B ackground : This study aimed to explore whether autophagy can attenuate postoperative cognitive dysfunction (POCD) by up-regulating cystatin C (CysC) in aged rats undergoing splenectomy. Methods : Rats were randomized into four groups ( n = 10 per group): normal control (CON), surgery (SUR), surgery + rapamycin (autophagy inducer) at 1.0 mg/kg/d (RAP), and surgery + 3-methyladenine (autophagy inhibitor) at 3.0 mg/kg/d (3-MA). Treatments were carried out for four weeks.Postoperative learning and memory were assessed using the Morris water maze. Hippocampal expression of the autophagy-related proteins ATG5, LC-3B, Beclin1, and p62 as well as Cys C was assayed using Western blotting and real-time polymerase chain reaction. Results: SUR animals showed higher levels of autophagy and higher expression of autophagy proteins and Cys C than CON animals. These levels were even higher in RAP animals, which also showed lower levels of the inflammatory factors IL-1β, IL-6 and TNF-α than the other groups. Learning and memory functions were higher in RAP animals than in the other groups on days 5 and 7. Effects of 3-MA were opposite to those of RAP. Conclusion : Autophagy improves learning and memory in aged rats following splenectomy, which may involve up-regulation of Cys C and attenuation of neuro-inflammation.
BackgroundAutophagy, a self-degradation progress involving the lysosome system, helps maintain cell homeostasis, e.g. following exposure to injury, and its dysregulation can contribute to many diseases [1]. During autophagy, autophagy gene-related protein complexes induce the conjugation of microtubule-associated protein 1A/1B-light chain 3 (LC3B-I) to phosphatidylethanolamine to form LC3B-II, which helps form autophagosomes [2,3]. LC3B interacts with sequestosome-1/p62 and sorts cytosolic cargo via a ubiquitin binding domain [4]. Mammalian target of rapamycin and Beclin1 are also key molecules that support different steps of autophagy [5].One way to dysregulate autophagy is dysregulation of cystatin C (Cys C). This member of the cysteine protease inhibitor superfamily 2 is expressed in all eukaryotic cells, and it protects cells from inappropriate proteolysis [6]. Deficiency of Cys C in apoE -/mice disrupts autophagy and induces macrophage apoptosis [7]. Conversely, Cys C-mediated activation of autophagy in neurons prevents