Digital repository of Slovenian research organisations

Show document
A+ | A- | Help | SLO | ENG

Title:Optimised anaesthesia in abdominal cancer surgery does not prevent increase in biomarkers of neuroinflammation
Authors:ID Jenko, Matej (Author)
ID Jerin, Aleš (Author)
ID Spindler-Vesel, Alenka (Author)
Files:.pdf PDF - Presentation file, download (351,40 KB)
MD5: 9B7B7C1EC685AE0410996C310C1658B7
 
URL URL - Source URL, visit https://doi.org/10.17344/acsi.2024.8901
 
Language:English
Typology:1.01 - Original Scientific Article
Organization:Logo UKC LJ - Ljubljana University Medical Centre
Abstract:Neurocognitive decline during the perioperative period represents a risk of significant complications, including dementia and death. The aim of our study was to observe the change in biomarkers of neuroinflammation in optimized anesthesia without clinical signs of perioperative neurocognitive decline. Observational study included high-risk surgical patients who underwent large intestinal resections. Balanced anaesthesia was used to maximize cerebral protection. The release of NSE, protein S-100, matrix metalloproteinase-9 (MMP-9) and other biomarkers of cerebral injury were measured in serum samples using immunochemical methods during and after surgery. Profiles of proteins MMP-9 and S-100 showed perioperative increase, which was in accordance with intraoperative cerebral injury. Despite the increase, the S-100 and NSE plasma levels remained within normal range. The study highlights the perioperative expression of proteins MMP-9 and S-100, which might be useful as biomarkers of cerebral injury in the context of balanced anesthesia during major abdominal surgery.
Keywords:biomarkers, abdominal cancer surgery, anaesthesia
Publication status:Published
Publication version:Version of Record
Year of publishing:2025
Number of pages:str. 45-51
Numbering:Vol. 72, no. 1
PID:20.500.12556/DiRROS-27921 New window
UDC:61
ISSN on article:1580-3155
DOI:10.17344/acsi.2024.8901 New window
COBISS.SI-ID:236495363 New window
Note:Nasl. z nasl. zaslona; Opis vira z dne 20. 5. 2025;
Publication date in DiRROS:27.02.2026
Views:164
Downloads:47
Metadata:XML DC-XML DC-RDF
:
Copy citation
  
Share:Bookmark and Share


Hover the mouse pointer over a document title to show the abstract or click on the title to get all document metadata.

Record is a part of a journal

Title:Acta chimica slovenica
Shortened title:Acta chim. slov.
Publisher:Slovensko kemijsko društvo, = Slovenian Chemical Society
ISSN:1580-3155
COBISS.SI-ID:21870085 New window

Licences

License:CC BY 4.0, Creative Commons Attribution 4.0 International
Link:http://creativecommons.org/licenses/by/4.0/
Description:This is the standard Creative Commons license that gives others maximum freedom to do what they want with the work as long as they credit the author.

Secondary language

Language:Slovenian
Abstract:Perioperativni nevrokognitivni upad predstavlja za bolnike tveganje za resne zaplete, vključno z demenco in celo smrtjo. Namen naše študije je bil opazovati spremembe v koncentracijah biomarkerjev nevroinflammacije, ob uporabi optimizirane anestezije in brez kliničnih znakov perioperativnega neurokognitivnega upada. V našo observacijsko študijo smo vključili kirurške bolnike z visokim tveganjem za zaplete, ki so prestali obsežne resekcije debelega črevesa. Uporabili smo uravnoteženo anestezijo z namenom najboljše zaščite možganov. Med operacijo in po njej smo v serumskih vzorcih z uporabo imunokemičnih metodmerili koncentracijo NSE, proteina S-100, matriksne metaloproteinaze-9 (MMP-9) in drugih označevalcev poškodbe možganov. Koncentracijska profila proteina MMP-9 in S-100 sta bila skladna z možnostjo medoperativne poškodbe možganov. Kljub porastu so vrednosti S-100 in NSE v plazmi ostale znotraj normalnega ob-močja. Koncentracija NSE je celo upadla, verjetno zaradi intraoperativne infuzije. Naša študija je pokazala, da uporaba nevroprotektivne anestezije lahko zmanjša stopnjo vnetja. Študija poudarja izražanje proteinov MMP-9 in S-100 kot možnih označevalcev možganske poškodbe v kontekstu uravnotežene anestezije med večjimi trebušnimi operacijami.
Keywords:biomarkerji, nevro vnetje, koncentracija, anastezija


Back