# Mechanisms of anesthetic-induced synaptic plasticity

> **NIH NIH R01** · WEILL MEDICAL COLL OF CORNELL UNIV · 2020 · $336,305

## Abstract

Project Summary
Genetic polymorphisms have recently emerged as risk factors for neurocognitive disorder (NCD) following
anesthesia and surgery, but there is a gap in our understanding whether or how synaptic dysfunction plays a
role in these cognitive deficits. Such knowledge is critical to assessing the risk of necessary medical procedures
that require anesthesia, particularly in vulnerable populations. The long-term goal of this proposal is to define the
cellular and molecular mechanisms of sustained general anesthetic actions on synaptic plasticity. The overall
objective in this application is to identify signaling pathways involved in persistent structural dendritic spine
changes following anesthetic exposure. Dendritic spines are postsynaptic structures on mature synapses that
are critical for learning and memory and are associated with cognitive and developmental dysfunction in multiple
neurological disorders. The central hypothesis is that general anesthetics reduce brain-derived neurotrophic
factor (BDNF) release, resulting in impaired presynaptic function, alterations in dendritic spine structure, and
deficits in neuronal activity and spatial learning and memory. This hypothesis has been formulated on the basis
of preliminary data obtained in the applicant’s laboratory. The rationale for the proposed research is that, once it
is known how anesthetics induce permanent spine loss, pharmacological manipulation of these molecular targets
during anesthesia or design of new anesthetic agents that avoid these effects will be possible. Guided by
compelling preliminary data, this hypothesis will be tested by three specific aims: 1) Identify the role of BDNF in
reducing synaptic vesicle (SV) exocytosis by volatile anesthetics; 2) Define the role of BDNF in volatile anesthetic-
induced changes on dendritic spine density and morphology; and 3) Elucidate the role of BDNF in isoflurane-
induced effects on hippocampal-dependent synaptic plasticity. For Aim 1, proven optogenetic biosensors (BDNF-
pH, vGlut1-pH and the Ca2+ indicator GCaMP6), already established as feasible in the applicant’s hands, will be
used to test anesthetic effects on BDNF release and the impact of these changes on inhibition of Ca2+ entry and
SV exocytosis. For Aim 2, structural spine changes due to reduced BDNF will be investigated in dissociated
hippocampal cultures and intact brain slices using time-lapse fluorescence microscopy and Golgi staining,
respectively. For Aim 3, the functional outcome of reduced BDNF signaling by isoflurane on real-time neuronal
activity corresponding to impairments in learning and memory will be assessed with fiber photometry and
behavioral testing. These functional and structural studies will be conducted with or using neurons or slices from
transgenic mice with reduced BDNF secretion due to a common human polymorphism (Val66Met) recently
identified as a risk factor for NCD. This model provides an innovative approach to elucidate mechanisms
underl...

## Key facts

- **NIH application ID:** 9978077
- **Project number:** 5R01GM130722-02
- **Recipient organization:** WEILL MEDICAL COLL OF CORNELL UNIV
- **Principal Investigator:** Jimcy Platholi
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $336,305
- **Award type:** 5
- **Project period:** 2019-08-01 → 2024-04-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9978077

## Citation

> US National Institutes of Health, RePORTER application 9978077, Mechanisms of anesthetic-induced synaptic plasticity (5R01GM130722-02). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/9978077. Licensed CC0.

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