PMID: 19114362Dec 31, 2008Paper

Effects of neuraxial block and general anesthesia on tumor metastasis in rats

Nan fang yi ke da xue xue bao = Journal of Southern Medical University
Wei ZhengXu-dong Wang

Abstract

To investigate the effects of different anesthesia methods on immune surveillance and tumor metastasis in tumor-bearing rats. Seventy-two Fischer 344 rats were randomly assigned into 3 equal groups and anesthetized for 1 h with ketamine (group K), propofol (group P), or neuraxial block (group B). All the rats were subjected to laparotomy followed by intravenous injection of MADB106 tumor cells, and 24 h after the injection, the number and activity of circulating CD3(+), CD4(+), CD8(+), and D4(+)/CD8(+) lymphocyte subsets and NK cellèCD161a(+)éwere assessed. Three weeks later, the lung metastases were counted. Compared with those in group B, the numbers of CD3(+), CD4(+), CD8(+), and CD161a(+) lymphocytes and the activity of circulating NK cells were significantly reduced, and the lung metastases of MADB106 increased significantly in groups K and P (P<0.05 or 0.01 ). The activity of immune surveillance in group K was significantly lower than that in group P except for CD8(+) cells, and the tumor metastases in group K increased significantly in comparison with those in group P (P<0.05 or 0.01). Neuraxial block provides protection of the activity of immune surveillance and reduces tumor metastases in tumor-bearing rats compared wi...Continue Reading

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