Remimazolam Protects Against LPS-Induced Endotoxicity Improving Survival of Endotoxemia Mice

Remimazolam is a new benzodiazepine of sedative drugs with an ultra-short-acting anesthetic effect, commonly used for critically ill patients (especially septic patients) in intensive care units (ICUs). Although some anesthetics have been reported to show certain anti-inflammatory effects, the role...

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Autores principales: Xiaolei Liu, Shaoping Lin, Yiyue Zhong, Jiaojiao Shen, Xuedi Zhang, Shuhua Luo, Li Huang, Liangqing Zhang, Shuangnan Zhou, Jing Tang
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/39dc35741fbf49b39b3b6c74f0eb05d4
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spelling oai:doaj.org-article:39dc35741fbf49b39b3b6c74f0eb05d42021-11-19T13:35:10ZRemimazolam Protects Against LPS-Induced Endotoxicity Improving Survival of Endotoxemia Mice1663-981210.3389/fphar.2021.739603https://doaj.org/article/39dc35741fbf49b39b3b6c74f0eb05d42021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fphar.2021.739603/fullhttps://doaj.org/toc/1663-9812Remimazolam is a new benzodiazepine of sedative drugs with an ultra-short-acting anesthetic effect, commonly used for critically ill patients (especially septic patients) in intensive care units (ICUs). Although some anesthetics have been reported to show certain anti-inflammatory effects, the role of remimazolam in inflammation is still remained unknown. Here, we studied the effects of remimazolam on macrophage in response to LPS both in vivo and in vitro. Interestingly, compared with LPS treatment group, remimazolam remarkably improved survival rate of endotoxemia mice and decreased the release of LPS-induced inflammatory mediators (such as TNF-α, IL-6, and IL-1β). We further found that remimazolam not only inhibited the activation of MAPK signal pathway at 15 min after LPS treatment but also disturbed Rab5a related TLR4 expression at cell surface in response to LPS at a later time. Such evidence suggests that remimazolam might be beneficial to septic patients who are suffering from uncontrolled inflammatory responses.Xiaolei LiuShaoping LinYiyue ZhongJiaojiao ShenXuedi ZhangShuhua LuoLi HuangLiangqing ZhangShuangnan ZhouJing TangFrontiers Media S.A.articlebenzodiazepineendotoxemiainflammatoryremimazolamTLR4Therapeutics. PharmacologyRM1-950ENFrontiers in Pharmacology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic benzodiazepine
endotoxemia
inflammatory
remimazolam
TLR4
Therapeutics. Pharmacology
RM1-950
spellingShingle benzodiazepine
endotoxemia
inflammatory
remimazolam
TLR4
Therapeutics. Pharmacology
RM1-950
Xiaolei Liu
Shaoping Lin
Yiyue Zhong
Jiaojiao Shen
Xuedi Zhang
Shuhua Luo
Li Huang
Liangqing Zhang
Shuangnan Zhou
Jing Tang
Remimazolam Protects Against LPS-Induced Endotoxicity Improving Survival of Endotoxemia Mice
description Remimazolam is a new benzodiazepine of sedative drugs with an ultra-short-acting anesthetic effect, commonly used for critically ill patients (especially septic patients) in intensive care units (ICUs). Although some anesthetics have been reported to show certain anti-inflammatory effects, the role of remimazolam in inflammation is still remained unknown. Here, we studied the effects of remimazolam on macrophage in response to LPS both in vivo and in vitro. Interestingly, compared with LPS treatment group, remimazolam remarkably improved survival rate of endotoxemia mice and decreased the release of LPS-induced inflammatory mediators (such as TNF-α, IL-6, and IL-1β). We further found that remimazolam not only inhibited the activation of MAPK signal pathway at 15 min after LPS treatment but also disturbed Rab5a related TLR4 expression at cell surface in response to LPS at a later time. Such evidence suggests that remimazolam might be beneficial to septic patients who are suffering from uncontrolled inflammatory responses.
format article
author Xiaolei Liu
Shaoping Lin
Yiyue Zhong
Jiaojiao Shen
Xuedi Zhang
Shuhua Luo
Li Huang
Liangqing Zhang
Shuangnan Zhou
Jing Tang
author_facet Xiaolei Liu
Shaoping Lin
Yiyue Zhong
Jiaojiao Shen
Xuedi Zhang
Shuhua Luo
Li Huang
Liangqing Zhang
Shuangnan Zhou
Jing Tang
author_sort Xiaolei Liu
title Remimazolam Protects Against LPS-Induced Endotoxicity Improving Survival of Endotoxemia Mice
title_short Remimazolam Protects Against LPS-Induced Endotoxicity Improving Survival of Endotoxemia Mice
title_full Remimazolam Protects Against LPS-Induced Endotoxicity Improving Survival of Endotoxemia Mice
title_fullStr Remimazolam Protects Against LPS-Induced Endotoxicity Improving Survival of Endotoxemia Mice
title_full_unstemmed Remimazolam Protects Against LPS-Induced Endotoxicity Improving Survival of Endotoxemia Mice
title_sort remimazolam protects against lps-induced endotoxicity improving survival of endotoxemia mice
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/39dc35741fbf49b39b3b6c74f0eb05d4
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AT shaopinglin remimazolamprotectsagainstlpsinducedendotoxicityimprovingsurvivalofendotoxemiamice
AT yiyuezhong remimazolamprotectsagainstlpsinducedendotoxicityimprovingsurvivalofendotoxemiamice
AT jiaojiaoshen remimazolamprotectsagainstlpsinducedendotoxicityimprovingsurvivalofendotoxemiamice
AT xuedizhang remimazolamprotectsagainstlpsinducedendotoxicityimprovingsurvivalofendotoxemiamice
AT shuhualuo remimazolamprotectsagainstlpsinducedendotoxicityimprovingsurvivalofendotoxemiamice
AT lihuang remimazolamprotectsagainstlpsinducedendotoxicityimprovingsurvivalofendotoxemiamice
AT liangqingzhang remimazolamprotectsagainstlpsinducedendotoxicityimprovingsurvivalofendotoxemiamice
AT shuangnanzhou remimazolamprotectsagainstlpsinducedendotoxicityimprovingsurvivalofendotoxemiamice
AT jingtang remimazolamprotectsagainstlpsinducedendotoxicityimprovingsurvivalofendotoxemiamice
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