OBJECTIVE
We examined effects of isoflurane, volatile anesthetics, on blood-brain barrier disruption in the endovascular perforation model of subarachnoid hemorrhage (SAH) in mice.
METHODS
Animals were assigned to sham-operated, SAH+vehicle-air, SAH+<em>1</em>%, or 2% isoflurane groups. Neurobehavioral function, brain water content, Evans blue dye extravasation, and Western blotting for <em>sphingosine</em> kinases, occludin, claudin-5, junctional adhesion molecule, and vascular endothelial cadherin were evaluated at 24 hours post-SAH. Effects of <em>sphingosine</em> kinase (N,N-dimethyl<em>sphingosine</em>) or <em>sphingosine</em>-<em>1</em>-<em>phosphate</em> receptor-<em>1</em>/3 (S<em>1</em>P<em>1</em>/3) inhibitors (VPC230<em>1</em>9) on isoflurane's action were also examined.
RESULTS
SAH aggravated neurological scores, brain edema, and blood-brain barrier permeability, which were prevented by 2% but not <em>1</em>% isoflurane posttreatment. Two percent isoflurane increased <em>sphingosine</em> kinase-<em>1</em> expression and prevented a post-SAH decrease in expressions of the blood-brain barrier-related proteins. Both N,N-dimethyl<em>sphingosine</em> and VPC230<em>1</em>9 abolished the beneficial effects of isoflurane.
CONCLUSIONS
Two percent isoflurane can suppress post-SAH blood-brain barrier disruption, which may be mediated by <em>sphingosine</em> kinase <em>1</em> expression and <em>sphingosine</em>-<em>1</em>-<em>phosphate</em> receptor-<em>1</em>/3 activation.