Plasma neurological biomarkers as a measure of neurotoxicity in pediatric dental general anesthesia: a prospective observational feasibility study
<h3>Purpose</h3><p dir="ltr">Neurotoxicity concerns have been raised over general anesthesia and sedation medication use in children. Such concerns are largely based on animal studies, historical anesthetic agents, and assessment tools, thus warranting further investigati...
محفوظ في:
| المؤلف الرئيسي: | |
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| مؤلفون آخرون: | , , , , , , , , |
| منشور في: |
2024
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| الموضوعات: | |
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| _version_ | 1864513543048527872 |
|---|---|
| author | S. Chakithandy (21841454) |
| author2 | H. Nazzal (14152233) M. Matoug-Elwerfelli (17788988) S. Narasimhan (17788991) S. Uddin (1783291) K. S. Prabhu (21841457) L. Zarif (21841460) N. Mumtaz (21841463) A. Sharma (5739) M. Al-Khelaifi (21841466) |
| author2_role | author author author author author author author author author |
| author_facet | S. Chakithandy (21841454) H. Nazzal (14152233) M. Matoug-Elwerfelli (17788988) S. Narasimhan (17788991) S. Uddin (1783291) K. S. Prabhu (21841457) L. Zarif (21841460) N. Mumtaz (21841463) A. Sharma (5739) M. Al-Khelaifi (21841466) |
| author_role | author |
| dc.creator.none.fl_str_mv | S. Chakithandy (21841454) H. Nazzal (14152233) M. Matoug-Elwerfelli (17788988) S. Narasimhan (17788991) S. Uddin (1783291) K. S. Prabhu (21841457) L. Zarif (21841460) N. Mumtaz (21841463) A. Sharma (5739) M. Al-Khelaifi (21841466) |
| dc.date.none.fl_str_mv | 2024-04-22T09:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1007/s40368-024-00884-9 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Plasma_neurological_biomarkers_as_a_measure_of_neurotoxicity_in_pediatric_dental_general_anesthesia_a_prospective_observational_feasibility_study/29714996 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Dentistry Neurosciences Paediatrics Biomarkers General anesthesia Neurotoxicity Pediatric dentistry |
| dc.title.none.fl_str_mv | Plasma neurological biomarkers as a measure of neurotoxicity in pediatric dental general anesthesia: a prospective observational feasibility study |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Purpose</h3><p dir="ltr">Neurotoxicity concerns have been raised over general anesthesia and sedation medication use in children. Such concerns are largely based on animal studies, historical anesthetic agents, and assessment tools, thus warranting further investigations. Blood biomarkers in detecting neuronal inflammation and apoptosis are novel methods for detecting neuronal damage. Therefore, the aim of this feasibility study was to assess the usefulness of the levels of four plasma biomarkers in dental general anesthesia (DGA) as surrogate markers of neurotoxicity in children. The secondary aim was to compare changes in motor manipulative skills pre- and post-anesthetic exposure.</p><h3>Methods</h3><p dir="ltr">This single-center prospective observational study included 22 healthy children aged between 3 and 6 years old who underwent DGA. Subclinical neurotoxicity was measured with a panel of four plasma biomarkers: Caspase-3, neuron-specific enolase (NSE), neurofilament light chain, and S100B at three time points (1; at start, 2; end and 3; on recovery from DGA). The Skillings–Mack test was used to identify the difference in the biomarker levels at three time points. Motor manipulative score assessment, prior and two weeks after DGA was also performed.</p><h3>Results</h3><p dir="ltr">A total of 22 study participants (mean age = 5 ± 1 years) were included with a median DGA duration of 106 ± 28 min. A reduction in Caspase-3 levels was recorded, with pairwise comparison over three time points, reporting a statistical significance between time point 2 vs. 1 and time point 3 vs. 1. Although fluctuations in NSE levels were recorded, no significant changes were found following pairwise comparison analysis. Among other biomarkers, no significant changes over the three periods were recorded. Furthermore, no significant changes in manipulative motor scores were reported.</p><h3>Conclusion</h3><p dir="ltr">Caspase-3 reduced significantly in the short time frames during day-care DGA; this might be due to the relatively short anesthesia duration associated with dental treatment as compared with more extensive medical-related treatments. Therefore, further studies on Caspase-3 as a potential biomarker in pediatric DGA neurotoxicity are required to further ascertain results of this study.</p><h2>Other Information</h2><p dir="ltr">Published in: European Archives of Paediatric Dentistry<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s40368-024-00884-9" target="_blank">https://dx.doi.org/10.1007/s40368-024-00884-9</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_736fc54e1d0da846790a018f04c145c3 |
| identifier_str_mv | 10.1007/s40368-024-00884-9 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/29714996 |
| publishDate | 2024 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Plasma neurological biomarkers as a measure of neurotoxicity in pediatric dental general anesthesia: a prospective observational feasibility studyS. Chakithandy (21841454)H. Nazzal (14152233)M. Matoug-Elwerfelli (17788988)S. Narasimhan (17788991)S. Uddin (1783291)K. S. Prabhu (21841457)L. Zarif (21841460)N. Mumtaz (21841463)A. Sharma (5739)M. Al-Khelaifi (21841466)Biomedical and clinical sciencesClinical sciencesDentistryNeurosciencesPaediatricsBiomarkersGeneral anesthesiaNeurotoxicityPediatric dentistry<h3>Purpose</h3><p dir="ltr">Neurotoxicity concerns have been raised over general anesthesia and sedation medication use in children. Such concerns are largely based on animal studies, historical anesthetic agents, and assessment tools, thus warranting further investigations. Blood biomarkers in detecting neuronal inflammation and apoptosis are novel methods for detecting neuronal damage. Therefore, the aim of this feasibility study was to assess the usefulness of the levels of four plasma biomarkers in dental general anesthesia (DGA) as surrogate markers of neurotoxicity in children. The secondary aim was to compare changes in motor manipulative skills pre- and post-anesthetic exposure.</p><h3>Methods</h3><p dir="ltr">This single-center prospective observational study included 22 healthy children aged between 3 and 6 years old who underwent DGA. Subclinical neurotoxicity was measured with a panel of four plasma biomarkers: Caspase-3, neuron-specific enolase (NSE), neurofilament light chain, and S100B at three time points (1; at start, 2; end and 3; on recovery from DGA). The Skillings–Mack test was used to identify the difference in the biomarker levels at three time points. Motor manipulative score assessment, prior and two weeks after DGA was also performed.</p><h3>Results</h3><p dir="ltr">A total of 22 study participants (mean age = 5 ± 1 years) were included with a median DGA duration of 106 ± 28 min. A reduction in Caspase-3 levels was recorded, with pairwise comparison over three time points, reporting a statistical significance between time point 2 vs. 1 and time point 3 vs. 1. Although fluctuations in NSE levels were recorded, no significant changes were found following pairwise comparison analysis. Among other biomarkers, no significant changes over the three periods were recorded. Furthermore, no significant changes in manipulative motor scores were reported.</p><h3>Conclusion</h3><p dir="ltr">Caspase-3 reduced significantly in the short time frames during day-care DGA; this might be due to the relatively short anesthesia duration associated with dental treatment as compared with more extensive medical-related treatments. Therefore, further studies on Caspase-3 as a potential biomarker in pediatric DGA neurotoxicity are required to further ascertain results of this study.</p><h2>Other Information</h2><p dir="ltr">Published in: European Archives of Paediatric Dentistry<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s40368-024-00884-9" target="_blank">https://dx.doi.org/10.1007/s40368-024-00884-9</a></p>2024-04-22T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s40368-024-00884-9https://figshare.com/articles/journal_contribution/Plasma_neurological_biomarkers_as_a_measure_of_neurotoxicity_in_pediatric_dental_general_anesthesia_a_prospective_observational_feasibility_study/29714996CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/297149962024-04-22T09:00:00Z |
| spellingShingle | Plasma neurological biomarkers as a measure of neurotoxicity in pediatric dental general anesthesia: a prospective observational feasibility study S. Chakithandy (21841454) Biomedical and clinical sciences Clinical sciences Dentistry Neurosciences Paediatrics Biomarkers General anesthesia Neurotoxicity Pediatric dentistry |
| status_str | publishedVersion |
| title | Plasma neurological biomarkers as a measure of neurotoxicity in pediatric dental general anesthesia: a prospective observational feasibility study |
| title_full | Plasma neurological biomarkers as a measure of neurotoxicity in pediatric dental general anesthesia: a prospective observational feasibility study |
| title_fullStr | Plasma neurological biomarkers as a measure of neurotoxicity in pediatric dental general anesthesia: a prospective observational feasibility study |
| title_full_unstemmed | Plasma neurological biomarkers as a measure of neurotoxicity in pediatric dental general anesthesia: a prospective observational feasibility study |
| title_short | Plasma neurological biomarkers as a measure of neurotoxicity in pediatric dental general anesthesia: a prospective observational feasibility study |
| title_sort | Plasma neurological biomarkers as a measure of neurotoxicity in pediatric dental general anesthesia: a prospective observational feasibility study |
| topic | Biomedical and clinical sciences Clinical sciences Dentistry Neurosciences Paediatrics Biomarkers General anesthesia Neurotoxicity Pediatric dentistry |