Abstract:Objective To observe the effect of propofol on the mitochondrial damage of hippocampal neurons in hypoxic rats through the hypoxia-inducible factor-1α/extracellular regulatory kinase (HIF-1α/ERK) pathway.Method Newborn SD rats were cultured in vitro with primary hippocampal neurons and randomly divided into 6 groups, hypoxia group (low glucose DMEM medium), LP group, MP group, HP group (final concentrations of 3, 6, 12 mg/L, respectively) propofol low-sugar DMEM culture medium), and U0126 group (final concentration of 12 mg/L propofol + 50 μmol/L U0126 low-sugar DMEM culture medium), cultured under hypoxia for 24 hours. The control group (high-sugar DMEM medium) was cultured for 24 hours under aerobic conditions. The morphology of hippocampal neurons in each group was observed by transmission electron microscope. Cell survival rate was detected by MTT method. Ca2+ and reactive oxygen species (ROS) content were detected by laser confocal microscope. The activity of calcineurin (GaN) in cells was detected by ELISA. The protein expressions of HIF-1α, ERK1/2, p-ERK1/2, and aspartate specific cysteine protease 3 (Caspase-3) were detected by Western blotting.Results The mitochondrial damage in the hypoxia group was severe, and the mitochondrial damage in the LP, MP, and HP groups were all reduced. The HP group had the most significant reduction. The U0126 group had more severe mitochondrial damage than the HP group. Compared with the hippocampal neuron survival rate (42.30 ±3.64)% in the hypoxia group, the MP group (59.54 ± 5.19) %, the HP group (70.81 ± 6.47) %, and the U0126 group (53.08 ± 5.61) % all increased, and the HP group Higher than MP group and U0126 group (P < 0.05). Compared with the fluorescence intensity of Ca2+ and ROS [ (0.107 ± 0.004), (0.087 ± 0.003) ] in the hypoxia group, the fluorescence intensity of ROS in the LP group (0.078 ± 0.003) and the Ca2+ fluorescence intensity in the MP, HP, and U0126 groups [ (0.085 ± 0.003), (0.067 ± 0.002), (0.090 ± 0.003) ], ROS fluorescence intensity [ (0.060 ± 0.002), (0.051 ± 0.005), (0.076 ± 0.003) ] all decreased (P < 0.05), and the HP group was lower than MP group and U0126 group (P < 0.05). Compared with the GaN activity (0.61 ± 0.05) U/mg in the hypoxia group, the MP group, HP group, and U0126 group [ (0.50 ± 0.05) U/mg, (0.37 ± 0.04) U/mg, (0.54 ± 0.04) U/mg] decreased, and HP group was lower than MP group and U0126 group (P < 0.05). Compared with the hypoxia group, the relative expression of HIF-1α and p-ERK1/2 protein in the LP group, MP group, HP group, and U0126 group increased, and the HP group was higher than the LP group, MP group, and U0126 group (P < 0.05); Compared with the hypoxia group, the relative expression of Caspase-3 protein in the LP, MP, HP, and U0126 groups decreased, and the HP group was lower than the LP, MP, and U0126 groups (P < 0.05).Conclusion Propofol can reduce mitochondrial damage of hippocampal neurons in hypoxic rats, and its regulatory mechanism may be related to the HIF-1α/ERK pathway.