Does inflammation cause delirium after surgery?

Inflammation may cause post-surgical delirium, a study in mice suggests.

Alzheimer’s disease patients who undergo orthopedic or other surgeries frequently develop post-surgical delirium, often leading to a poor recovery and a higher risk of dying.

The cause of this acute disruption in the patient’s mental status is largely unknown, but previous studies have suggested a link to some intrinsic response to surgical trauma itself, the multifaceted perioperative environment, and patient-specific factors that altogether contribute to post-surgical delirium.

The researchers found that inflammation, especially as it affects the blood-brain barrier in older and more frail subjects, may amplify neurodegenerative processes and drives the development of post-surgical delirium.

“The blood-brain barrier has often been under-appreciated in the context of perioperative neurocognitive disorders, such as delirium,” says senior author Niccolò Terrando, associate professor in the anesthesiology department at the Duke University School of Medicine.

“This study provides evidence that a systemic response to surgery triggers a series of events that enables inflammation to breach the brain’s gatekeeper.”

Terrando and colleagues studied the effects of orthopedic surgeries in older mice with the pathological features of human Alzheimer’s disease. These animals underwent an orthopedic fracture model and the researchers traced how post-surgical delirium unfolds.

Notably, inflammation disrupted the blood-brain barrier, especially in older and more vulnerable animals, and caused rapid accumulation of amyloid beta (a key protein dysregulated in the Alzheimer’s disease brain), which then altered the function of immune cells in the central nervous system, thus resulting in post-surgical delirium.

“We described a neurovascular pathology that drives the development of postoperative delirium as a result of surgical trauma, which contributes to a rapid accumulation of amyloid beta in the brain,” Terrando says. “This may represent a unique molecular signature of delirium superimposed on dementia and a potential target for interventions.”

Terrando says future studies will focus on how surgery impacts the blood-brain barrier and potential ways to curtail this neuroinflammatory response in older surgical patients and, particularly, those with Alzheimer’s disease.

The study appears in Alzheimer’s & Dementia: The Journal of the Alzheimer’s Association.

Support for the study came from the National Institutes of Health, the Duke Claude D. Pepper Older American Independence Center, the Duke Anesthesiology Department, the Alzheimer’s Association. A full list of supporters is in the study.

Source: Duke University

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