Electrophysiological signatures of acute systemic lipopolysaccharide-induced inflammation: potential implications for delirium science

Autor: Bryan M. Krause, Robert D. Sanders, Sean M. Grady, Caitlin A Murphy, Matthew I. Banks, Ziyad W. Sultan, Elizabeth R. Jaeckel
Rok vydání: 2020
Předmět:
Zdroj: Br J Anaesth
ISSN: 1471-6771
Popis: BACKGROUND: Novel preventive therapies are needed for postoperative delirium, which especially affects older patients. A mouse model is presented that captures inflammation-associated cortical slow wave activity (SWA) observed in patients, allowing exploration of the mechanistic role of prostaglandin-adenosine signalling. METHODS: EEG and cortical cytokine measurements (interleukin 6, monocyte chemoattractant protein-1) were obtained from adult and aged mice. Behaviour, SWA, and functional connectivity were assayed before and after systemic administration of lipopolysaccharide (LPS)+piroxicam (cyclooxygenase inhibitor) or LPS+caffeine (adenosine receptor antagonist). To avoid the confounder of inflammation-driven changes in movement which alter SWA and connectivity, electrophysiological recordings were classified as occurring during quiescence or movement, and propensity score matching was used to match distributions of movement magnitude between baseline and post-LPS administration. RESULTS: LPS produces increases in cortical cytokines and behavioural quiescence. In movement-matched data, LPS produces increases in SWA (likelihood-ratio test: χ(2)(4)=21.51, P
Databáze: OpenAIRE