Evidence map›Paper›PMID 34254587›Full record

ArticleeLife2021

Mechanisms underlying neonate-specific metabolic effects of volatile anesthetics.

Julia Stokes, Arielle Freed, Rebecca Bornstein, Kevin N Su, John Snell, Amanda Pan, Grace X Sun, Kyung Yeon Park, Sangwook Jung, Hailey Worstman and 4 more

Open access · goldAbstract read
In one paragraph

Article in eLife, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.3field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
  2. Article
  3. A simple, anesthesia-free infusion technique forbioRxiv : the preprint server for biology · 2025
    Article
  4. Resting-State Functional MRI and PET Imaging as Noninvasive Tools to Study (Ab)Normal Neurodevelopment in Humans and Rodents.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2023
    Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Neonatal Anesthesia and Oxidative Stress.Antioxidants (Basel, Switzerland) · 2022
    Review
  10. Review
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 1 country.

Julia Stokes *Center for Integrative Brain Research, Seattle Children's Research Institute, Seattle, United States.
Arielle Freed *Center for Integrative Brain Research, Seattle Children's Research Institute, Seattle, United States.
Rebecca Bornstein *Department of Pathology, University of Washington, Seattle, United States.
Kevin N SuDepartment of Anesthesiology and Pain Medicine, University of Washington, Seattle, United States.
John SnellCenter for Integrative Brain Research, Seattle Children's Research Institute, Seattle, United States.
Amanda PanCenter for Integrative Brain Research, Seattle Children's Research Institute, Seattle, United States.
Grace X SunCenter for Integrative Brain Research, Seattle Children's Research Institute, Seattle, United States.
Kyung Yeon ParkCenter for Integrative Brain Research, Seattle Children's Research Institute, Seattle, United States.
Sangwook JungCenter for Integrative Brain Research, Seattle Children's Research Institute, Seattle, United States.
Hailey WorstmanCenter for Integrative Brain Research, Seattle Children's Research Institute, Seattle, United States.
Brittany M JohnsonCenter for Integrative Brain Research, Seattle Children's Research Institute, Seattle, United States.
Philip G MorganCenter for Integrative Brain Research, Seattle Children's Research Institute, Seattle, United States.ORCID 0000-0003-4857-2756
Margaret M SedenskyCenter for Integrative Brain Research, Seattle Children's Research Institute, Seattle, United States.
Simon C JohnsonCenter for Integrative Brain Research, Seattle Children's Research Institute, Seattle, United States.ORCID 0000-0002-1942-3674
Seattle University · USUniversity of Washington · US

Funding

Volatile Anesthetics and Metabolism Administrative Supplement for EquipmentR35GM139566 · NIGMS · SEATTLE CHILDREN'S HOSPITAL · PI MORGAN, PHILIP G · 2021 to 2025
$4.2M
Anesthetic neurotoxicity is controlled by ER-stressR01GM118514 · NIGMS · SEATTLE CHILDREN'S HOSPITAL · PI MORGAN, PHILIP G · 2017 to 2020
$1.5M
The role of ketone metabolism in sequelae resulting from volatile anesthetic exposure.R01GM133865 · NIGMS · SEATTLE CHILDREN'S HOSPITAL · PI JOHNSON, SIMON C · 2019 to 2022
$1.5M
The role of mTOR in mitochondrial encephalopathyR00GM126147 · NIGMS · SEATTLE CHILDREN'S HOSPITAL · PI JOHNSON, SIMON C · 2019 to 2021
$747k
NIGMS NIH HHS R00 GM126147NIGMS NIH HHS R01 GM118514NIGMS NIH HHS R01 GM133865
6 · The paper itself

Abstract

Volatile anesthetics (VAs) are widely used in medicine, but the mechanisms underlying their effects remain ill-defined. Though routine anesthesia is safe in healthy individuals, instances of sensitivity are well documented, and there has been significant concern regarding the impact of VAs on neonatal brain development. Evidence indicates that VAs have multiple targets, with anesthetic and non-anesthetic effects mediated by neuroreceptors, ion channels, and the mitochondrial electron transport chain. Here, we characterize an unexpected metabolic effect of VAs in neonatal mice. Neonatal blood β-hydroxybutarate (β-HB) is rapidly depleted by VAs at concentrations well below those necessary for anesthesia. β-HB in adults, including animals in dietary ketosis, is unaffected. Depletion of β-HB is mediated by citrate accumulation, malonyl-CoA production by acetyl-CoA carboxylase, and inhibition of fatty acid oxidation. Adults show similar significant changes to citrate and malonyl-CoA, but are insensitive to malonyl-CoA, displaying reduced metabolic flexibility compared to younger animals.

Indexed as

3-Hydroxybutyric AcidAcetyl-CoA CarboxylaseAnestheticsAnimalsCitratesCitric AcidFatty AcidsFemaleGlucoseHypoglycemiaIsofluraneKetosisMaleMalonyl Coenzyme AMiceMice, Inbred C57BL3-Hydroxybutyric AcidAcetyl-CoA CarboxylaseAnestheticsCitratesCitric AcidFatty AcidsGlucoseIsofluraneMalonyl Coenzyme Aanesthesiafatty acid oxidationketogenesismedicinemetabolismmitochondriamouseneonate

Identifiers

PMID34254587
PMCPMC8291971
OpenAlexW3178080030

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.