jueves, 19 de marzo de 2015

Gases anestesicos...

Efectos del isoflorano, sevoflurano y desflurano sobre la neuropatogénesis de la efermedad de Alzheimer
Effect of the inhaled anesthetics isoflurane, sevoflurane and desflurane on the neuropathogenesis of Alzheimer's disease (Review).
Jiang J, Jiang H.
Mol Med Rep. 2015 Mar 4. doi: 10.3892/mmr.2015.3424. [Epub ahead of print]
Abstract
The incidence of Alzheimer's disease (AD) in individuals >65 years of age is 13% and ~66 million individuals in this age group undergo surgery annually under anesthesia. It is therefore important to determine whether commonly used inhaled anesthetics induce cytotoxicity, which may lead to neurodegeneration. Findings from several studies suggest that the anesthetics, isoflurane, sevoflurane and desflurane, may activate caspases, increase the synthesis and accumulation of β amyloid (Aβ) protein, and induce hyperphosphorylation of tau proteins, all of which are cellular responses consistent with the neuropathogenesis of AD. Other studies have arrived at different and occasionally contradictory conclusions. The present review attempts to resolve this discrepancy by reviewing previous studies, which have investigated the effects of commonly used inhaled anesthetics on the synthesis and accumulation of Aβ, tau pathology and cognitive function. The possible underlying mechanism was also reviewed. However, several aspects of this phenomenon remain to be elucidated. Further studies are required to fully examine anesthesia induced neurotoxicity and elucidate the effect of inhaled anesthetics on the onset and progression of AD.
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Anestesia y Medicina del Dolor
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