Ketamine or propofol anesthesia in dogs: how do they affect cytokines, antioxidants and neutrophil functions?


Ozlem GUZEL
https://orcid.org/0000-0003-0737-8148
Gulsen Sevim
Didar Aydin Kaya
Duygu Sezer
Mert Erek
Feraye Esen Gursel
Gizem Atmaca
Berjan Demirtas
Erdal Matur
Abstract

The objective of the study is to investigate the effects of ketamine and propofol on cytokines, antioxidant defense system, and neutrophil functions in dogs. A total of 24 dogs were used. Dogs were divided into two groups as ketamine and propofol. The ketamine group received ketamine (5 mg/kg) intravenously while the propofol group received propofol (4 mg/kg) intravenously. Blood samples were collected before sedation and 30 minutes after induction. Serum antioxidant and cytokine levels were analyzed and neutrophil functions were determined. Respiration rate, serum malondialdehyde, IL-4, IL-6 levels, and phagocytic and chemotaxic activity of neutrophils were decreased (P=0.001, P=0.010, P=0.014, P=0.039, P=0.008, and P=0.037, respectively), oxygen saturation were increased (P=0.025) in the ketamine group. Serum IL-6 and IFN-γ level were decreased (P=0.015 and P=0.032 respectively), chemotactic activity of neutrophils were increased (P=0.049) in propofol group. The administration of ketamine was found to have a positive effect both on the antioxidant system and the neutrophil. On the other hand, positive and negative effects of propofol on different parts of the immune system were observed. Therefore, the results should should be taken into account when designing an anesthesia protocol for dogs to predict possible defense system reactions during the postoperative period.

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Literaturhinweise
Akin M, Ayoglu H, Okyay D, Ayoglu F, Gur A, Can M, Yurtlu S, Hanci V, Kucukosman G, Turan I (2015) Effects of various anesthesia maintenance on serum levels of selenium, copper, zinc, iron and antioxidant capacity. Rev Bras Anestesiol 65:51-60.
Barnes TC, Anderson ME, Moots RJ (2011) The many faces of interleukin-6: The role of IL-6 in inflammation, vasculopathy, and fibrosis in systemic sclerosis.
Int J Rheumatol 721608.
Bilgic S, Aktas E, Salman F, Ersahin G, Erten G, Yilmaz MT, Deniz G (2008) Intracytoplasmic cytokine levels and neutrophil functions in early clinical stage of type 1 diabetes. Diabetes Res Clin Pract 79:31-36.
Billiau A (1996) Interferon-gamma: biology and role in pathogenesis. Adv Immunol 62:61-130.
Brand JM, Schmucker P, Breidthardt T, Kirchner H (2001) Upregulation of IFN-gamma and soluble interleukin-2 receptor release and altered serum cortisol and prolactin concentration during general anesthesia. J Interferon Cytokine Res 21:793-796.
Camkerten G, Camkerten I, Sindak N, Bulut G (2016) Oxidative stress parameters in xylazine-ketamine adminestered Bozova Greyhounds. JAVST 1:26-30.
Chang Y, Chen TL, Sheu JR, Chen RM (2005) Suppressive effects of ketamine on macrophage functions. Toxicol Appl Pharmacol 204:27-35.
Chen RM, Chen TG, Chen TL, Lin LL, Chang CC, Chang HC, Wu CH (2005) Anti-inflammatory and antioxidative effects of propofol on lipopolysaccharide-activated macrophages. Ann N Y Acad Sci 1042:262-271.
Craciun EM, Altfelder F, Kuss N, Poeschl J, Ruef P (2013) Anti-inflammatory effects of selected drugs on activated neonatal and adult neutrophils. Scand J Clin Lab Investig 73:407-413.
Cruz FF, Rocco PRM, Pelosi P (2017) Anti-inflammatory properties of anesthetic agents. Critical Care 21:67.
De La Cruz JP, Zanca A, Carmona JA, De La Cuesta FS (1999) The effect of propofol on oxidative stress in platelets from surgical patients. Anesth Analg 89:1050-1055.
Dinauer MC (2007) Disorders of neutrophil function: an overview.
Methods Mol Biol 412:489-504.
Farrar MA, Schreiber RD (1993) The molecular cell biology of interferon-gamma and its receptor. Annu Rev Immunol 11:571-611.
Gadani SP, Cronk JC, Norris GT, Kipnis J (2012) IL-4 in the brain: a cytokine to remember. J Immunol 189:4213-4219.
Guzel O, Kaya DA, Altunatmaz K, Sevim G, Sezer D, Erdikmen DO (2018) Evaluation of the cardiorespiratory effects of the alpha-2 adrenoceptor agonists xylazine, medetomidine and dexmedetomidine in combination with ketamine in dogs. Vet Med 63:546-554.
Heller A, Heller S, Blecken S, Urbaschek R, Koch T (1998) Effects of intravenous anesthetics on bacterial elimination in human blood in vitro. Acta Anaesthesiol Scand 42:518-526.
Hershey GK, Friedrich MF, Esswein LA, Thomas ML, Chatila TA (1997) The association of atopy with a gain-of-function mutation in the alpha subunit of the interleukin-4 receptor. N Engl J Med 337:1720-1725.
Jungheinrich C, Scharpf R, Wargenau M, Dilger C, Bepperling F (2002) Pharmacokinetics of the generic formulation propofol 1% fresenius in comparison with the original formulation (Disoprivan 1%). Clin Drug Investig 22:17–27.
Kamiloglu NN, Kamiloglu A, Beytut E (2009) Changes in antioxidant sytem, lipid peroxidation, heart and respiratory rate and rectal temperature with ketamine and ketamine-xylazine anaesthesia in Tuj rams. Kafkas Univ Vet Fak Derg 15:205-210.
Lee JY, Kim MC (2012) Effect of propofol on oxidative stress status in erythrocytes from dogs under general anaesthesia. Acta Vet Scand 54:76.
Linnekin D, Bowles CA, Murano G, MacVittie TJ (1990) Migration of dog polymorphonuclear neutrophilic leukocytes to formylated peptides. Inflammation 14:691-703.
Lisowska B, Szymanska M, Nowacka E, Olszewska M (2013) Anesthesiology and the cytokine network. Postepy Hig Med Dosw (online) 67:761-769.
Lupp A, Kerst S, Karge E, Quack G, Klinger W (1998) Investigation on possible antioxidative properties of the NMDA-receptor antagonists ketamine, memantine, and amantadine in comparison to nicanartine in vitro. Exp Toxicol Pathol 50:501-506.
McDonell WN, Kerr CL (2007) Respiratory system. In: Lumb & Jones’ Veterinary Anesthesia and Analgesia. 7th. ed, Blackwell, Oxford: pp 117-151.
McLoughlin RM, Witowski J, Robson RL, Wilkinson TS, Hurst SM, Williams AS, Williams JD, Rose-John S, Jones SA, Topley N (2003) Interplay between IFN-γ and IL-6 signaling governs neutrophil trafficking and apoptosis during acute inflammation. J Clin Invest 112:598-607.
Moher D, Hopewell S, Schulz KF, Montori V, Gøtzsche PC, Devereaux PJ, Elbourne D, Egger M, Altman DG (2010) CONSORT 2010 explanation and elaboration: update guidelines for reporting parallel group randomised trials. J Clin Epidemiol 63:e1-37.
Morisaki H, Aoyama Y, Shimada M, Ochiai R, Takeda J (1998) Leucocyte distribution during sevoflurane anaesthesia. Br J Anaesth 80:502-503.
Muir WW (2010) NMDA receptor antagonists and pain: ketamine. Vet Clin North Am Equine Pract 26:565-578.
Nishina K., Akamatsu H., Mikawa K., Shiga M., Maekawa N., Obara H., Niwa Y. (1998). The inhibitory effects of thiopental, midazolam, and ketamine on human neutrophil functions. Anesth Analg 86:159-165.
Paglia DE, Valentine WN (1967) Studies on the quantitative and qualitative characterization of erythrocyte glutathione peroxidase. J Lab Clin Med 70:158-169.
Reinke LA, Kotake Y, Moore DR, Nanji AA (1998) Free radical formation during ketamine anesthesia in rats: A cautionary note. Free Rad Biol Med 24:1002-1006.
Robinson JP, Darzynkiewicz Z, Dean P, Orfao A, Rabinovitch P, Stewart CC, Tanke H, Wheeless L (1997) Current protocols in cytometry. John Wiley & Sons, Inc. New Jersey.
Sato R, Aoki T, Kobayashi S, Uchida N, Simamura S, Yamasaki M (2016) The modulating effects of propofol and its lipid carrier on canine neutrophil functions. J Vet Med Sci 78:1825-1829.
Sayed S, Idriss NK, Sayyedf HG, Ashry AA, Rafatt DM, Mohamed AO, Blann AD (2015) Effects of propofol and isoflurane on haemodynamics and the inflammatory response in cardiopulmonary bypass surgery. Br J Biomedi Sci 72:93-101.
Sheeran P, Hall GM (1997) Cytokines in anaesthesia. Br J Anaesth 78:201-219.
Son KA, Kang JH, Yang MP (2009) Ketamine inhibits the phagocytic responses of canine peripheral blood polymorphonuclear cells through the upregulation of prostaglandin E2 in peripheral blood mononuclear cells in vitro. Res Vet Sci 87:41-46.
Soneja A, Drews M, Malinski T (2005) Role of nitric oxide, nitroxidative and oxidative stress in wound healing. Pharmacol Rep 57 (Suppl):108-119.
Strasser A, Kalmar E, Niedermüller H (1998) A simple method for the simultaneous separation of peripheral blood mononuclear and polymorphonuclear cells in the dog. Vet Immunol Immunopathol 62:29-35.
Sun Y, Oberley LW, Li Y (1988) A simple method for clinical assay of superoxide dismutase. Clin Chem 34:497-500.
Szczubial M, Kankofer M, Bochniarz M, Dąbrowski R (2015) Effects of ovariohysterectomy on oxidative stress markers in female dogs. Reprod Domest Anim 50:393-399.
Tanaka T, Narazaki M, Kishimoto T (2014) IL-6 in inflammation, immunity, and disease. Cold Spring Harb Perspect Biol 6:a016295.
Tomsıč K, Nemec SA, Nemec A, Domanjko PA, Vovk T, Selıškar A (2018) Influence of sevoflurane or propofol anaesthesia on oxidative stress parameters in dogs with early-stage myxomatous mitral valve degeneration. a preliminary study. Acta Vet-Beograd, 68:32-42.
Van Kessel KP, Bestebroer J, Van Strijp JA (2014) Neutrophil-mediated phagocytosis of Staphylococcus Aureus. Front Immunol 5:467.
Wang R, Zhang Z, Kumar M, Xu G, Zhang M (2019) Neuroprotective potential of ketamine prevents developing brain structure impairment and alteration of neurocognitive function induced via isoflurane through the PI3K/AKT/GSK-3β pathway. Drug Design, Devel Ther 13:501-12.
Welters ID, Feurer MK, Preiss V, Muller M, Scholz S, Kwapisz M, Mogk M, Neuhauser C (2011) Continuous S-(+)-ketamine administration during elective coronary artery bypass graft surgery attenuates pro-inflammatory cytokine response during and after cardiopulmonary bypass. Br J Anaesth 106:172-179.
Yamaguchi K, Kumakura S, Murakami T, Someya A, Inada E, Nagaoka I (2017) Ketamine suppresses the substance P-induced production of IL-6 and IL-8 by human U373MG glioblastoma/astrocytoma cells. Int J Mol Med 39:687-692.
Yang J, Murphy TL, Ouyang W, Murphy KM (1999) Induction of interferon-gamma production in Th1 CD4+ T cells: evidence for two distinct pathways for promoter activation. Eur J Immunol 29:548-555.
Yang SC, Chung PJ, Ho CM, Kuo CY, Hung MF, Huang YT, Chang WY, Chang YW, Chan KH, Hwang TL (2013) Propofol inhibits superoxide production, elastase release, and chemotactic in formyl peptide-activated human neutrophils by blocking formyl peptide receptor-1. J Immunol 190:6511-6519.
Yasmineh WG, Kaur TP, Blazar BR, Theologides A (1995) Serum catalase as marker of graft-vs-host disease in allogeneic bone marrow transplant recipients: pilot study. Clin Chem 41:1574-1580.
Ye J, Ortaldo JR, Conlon K, Winkler-Pickett R (1995) Young HA. Cellular and molecular mechanisms of IFN-gamma production induced by IL-2 and IL-12 in a human NK cell line. J Leukoc Biol 58:225-233.
Yoshoiko T, Kawada K, Shimada T (1979) Lipid peroxidation in maternal and cord blood and protective mechanism against actived-oxygen toxicity in the blood. Am J Obset Gynecol 135:372-376.
Yuki K, Soriano SG, Shimaoka M (2011) Sedative drug modulates T-cell and lymphocyte function-associated antigen-1 function. Anesth Analg 112:830-838.
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