperative pain experienced by the child, and preoperative anxiety and satisfaction of parents.
Methods: Prospective observational study including children and their parents that were offered specifically developed information modalities to prepare for day-care surgery.
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