Abstract
Circular RNA (circRNA) has been well studied in many diseases, whereas their role in patients with postoperative cognitive dysfunction (POCD) remains largely unclear. Here, we investigated the therapeutic effects of dexmedetomidine (Dex) on POCD and analyzed the role of circRNA as well as the pathways that may be involved. The Morris water maze test demonstrated that POCD rats have a longer incubation period than the normal group, but the latency of POCD rats was significantly lower after Dex treatment. Moreover, HE staining showed that Dex improved hippocampal pathological changes. RNA sequencing showed 164 differentially expressed circRNAs between POCD and Dex groups; 74 were upregulated and 90 were downregulated in the Dex group. A total of 20,790 target genes for differentially expressed circRNAs were observed in RNAhybrid and Miranda databases. Gene ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) analyses showed that the target genes of differentially expressed circRNAs are mainly focused on positive regulation of intrinsic apoptotic signaling pathway in response to DNA damage, negative regulation of cell adhesion mediated by integrin, and response to cytokines and other function of life activities and involved in the P53 signaling pathway and nuclear factor kappa B (NF-κB) signaling pathway. Furthermore, the expression of five candidate circRNAs (circ-Shank3, circ-Cdc42bpa, circ-chrx-24658, cir-chr17-3642 and circ-Sgsm1) and target genes were consistent with the RNA sequencing results, which was verified by quantitative real-time polymerase chain reaction (qRT-PCR). These results indicate that circ-Shank3 participate in the process of Dex improved POCD through regulating the P53 and NF-κB signaling pathways and may potentially facilitate POCD treatment through the development of clinical drugs.
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The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.
References
Aufiero S, Reckman YJ, Pinto YM, Creemers EE (2019) Circular RNAs open a new chapter in cardiovascular biology. Nat Rev Cardiol 16(8):503–514. https://doi.org/10.1038/s41569-019-0185-2
Chen B, Li Y, Liu Y, Xu Z (2019a) circLRP6 regulates high glucose-induced proliferation, oxidative stress, ECM accumulation, and inflammation in mesangial cells. J Cell Physiol 234:21249–21259
Chen L, Wang F, Bruggeman EC, Li C, Yao B (2019b) circMeta: a unified computational framework for genomic feature annotation and differential expression analysis of circular RNAs. Bioinform 36:539–545
Cho JS, Shim JK, Soh S, Kim MK, Kwak YL (2016) Perioperative dexmedetomidine reduces the incidence and severity of acute kidney injury following valvular heart surgery. Kidney Int 89(3):693–700. https://doi.org/10.1038/ki.2015.306
Cooks T, Harris CC, Oren M (2014) Caught in the cross fire: p53 in inflammation. Carcinogenesis 35(8):1680–1690. https://doi.org/10.1093/carcin/bgu134
Fodale V, Santamaria LB, Schifilliti D, Mandal PK (2010) Anaesthetics and postoperative cognitive dysfunction: a pathological mechanism mimicking Alzheimer's disease. Anaesthesia 65(4):388–395. https://doi.org/10.1111/j.1365-2044.2010.06244.x
Fu H-W, Lin X, Zhu Y-X, Lan X, Kuang Y, Wang Y-Z, Ke Z-G, Yuan T, Chen P (2019) Circ-IGF1R has pro-proliferative and anti-apoptotic effects in HCC by activating the PI3K/AKT pathway. Gene 716:144031
Gao R, Li M, Wang Q, Chen H, Yu H, Liu J, Zhu T, Chen C (2019) Identification of the potential key circrnas in elderly patients with postoperative cognitive dysfunction. http://www.asaabstracts.com/strands/asaabstracts/abstract.htm?year=2019&index=10&absnum=1799
Glumac S, Kardum G, Karanovic N (2018) A Prospective cohort evaluation of the cortisol response to cardiac surgery with occurrence of early postoperative cognitive decline. Med Sci Monit 24:977–986. https://doi.org/10.12659/msm.908251
Goettel N, Burkhart CS, Rossi A, Cabella BC, Berres M, Monsch AU, Czosnyka M, Steiner LA (2017) Associations between impaired cerebral blood flow autoregulation, cerebral oxygenation, and biomarkers of brain injury and postoperative cognitive dysfunction in elderly patients after major non-cardiac surgery. Anesth Analg 124(3):934–942
Hofer S, Steppan J, Wagner T, Funke B, Lichtenstern C, Martin E, Graf BM, Bierhaus A, Weigand MA (2009) Central sympatholytics prolong survival in experimental sepsis. Crit Care 13(1):R11. https://doi.org/10.1186/cc7709
Hong B, Lim C, Kang H, Eom H, Kim Y, Cho HJ, Han W, Lee S, Chung W, Kim YH (2019) Thoracic Paravertebral Block with Adjuvant Dexmedetomidine in Video-Assisted Thoracoscopic Surgery: A Randomized, Double-Blind Study. J Clin Med. https://doi.org/10.3390/jcm8030352
Idda ML, Munk R, Abdelmohsen K, Gorospe M (2018) Noncoding RNAs in Alzheimer's disease. Wiley Interdiscip Rev RNA. https://doi.org/10.1002/wrna.1463
Jin G, Wang Q, Hu X, Li X, Pei X, Xu E, Li M (2019) Profiling and functional analysis of differentially expressed circular RNAs in high glucose-induced human umbilical vein endothelial cells. FEBS Open Biol 9(9):1640–1651. https://doi.org/10.1002/2211-5463.12709
Kalogeris T, Baines CP, Krenz M, Korthuis RJ (2012) Cell biology of ischemia/reperfusion injury. Int Rev Cell Mol Biol 298:229–317. https://doi.org/10.1016/B978-0-12-394309-5.00006-7
Kong P, Yu Y, Wang L, Dou Y-Q, Zhang X-H, Cui Y, Wang H-Y, Yong Y-T, Liu Y-B, Hu H-J (2019) circ-Sirt1 controls NF-κB activation via sequence-specific interaction and enhancement of SIRT1 expression by binding to miR-132/212 in vascular smooth muscle cells. Nucleic Acids Res 47(7):3580–3593
Kontak AC, Victor RG, Vongpatanasin W (2013) Dexmedetomidine as a novel countermeasure for cocaine-induced central sympathoexcitation in cocaine-addicted humans. Hypertension 61(2):388–394
Lei K, Bai H, Wei Z, Xie C, Wang J, Li J, Chen Q (2018) The mechanism and function of circular RNAs in human diseases. Exp Cell Res 368(2):147–158. https://doi.org/10.1016/j.yexcr.2018.05.002
Li X, Yang L, Chen LL (2018a) The biogenesis, functions, and challenges of circular RNAs. Mol Cell 71(3):428–442. https://doi.org/10.1016/j.molcel.2018.06.034
Li Y, Pan Y, Gao L, Lu G, Zhang J, Xie X, Tong Z, Li B, Li G, Li W (2018b) Dexmedetomidine attenuates pancreatic injury and inflammatory response in mice with pancreatitis by possible reduction of NLRP3 activation and up-regulation of NET expression. Biochem Biophys Res Commun 495(4):2439–2447. https://doi.org/10.1016/j.bbrc.2017.12.090
Li PJ, Guo YQ, Ding PY, Liu RB, Deng F, Feng XX, Yan WJ (2019) Neuroprotective effects of a Smoothened receptor agonist against postoperative cognitive dysfunction by promoting autophagy in the dentate gyrus of aged rats. Neurol Res 41(10):867–874. https://doi.org/10.1080/01616412.2019.1628411
Liu P-R, Zhou Y, Zhang Y, Diao S (2017) Electroacupuncture alleviates surgery-induced cognitive dysfunction by increasing α7-nAChR expression and inhibiting inflammatory pathway in aged rats. Neurosci Lett 659:1–6
Lukiw WJ (2013) Circular RNA (circRNA) in Alzheimer's disease (AD). Front Genet 4:307. https://doi.org/10.3389/fgene.2013.00307
Marcus MT, Walker T, Swint JM, Smith BP, Brown C, Busen N, Edwards T, Liehr P, Taylor WC, Williams D, von Sternberg K (2004) Community-based participatory research to prevent substance abuse and HIV/AIDS in African-American adolescents. J Interprof Care 18(4):347–359. https://doi.org/10.1080/13561820400011776
Menon DV, Wang Z, Fadel PJ, Arbique D, Leonard D, Li J-L, Victor RG, Vongpatanasin W (2007) Central sympatholysis as a novel countermeasure for cocaine-induced sympathetic activation and vasoconstriction in humans. J Am Coll Cardiol 50(7):626–633
Millan MJ, Agid Y, Brune M, Bullmore ET, Carter CS, Clayton NS, Connor R, Davis S, Deakin B, DeRubeis RJ, Dubois B, Geyer MA, Goodwin GM, Gorwood P, Jay TM, Joels M, Mansuy IM, Meyer-Lindenberg A, Murphy D, Rolls E, Saletu B, Spedding M, Sweeney J, Whittington M, Young LJ (2012) Cognitive dysfunction in psychiatric disorders: characteristics, causes and the quest for improved therapy. Nat Rev Drug Discov 11(2):141–168. https://doi.org/10.1038/nrd3628
Moller JT, Cluitmans P, Rasmussen LS, Houx P, Rasmussen H, Canet J, Rabbitt P, Jolles J, Larsen K, Hanning CD, Langeron O, Johnson T, Lauven PM, Kristensen PA, Biedler A, van Beem H, Fraidakis O, Silverstein JH, Beneken JE, Gravenstein JS (1998) Long-term postoperative cognitive dysfunction in the elderly ISPOCD1 study. ISPOCD investigators. International Study of Post-Operative Cognitive Dysfunction. Lancet 351(9106):857–861. https://doi.org/10.1016/s0140-6736(97)07382-0
Pang X, Zhang P, Zhou Y, Zhao J, Liu H (2020) Dexmedetomidine pretreatment attenuates isoflurane-induced neurotoxicity via inhibiting the TLR2/NF-κB signalling pathway in neonatal rats. Exp Mol Pathol 112:104328
Park J-H, Soh S, Kwak Y-L, Kim B, Choi S, Shim J-K (2019) Anesthetic efficacy of dexmedetomidine versus midazolam when combined with remifentanil for percutaneous transluminal angioplasty in patients with peripheral artery disease. J Clin Med 8(4):472
Riquelme JA, Westermeier F, Hall AR, Vicencio JM, Pedrozo Z, Ibacache M, Fuenzalida B, Sobrevia L, Davidson SM, Yellon DM, Sanchez G, Lavandero S (2016) Dexmedetomidine protects the heart against ischemia-reperfusion injury by an endothelial eNOS/NO dependent mechanism. Pharmacol Res 103:318–327. https://doi.org/10.1016/j.phrs.2015.11.004
Sanders RD, Xu J, Shu Y, Januszewski A, Halder S, Fidalgo A, Sun P, Hossain M, Ma D, Maze M (2009) Dexmedetomidine attenuates isoflurane-induced neurocognitive impairment in neonatal rats. Anesthesiology 110(5):1077–1085. https://doi.org/10.1097/ALN.0b013e31819daedd
Shoair OA, Grasso Ii MP, Lahaye LA, Daniel R, Biddle CJ, Slattum PW (2015) Incidence and risk factors for postoperative cognitive dysfunction in older adults undergoing major non-cardiac surgery: a prospective study. J Anaesthesiol Clin Pharmacol 31(1):30–36. https://doi.org/10.4103/0970-9185.150530
Vongpatanasin W, Mansour Y, Chavoshan B, Arbique D, Victor RG (1999) Cocaine stimulates the human cardiovascular system via a central mechanism of action. Circulation 100(5):497–502. https://doi.org/10.1161/01.cir.100.5.497
Wang M, Su P, Liu Y, Zhang X, Yan J, An X, Wang X, Gu S (2019) Abnormal expression of circRNA_089763 in the plasma exosomes of patients with post-operative cognitive dysfunction after coronary artery bypass grafting. Mol Med Rep 20(3):2549–2562
Westholm JO, Miura P, Olson S, Shenker S, Joseph B, Sanfilippo P, Celniker SE, Graveley BR, Lai EC (2014) Genome-wide analysis of drosophila circular RNAs reveals their structural and sequence properties and age-dependent neural accumulation. Cell Rep 9(5):1966–1980
Wilusz JE (2018) A 360 view of circular RNAs: from biogenesis to functions. Wiley Interdiscip Rev RNA 9(4):e1478
Xie F, Zhao Y, Wang SD, Ma J, Wang X, Qian LJ (2019) Identification, characterization, and functional investigation of circular RNAs in subventricular zone of adult rat brain. J Cell Biochem 120(3):3428–3437. https://doi.org/10.1002/jcb.27614
Xiong B, Shi Q, Fang H (2016) Dexmedetomidine alleviates postoperative cognitive dysfunction by inhibiting neuron excitation in aged rats. Am J Transl Res 8(1):70–80
Zhang Y, Zhang XO, Chen T, Xiang JF, Yin QF, Xing YH, Zhu S, Yang L, Chen LL (2013) Circular intronic long noncoding RNAs. Mol Cell 51(6):792–806. https://doi.org/10.1016/j.molcel.2013.08.017
Zhang J, Wang Z, Wang Y, Zhou G, Li H (2015a) The effect of dexmedetomidine on inflammatory response of septic rats. BMC Anesthesiol 15:68. https://doi.org/10.1186/s12871-015-0042-8
Zhang QB, Xiao-Feng LI, Neurology DO (2015b) Research advances in the pathogenesis of postoperative cognitive dysfunction. Med Recapitul
Zhang X-Y, Shan H-J, Zhang P, She C, Zhou X-Z (2018) LncRNA EPIC1 protects human osteoblasts from dexamethasone-induced cell death. Biochem Biophys Res Commun 503(4):2255–2262
Zhu C-Y, Yao C, Zhu L-Q, She C, Zhou X-Z (2019) Dexamethasone-induced cytotoxicity in human osteoblasts is associated with circular RNA HIPK3 downregulation. Biochem Biophys Res Commun 516(3):645–652
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YH contributed to conceptualization and funding acquisition: YH. Data curation: CC and FD. CC and FD were involved in formal analysis. CC and FD were involved in investigation. CC and FD were involved in methodology.CC and FD contributed to writing—original draft. CC and FD contributed to writing— review and editing. All the authors read and approved the final manuscript.
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This study was approved by the Institutional Animal Care and Use Committee of the Second Affiliated Hospital of Nanchang University. All animal experiments were performed in accordance with the Guides for the Care and Use of Laboratory Animals.
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Supplementary file1 Figure S1. The expression pattern of circRNAs was examined by RNA sequencing during the Dex treatment of POCD rats. The results showed that the higher the number of exons covered, the fewer the circRNAs. (A) The statistical chart of exon number count covered by circRNAs. (B) The number of circRNAs distributed on each chromosome number. Among them, the number of circRNAs on chromosomes 1, 2, and 6 were all greater than 500.
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Cao, C., Deng, F. & Hu, Y. Dexmedetomidine alleviates postoperative cognitive dysfunction through circular RNA in aged rats. 3 Biotech 10, 176 (2020). https://doi.org/10.1007/s13205-020-2163-0
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DOI: https://doi.org/10.1007/s13205-020-2163-0