Intravenous application of a primary sevoflurane metabolite improves outcome in murine septic peritonitis: first results

PLoS One. 2013 Aug 19;8(8):e72057. doi: 10.1371/journal.pone.0072057. eCollection 2013.

Abstract

Volatile anesthetics are known to have immunomodulatory effects in conditions of organ injury. A recent study in an experimental sepsis model has shown remarkably improved survival when mice were exposed to volatile anesthetics. In the present study, we show that hexafluoroisopropanol - a water-soluble primary sevoflurane metabolite - has beneficial effects on the overall survival in a murine model of cecal ligation and puncture. Seven-day survival as well as tissue damage markers including transaminases and high mobility group box protein-1 were assessed as measures of end organ damage. In animals undergoing cecal ligation and puncture procedure hexafluoroisopropanol conditioning - but not late postconditioning 24 hours after sepsis induction - significantly increased survival rate (17% vs. 77%, p = 0.037) and attenuated secretion of organ damage markers. This study shows survival benefits by administration of the metabolite of a volatile anesthetic. If successfully translated, hexafluoroisopropanol might offer interesting therapeutic opportunities in the future treatment of abdominal sepsis.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Intravenous
  • Animals
  • Biomarkers / blood
  • Blood Urea Nitrogen
  • Cecum / pathology
  • Drug Evaluation, Preclinical
  • HMGB1 Protein / blood
  • Immunologic Factors / administration & dosage*
  • Kaplan-Meier Estimate
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Peritonitis / drug therapy*
  • Peritonitis / immunology
  • Peritonitis / metabolism
  • Propanols / administration & dosage*
  • Sepsis / drug therapy*
  • Sepsis / immunology
  • Sepsis / metabolism
  • Transaminases / blood
  • Treatment Outcome

Substances

  • Biomarkers
  • HMGB1 Protein
  • HMGB1 protein, mouse
  • Immunologic Factors
  • Propanols
  • hexafluoroisopropanol
  • Transaminases