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Low-concentration sevoflurane in treating MK801-induced schizophrenia mice model and a feasibility study of schizophrenia patients
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  • Tianyun Zhao,
  • Ziwen Shi,
  • Nongxi Ling,
  • Ying Xu,
  • Jingwen Qin,
  • Quancai Zhou,
  • Lingzhi Wu,
  • Yuansheng Wang,
  • Wei Wei,
  • Chuansong Lin,
  • Daqing Ma,
  • Xingrong Song
Tianyun Zhao
Guangzhou Medical University
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Ziwen Shi
Guangzhou Medical University
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Nongxi Ling
The Third People's Hospital of Xinhui District
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Ying Xu
Guangdong HongKong Macau Institute of CNS Regeneration
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Jingwen Qin
Guangzhou Medical University
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Quancai Zhou
The Third People's Hospital of Xinhui District
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Lingzhi Wu
Imperial College London
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Yuansheng Wang
Affiliated Jiangmen Hospital of Sun Yat-Sen University
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Wei Wei
Guangzhou Medical University
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Chuansong Lin
The Third People's Hospital of Xinhui District
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Daqing Ma
Imperial College London

Corresponding Author:[email protected]

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Xingrong Song
Guangzhou Medical University
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Abstract

GABAergic deficiency contributes the pathophysiology of schizophrenia. The present study investigates the therapeutic effectiveness of low-concentration sevoflurane, a volatile anesthetic with GABAergic modulating activity, in MK801-induced schizophrenia-like mice and schizophrenia patients. Three weeks after MK801 administration (0.5 mg/kg, twice/day, 5 days), mice were exposed to 1% sevoflurane 1hr/day for 5 days. Behavioral tests, immunohistochemical analysis, western blot assay and electrophysiology assessments were performed 1week post-exposure. Ten schizophrenia patients received 5hr sevoflurane (0.5%-1.2%) for 6 days, and were assessed with PANSS and the BPRS-18 at week 1 and week 2. MK801 induced social deficits, downregulated expression of NMDARs subunits and postsynaptic density protein 95 (PSD95), reduced parvalbumin- and GAD67-positive neurons, altered the amplitude and frequency of mEPSC (miniature excitatory postsynaptic current) and mIPSC (miniature inhibitory postsynaptic current), and increased the excitation/inhibition ratio; all of which were attenuated by sevoflurane. Sevoflurane also significantly ameliorated schizophrenia symptoms in patients at 1st and 2nd week post-inhalation. Our work demonstrated that low-concentration sevoflurane inhalation effectively reversed MK801-induced schizophrenia-like disease in mice and alleviated clinical symptoms of schizophrenia in patients, highlighting sevoflurane as a potential therapy for the management of schizophrenia.