The impact of preoperative stress on age-related cognitive dysfunction after abdominal surgery: a study using a rat model

Abstract Objective This study examines the impact of preoperative stress on postoperative neuroinflammation and associated cognitive dysfunction, with a focus on aged individuals. The goal is to determine whether managing preoperative stress can enhance postoperative outcomes and lower the risk of c...

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Main Authors: Natsuki Nakagoshi, Fabricio M Locatelli, Sonoe Kitamura, Seiji Hirota, Takashi Kawano
Format: Article
Language:English
Published: BMC 2024-12-01
Series:BMC Research Notes
Subjects:
Online Access:https://doi.org/10.1186/s13104-024-07023-z
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author Natsuki Nakagoshi
Fabricio M Locatelli
Sonoe Kitamura
Seiji Hirota
Takashi Kawano
author_facet Natsuki Nakagoshi
Fabricio M Locatelli
Sonoe Kitamura
Seiji Hirota
Takashi Kawano
author_sort Natsuki Nakagoshi
collection DOAJ
description Abstract Objective This study examines the impact of preoperative stress on postoperative neuroinflammation and associated cognitive dysfunction, with a focus on aged individuals. The goal is to determine whether managing preoperative stress can enhance postoperative outcomes and lower the risk of cognitive impairment. Results In aged rats, preoperative restraint stress significantly worsened neuroinflammation and cognitive deficits following abdominal surgery. Elevated levels of pro-inflammatory cytokines were observed in the hippocampus and medial prefrontal cortex two days post-surgery, and these effects persisted for twenty-eight days. In contrast, adult rats did not show significant changes in neuroinflammation or cognitive function due to preoperative restraint stress. An ex vivo analysis indicated that hippocampal microglia from aged rats exhibited an intensified proinflammatory response to lipopolysaccharide stimulation, further heightened by preoperative restraint stress. These findings suggest that managing preoperative stress could mitigate these adverse effects, leading to better postoperative recovery and cognitive health in elderly patients.
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spelling doaj-art-cd54d4e2acfe41079dfdc779963b8b532025-08-20T02:31:54ZengBMCBMC Research Notes1756-05002024-12-011711710.1186/s13104-024-07023-zThe impact of preoperative stress on age-related cognitive dysfunction after abdominal surgery: a study using a rat modelNatsuki Nakagoshi0Fabricio M Locatelli1Sonoe Kitamura2Seiji Hirota3Takashi Kawano4Department of Anesthesiology and Intensive Care Medicine, Kochi Medical SchoolDepartment of Anesthesiology and Intensive Care Medicine, Kochi Medical SchoolDepartment of Anesthesiology and Intensive Care Medicine, Kochi Medical SchoolDepartment of Anesthesiology and Intensive Care Medicine, Kochi Medical SchoolDepartment of Anesthesiology and Intensive Care Medicine, Kochi Medical SchoolAbstract Objective This study examines the impact of preoperative stress on postoperative neuroinflammation and associated cognitive dysfunction, with a focus on aged individuals. The goal is to determine whether managing preoperative stress can enhance postoperative outcomes and lower the risk of cognitive impairment. Results In aged rats, preoperative restraint stress significantly worsened neuroinflammation and cognitive deficits following abdominal surgery. Elevated levels of pro-inflammatory cytokines were observed in the hippocampus and medial prefrontal cortex two days post-surgery, and these effects persisted for twenty-eight days. In contrast, adult rats did not show significant changes in neuroinflammation or cognitive function due to preoperative restraint stress. An ex vivo analysis indicated that hippocampal microglia from aged rats exhibited an intensified proinflammatory response to lipopolysaccharide stimulation, further heightened by preoperative restraint stress. These findings suggest that managing preoperative stress could mitigate these adverse effects, leading to better postoperative recovery and cognitive health in elderly patients.https://doi.org/10.1186/s13104-024-07023-zPreoperative stressNeuroinflammationCognitive dysfunctionPostoperative deliriumAged rats
spellingShingle Natsuki Nakagoshi
Fabricio M Locatelli
Sonoe Kitamura
Seiji Hirota
Takashi Kawano
The impact of preoperative stress on age-related cognitive dysfunction after abdominal surgery: a study using a rat model
BMC Research Notes
Preoperative stress
Neuroinflammation
Cognitive dysfunction
Postoperative delirium
Aged rats
title The impact of preoperative stress on age-related cognitive dysfunction after abdominal surgery: a study using a rat model
title_full The impact of preoperative stress on age-related cognitive dysfunction after abdominal surgery: a study using a rat model
title_fullStr The impact of preoperative stress on age-related cognitive dysfunction after abdominal surgery: a study using a rat model
title_full_unstemmed The impact of preoperative stress on age-related cognitive dysfunction after abdominal surgery: a study using a rat model
title_short The impact of preoperative stress on age-related cognitive dysfunction after abdominal surgery: a study using a rat model
title_sort impact of preoperative stress on age related cognitive dysfunction after abdominal surgery a study using a rat model
topic Preoperative stress
Neuroinflammation
Cognitive dysfunction
Postoperative delirium
Aged rats
url https://doi.org/10.1186/s13104-024-07023-z
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