Prostaglandin endoperoxide synthase 2 regulates neuroinflammation to mediate postoperative cognitive dysfunction in mice

Abstract Prostaglandin endoperoxide synthase 2 (PTGS2) is a rate-limiting enzyme of prostaglandin (PGs) production, mediating perioperative inflammatory response. This study aimed to explore the mechanisms underlying the involvement of PTGS2 in postoperative cognitive dysfunction (POCD). Transient b...

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Main Authors: Xuelian Li, Xuemei Li, Qixin Zhang, Yiyun Li, Yingshun Zhou, Jun Zhou, Xiaoxia Duan
Format: Article
Language:English
Published: Nature Portfolio 2025-05-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-01121-z
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author Xuelian Li
Xuemei Li
Qixin Zhang
Yiyun Li
Yingshun Zhou
Jun Zhou
Xiaoxia Duan
author_facet Xuelian Li
Xuemei Li
Qixin Zhang
Yiyun Li
Yingshun Zhou
Jun Zhou
Xiaoxia Duan
author_sort Xuelian Li
collection DOAJ
description Abstract Prostaglandin endoperoxide synthase 2 (PTGS2) is a rate-limiting enzyme of prostaglandin (PGs) production, mediating perioperative inflammatory response. This study aimed to explore the mechanisms underlying the involvement of PTGS2 in postoperative cognitive dysfunction (POCD). Transient bilateral common carotid artery occlusion (tBCCAO) was performed to induce POCD. The Morris water maze test was used to assess the cognitive function. PTGS2 expression in the hippocampus and plasma was measured. Hippocampal RNA sequencing was performed to determine the pathological basis of POCD. In vivo, the mice were treated with or without a selective PTGS2 inhibitor during the perioperative period. The hippocampi were isolated to detect inflammation and oxidative damage. In vitro, PTGS2 was silenced in BV2 microglial cell lines, and oxygen-glucose deprivation/reoxidation (OGD/R) was performed. Conditioned medium from BV2 cells was collected to culture HT22 hippocampal neurons. Proinflammatory factors and oxidative damage were detected in BV2 and HT22 cells, respectively. The results indicated that the expression of PTGS2 in the plasma and hippocampal tissue of POCD mice was increased and that hippocampal inflammation is an important biological process in POCD. Inhibition of PTGS2 alleviated hippocampal inflammation, and the Morris water maze test showed improved learning and memory functions that were previously impaired. In addition, the inhibition of PTGS2 prevents OGD/R-induced microglial activation and alleviates neuronal injury. In conclusion, PTGS2 may be a culprit in POCD.
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spelling doaj-art-c897c36d9f8e4c58a54a0f6dcc57adc62025-08-20T02:34:14ZengNature PortfolioScientific Reports2045-23222025-05-0115111410.1038/s41598-025-01121-zProstaglandin endoperoxide synthase 2 regulates neuroinflammation to mediate postoperative cognitive dysfunction in miceXuelian Li0Xuemei Li1Qixin Zhang2Yiyun Li3Yingshun Zhou4Jun Zhou5Xiaoxia Duan6Department of Anesthesiology, The Affiliated Hospital, Southwest Medical UniversityDepartment of Anesthesiology, The Affiliated Hospital, Southwest Medical UniversityDepartment of Anesthesiology, The Affiliated Hospital, Southwest Medical UniversityDepartment of Anesthesiology, The Affiliated Hospital, Southwest Medical UniversityDepartment of Pathogen Biology, The Public Platform of the Pathogen Biology Technology, School of Basic Medicine, Southwest Medical UniversityDepartment of Anesthesiology, The Affiliated Hospital, Southwest Medical UniversityDepartment of Anesthesiology, The Affiliated Hospital, Southwest Medical UniversityAbstract Prostaglandin endoperoxide synthase 2 (PTGS2) is a rate-limiting enzyme of prostaglandin (PGs) production, mediating perioperative inflammatory response. This study aimed to explore the mechanisms underlying the involvement of PTGS2 in postoperative cognitive dysfunction (POCD). Transient bilateral common carotid artery occlusion (tBCCAO) was performed to induce POCD. The Morris water maze test was used to assess the cognitive function. PTGS2 expression in the hippocampus and plasma was measured. Hippocampal RNA sequencing was performed to determine the pathological basis of POCD. In vivo, the mice were treated with or without a selective PTGS2 inhibitor during the perioperative period. The hippocampi were isolated to detect inflammation and oxidative damage. In vitro, PTGS2 was silenced in BV2 microglial cell lines, and oxygen-glucose deprivation/reoxidation (OGD/R) was performed. Conditioned medium from BV2 cells was collected to culture HT22 hippocampal neurons. Proinflammatory factors and oxidative damage were detected in BV2 and HT22 cells, respectively. The results indicated that the expression of PTGS2 in the plasma and hippocampal tissue of POCD mice was increased and that hippocampal inflammation is an important biological process in POCD. Inhibition of PTGS2 alleviated hippocampal inflammation, and the Morris water maze test showed improved learning and memory functions that were previously impaired. In addition, the inhibition of PTGS2 prevents OGD/R-induced microglial activation and alleviates neuronal injury. In conclusion, PTGS2 may be a culprit in POCD.https://doi.org/10.1038/s41598-025-01121-zMicrogliaNeuroinflammationOxidative damagePostoperative cognitive dysfunctionProstaglandin endoperoxide synthase 2
spellingShingle Xuelian Li
Xuemei Li
Qixin Zhang
Yiyun Li
Yingshun Zhou
Jun Zhou
Xiaoxia Duan
Prostaglandin endoperoxide synthase 2 regulates neuroinflammation to mediate postoperative cognitive dysfunction in mice
Scientific Reports
Microglia
Neuroinflammation
Oxidative damage
Postoperative cognitive dysfunction
Prostaglandin endoperoxide synthase 2
title Prostaglandin endoperoxide synthase 2 regulates neuroinflammation to mediate postoperative cognitive dysfunction in mice
title_full Prostaglandin endoperoxide synthase 2 regulates neuroinflammation to mediate postoperative cognitive dysfunction in mice
title_fullStr Prostaglandin endoperoxide synthase 2 regulates neuroinflammation to mediate postoperative cognitive dysfunction in mice
title_full_unstemmed Prostaglandin endoperoxide synthase 2 regulates neuroinflammation to mediate postoperative cognitive dysfunction in mice
title_short Prostaglandin endoperoxide synthase 2 regulates neuroinflammation to mediate postoperative cognitive dysfunction in mice
title_sort prostaglandin endoperoxide synthase 2 regulates neuroinflammation to mediate postoperative cognitive dysfunction in mice
topic Microglia
Neuroinflammation
Oxidative damage
Postoperative cognitive dysfunction
Prostaglandin endoperoxide synthase 2
url https://doi.org/10.1038/s41598-025-01121-z
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