Effects of Dexmedetomidine on Immune Cells: A Narrative Review

被引:20
作者
Chen, Rui [1 ,2 ]
Sun, Yan [1 ,2 ]
Lv, Jing [1 ,2 ]
Dou, Xiaoke [1 ,2 ]
Dai, Maosha [1 ,2 ]
Sun, Shujun [1 ,2 ]
Lin, Yun [1 ,2 ]
机构
[1] Huazhong Univ Sci & Technol, Union Hosp, Inst Anesthesia & Crit Care Med, Tongji Med Coll, Wuhan, Peoples R China
[2] Huazhong Univ Sci & Technol, Union Hosp, Tongji Med Coll, Dept Anesthesiol, Wuhan, Peoples R China
关键词
dexmedetomidine; immune cells; innate immune response; adaptive immune response; inflammatory factors; REGULATORY T-CELLS; MAST-CELLS; PERIOPERATIVE PERIOD; CYTOKINE LEVELS; ADRENERGIC REGULATION; PERIPHERAL-BLOOD; FAMILY CYTOKINES; STRESS-RESPONSE; DOUBLE-BLIND; INFLAMMATION;
D O I
10.3389/fphar.2022.829951
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
As we all know, dexmedetomidine (DEX), as a highly selective alpha(2) adrenergic receptor agonist, exerts sedative, anti-anxiety and hypnotic effects by inhibiting the discharge of norepinephrine neurons in locus coeruleus and GABA-related hypnotic pathways. However, the role of DEX in anti-inflammatory and immune regulation has gradually attracted the attention of researchers in recent years. The alpha(2) adrenergic receptor is one of the members of the adrenergic receptor family, which is widely present in a variety of immune cells and mediates the biological behavior of the inflammatory immune system. At present, there have been more and more studies on the effects of DEX on immune cells and inflammatory responses, but few studies have systematically explored the anti-inflammatory and immunomodulatory effects of DEX. Here, we comprehensively review the published human and animal studies related to DEX, summarize the effects of DEX on immune cells and its role in related diseases, and propose potential research direction.
引用
收藏
页数:12
相关论文
共 116 条
[21]  
Dahl R, 1991, Allerg Immunol (Paris), V23, P429
[22]   Monocyte Chemoattractant Protein-1 (MCP-1): An Overview [J].
Deshmane, Satish L. ;
Kremlev, Sergey ;
Amini, Shohreh ;
Sawaya, Bassel E. .
JOURNAL OF INTERFERON AND CYTOKINE RESEARCH, 2009, 29 (06) :313-326
[23]  
Dong W, 2017, EUR REV MED PHARMACO, V21, P3510
[24]   Misdirected Sympathy: The Role of Sympatholysis in Sepsis and Septic Shock [J].
Ferreira, Jason A. ;
Bissell, Brittany D. .
JOURNAL OF INTENSIVE CARE MEDICINE, 2018, 33 (02) :74-86
[25]   The effect of dexmedetomidine and clonidine on the inflammatory response in critical illness: a systematic review of animal and human studies [J].
Flanders, Charles A. ;
Rocke, Alistair S. ;
Edwardson, Stuart A. ;
Baillie, J. Kenneth ;
Walsh, Timothy S. .
CRITICAL CARE, 2019, 23 (01)
[26]   Regulation of phagocytic process of macrophages by noradrenaline and its end metabolite 4-hydroxy-3-metoxyphenyl-glycol.: Role of α- and β-adrenoreceptors [J].
García, JJ ;
Sáez, MD ;
De la Fuente, M ;
Ortega, E .
MOLECULAR AND CELLULAR BIOCHEMISTRY, 2003, 254 (1-2) :299-304
[27]   IL-17 family: Cytokines, receptors and signaling [J].
Gu, Chunfang ;
Wu, Ling ;
Li, Xiaoxia .
CYTOKINE, 2013, 64 (02) :477-485
[28]   Effect of dexmedetomidine, midazolam, and propofol on lipopolysaccharide-stimulated dendritic cells [J].
Guo, Feng ;
Ding, Ying ;
Yu, Xue ;
Cai, Xiujun .
EXPERIMENTAL AND THERAPEUTIC MEDICINE, 2018, 15 (06) :5487-5494
[29]  
Guo Ning-Hong, 2010, Zhonghua Xue Ye Xue Za Zhi, V31, P610
[30]   Effects of dexmedetomidine on immune response in patients undergoing radical and reconstructive surgery for oral cancer [J].
Huang, Lili ;
Qin, Chuanqi ;
Wang, Li ;
Zhang, Tiejun ;
Li, Jianguo .
ONCOLOGY LETTERS, 2021, 21 (02)