Comparison of the effects of two anaesthetic combinations in rabbits on some neutrophil functions in vitro

Authors

  • J. Wessely-Szponder University of Life Sciences
  • T. Szponder University of Life Sciences

DOI:

https://doi.org/10.4995/wrs.2010.8414

Keywords:

Neutrophil function, elastase, anaesthesia, propofol, degranulation

Abstract

Tissue injury during surgery as well as anaesthesia can lead to modulation of neutrophil function. The aim of this study was to assess how two types of anaesthesia, i.e. combination of ketamine/midazolam/propofol (Group I) and ketamine/propofol (Group II) influenced neutrophil function during and 24 h after operation in rabbits. Blood samples were taken prior to anaesthesia, at 30 and 60 min, and 24 h after starting the experiment. At these time points, degranulation and free radical generation were assessed in both groups. After 30 min of anaesthesia, we observed a decrease in elastase release from 50.96±0.71% to 26.52±4.85% in Group I and from 51.00±0.7% to 41.00±5.48% in Group II, respectively. In subsequent measurements, the elastase level increased to values lower than before starting anaesthesia. The myeloperoxidase (MPO) release decreased significantly after 30 min of anaesthesia in Group I, then increased to the value similar to the pre-anaesthetic level after 60 min. MPO level in Group II also decreased after 30 min but to a lesser degree, and then after 1 h MPO slightly exceeded the pre-anaesthetic level. In both groups, 24 h after the start anaesthesia the values obtained decreased, but remained at a level higher than at the time before anaesthesia. We observed a decrease in alkaline phosphatase (ALKP) levels in both studied groups after 30 min of anaesthesia (from 24.77±5.9% to 15.7±2.1% and from 23.6±1.14% to 10.6±0.89%, in Groups I and II, respectively), with a subsequent increase after 60 min. In Group I, we observed a significant (P<0.01) decrease in NO production 30 min after the start of anaesthesia. After increasing to the pre-anaesthetic level, the NO level was almost constant in both subsequent measurements. In Group II, NO level decreased 30 min after the onset of anaesthesia and then increased, reaching a slightly higher level than at the start of anaesthesia. The superoxide generation by neutrophils from rabbits of both groups decreased after 30 min of anaesthesia and then rose. Because the anaesthetic combinations used alter neutrophil function only transiently, both of them would be applied in surgery in rabbits without the risk of disturbance to the healing process.


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Author Biographies

J. Wessely-Szponder, University of Life Sciences

Department of Pathophysiology. Chair of Preclinical Veterinary Sciences. Faculty of Veterinary Medicine

T. Szponder, University of Life Sciences

Department and Clinic of Animal Surgery. Faculty of Veterinary Medicine

References

Chang Y., Chen T-L., Sheu J-R. Chen R. 2005. Suppressive effects of ketamine on macrophage functions. Toxicol. Appl. Pharm., 204: 27-35.

Cheng C-R. 2005. Inflammatory response to anesthesia and ways to attenuate it. Advances in Anesthesia, 23: 107-141.

Confer A., Simons K. 1986. Effects of Pasteurella haemolytica lipopolysaccharide on selected functions of bovine leukocytes. Am. J. Vet. Res., 47: 154-157.

Davidson J.A.H., Boom S.J., Pearsall F.J., Zhang P., Ramsay G. 1995. Comparison of the effect of four i.v. anaesthetic agents on polymorphonuclear leucocyte function. Brit. J. Anaesth., 74: 315318.

Frolich D., Rother G., Schwall B., Schmitz G., J., Taeger K. 1996. Thiopentone and propofol, but not methohexitone nor midazolam, inhibit neutrophil oxidative response to the bacterial peptide FMLP. Eur. J. Anaesth., 13: 582-588.

Galley H., Dubbles A., Webster N. 1998. The effect of midazolam and propofol on IL-8 from human polymorphonuclear leukocytes. Anesth. Analg., 86: 1289-93.

Galley H.F., Nelson L.R., Webster N.R. 1995. Anaesthetic agents decrease the activity of nitric oxide synthase from human polymorphonuclear leucocytes. Brit. J. Anaesth., 75: 326-329.

Galligan C., Coomber B. 2000. Effects of human IL-8 isoforms on bovine neutrophil function in vitro. Vet. Immunol. Immunop., 74: 71-85.

Gonzalez-Correa J.A., Cruz-Andreaotti E., Arrebola M.M., LopezVillordes J.A. Jodar M., De LA Cruz JP. 2008. Effects of propofol on the leukocyte nitric oxide pathway: in vitro and ex vivo studies in surgical patients. N-S. Arch. Pharmacol., 376: 331-339.

Goto Y., O’Malley C., Fanning NF. Wang J., Redmond H.P., Shorten G.D. 2003. Benzodiazepines inhibit the rate of neutrophil apoptosis. Irish J. Med. Sci., 172: 191-194.

Grint N.J., Murison P.J. 2008. A comparison of ketamine-midazolam and ketamine-medetomidine combinations for induction of anaesthesia in rabbits. Vet. Anaesth. Analg., 35: 113- 121.

Hans P., Canivet J-L., Muller J-P., Byttebier G., Lamy M. 1991. Plasma vitamin E, total lipids and myeloperoxidase levels during spinal surgery. A comparison between two anesthetic agents: propofol and isoflurane. Acta Anaesthe. Scand., 35: 302-305.

Harcourt-Brown F. 2004. Textbook of Rabbit Medicine. Elsevier Science, 4th Edition, Oxford, UK.

Helmy S.A.K., Al-Attiyah R.J. 2001. The immunomodulatory effects of prolonged intravenous infusion of propofol versus midazolam in critically ill surgical patients. Anaesthesia. 56: 4-8.

Henke J., Astner S., Brill T., Eissner B., Busch R., Erhardt W. 2005. Comparative study of three intramuscular anaesthetic combinations (medetomidine/ketamine, medetomidine/fentanyl/midazolam and xylazine/ketamine) in rabbits. Vet. Anaesth. Analg. 32: 261-270.

Huettemann E., Jung A., van Hout N., Sakka S. 2006. Effects of propofol and methohexial on neutrophil function in cardiac surgical patients. Annals of Cardiac Anaesthesia, 9: 126-131.

Kakuta Y., Aoshiba K., Nagai A. 2006. C-Reactive protein products generated by neutrophil elastase promote neutrophil apoptosis. Arch. Med. Res, 37: 456-460.

Krumholtz W., Endrass J., Hempelmann G. 1995. Inhibition of phagocythosis and killing of bacteria by anaesthetic agents in vitro. Brit. J. Anaesth., 75: 66-70.

Lenz A., Franklin G.A., Cheadle W.G. 2007. Systemic inflammation after trauma. Injury, 38: 1336-1345.

Muhling J., Campos M.E., Sablotzki A., Krull M., Dehne M.G., Gonther J., Weiss S., Fuchs M., Hempelmann G. 2002. Effects of Propofol and Taurine on intracellular free amino acid profiles and immune function markers in neutrophils in vitro. Clin. Chem. Lab. Med., 40: 111-121.

Nishina K., Akamatsu H., Mikawa K., Shiga M., Maekawa N., Obara H., Niwa H. 1998. The inhibitory effects of Thiopental, Midazolam, and Ketamine on human neutrophil functions. Anesth. Analg., 86:159-165.

Nishina K., Akamatsu H., Mikawa K., Shiga M., Maekawa N., Obara H., Niwa H. 1999. The effects of Clonidine ad Dexmedetomidine on human neutrophil functions. Anesth. Analg., 868: 452-458.

Ridnour L., Sim J., Hayward M., Wink D., Martin S., Buetter G., Spitz R. 2000. A spectrophotometric method for the direct detection and quantitation of nitric oxide, nitrite, and nitrate in cell culture media. Anal. Biochem., 281: 223-229.

Rozanska D. 2009. Evaluation of medetomidine-midazolam-atropine (MeMiA) anaesthesia maintained with propofol infusion in New Zealand White rabbits. Pol. J. Vet. Sci., 12: 209-216.

Schneemilch C., Schilling T., Bank U. 2004. Effects of general anaesthesia on inflammation. Best Pract. Res. Clin. Anaesthesiol., 18: 493-507.

Tabuchi Y., Shinka S., Ishida H. 1989. The effects of anaesthesia and surgery on count and function of neutrophils. J. Anesth., 3: 123131.

Thiry J-C., Hans P., Deby-Dupont G., Mouythis-Mickalad A., Bonhomme V., Lamy M. 2004. Propofol scavenges reactive oxygen species and inhibits the protein nitration induced by activated polymorphonuclear neutrophils. Eur. J. Pharmacol., 499: 29-33.

Toft P., Tonnesen E. 2008. The systemic inflammatory response to anaesthesia and surgery. Curr. Anaesth. Crit. Care, 19: 249-353.

Vasileiou I., Xanthos T., Koudouna E., Perrea D., Klonaris C., Katsargyris A., Papadimitriou L. 2009. Propofol: A review of its non-anaesthetic effects. Eur. J. Pharmacol., 605: 1-8.

Wang B., Luo T., Chen D., Ansley D.M. 2007. Propofol reduces apoptosis and up-regulates endothelial nitric oxide synthase protein expression in hydrogen peroxide-stimulated human umbilical vein endothelial cells. Anesth. Analg., 105: 1027-33.

Wessely-Szponder J. 2008. The influence of TNF and IL-8 on secretory action of neutrophils isolated from heifers in the course of BRD. Acta Vet. Hung. 56: 187-196.

Zhou Z.Q., Yu Y.Q., Feng S.W., Yu M., Liu H.J. Yang J.J. 2007. Ketamine inhibits polymorphonuclear leucocyte CD11b expression and respiratory burst activity in endotoxemic rats. Inflamm. Res., 56: 149-153.

Zilberstein G., Levy R., Rachinsky M., Fisher A., Greemberg L., Shapira Y., Appelbaum A. 2002. Ketamine attenuates neutrophil activation after cardiopulmonary bypass. Anesth. Analg., 95: 531-6.

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Published

2010-10-11

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