Effect of inspired oxygen fraction during anesthesia on inflammation and antioxidant enzyme activity in the mouse cortex and hippocampus

Abstract

Introduction. Although high inspired oxygen fraction (FIO₂) is used during anesthesia to prevent hypoxemia, the effect of different oxygen fraction on the brain remains unclear. This study aims to evaluate whether different inspired oxygen fractions (FIO₂ 30% vs 80%) during anesthesia affect inflammation and antioxidant enzyme activity in the cortex and hippocampus of young and aged mice. Methods. Young and old mice were anesthetized with sevoflurane at FIO₂ 30% or 80% for 3 h. Mice in the control group were exposed to medical air (FIO₂ 21%) for 3 h. Cytokine and superoxide dismutase (SOD) assays were performed on the cortex and hippocampus samples after anesthesia. Results. The IL-1β level in the hippocampus was significantly higher in the FIO₂ 80% group compared with controls [5.0 (4.0−6.9) pg mL−1 vs. 2.3 (1.6−2.7) pg mL−1; adjusted P=0.032], whereas no significant differences were observed in IL-1β levels between the control and FIO₂ 30% groups [adjusted P=0.164] or the FIO₂ 30% and FIO₂ 80% groups [adjusted P=0.390]. Except for IL-1β in the hippocampus, no significant differences in the cytokine levels and SOD activities were observed among the groups according to the inspired oxygen fraction in either brain region or age group [P>0.05]. Discussion. Only 80% oxygen increased hippocampal IL-1β compared with controls, suggesting region-specific vulnerability to oxygen-induced neuroinflammation. However, no significant differences between FIO₂ levels (30% vs. 80%) indicate a limited neuroinflammatory impact under 3 h of anesthesia. Further studies with longer exposure and surgical conditions are needed to clarify the clinical implications.