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. 2022 Jul 15;5:709. doi: 10.1038/s42003-022-03667-4

Fig. 4. Repeated ketamine anesthesia increases mRNA levels of genes encoding axon-localized proteins, causing changes in hippocampal synaptic transmission and neuronal activity.

Fig. 4

a, b RNA-sequencing was performed with hippocampal samples 1 week after repeated ketamine anesthesia or saline injections in male mice. a Volcano plot of DEGs, shown as blue (decreased expression) and red (increased expression) circles. b Gene ontology (GO) analysis of DEGs. Significant terms are highlighted in red (Axon initial segment, p < 0.001; Main axon, p = 0.007; Node of Ranvier, p = 0.034; n = 4 for each group). cf Whole-cell recordings were performed 1 week after repeated ketamine anesthesia in hippocampal CA1 pyramidal neurons of male mice. c Enhanced intrinsic excitability after early repeated ketamine anesthesia. The number of action potentials was measured after injecting a series of depolarizing currents under current-clamp conditions (current injection = 60 pA, p = 0.034; 70 pA, p = 0.018; 80 pA, p = 0.006; 90 pA, p = 0.005; 100 pA, p = 0.009; 110 pA, p = 0.029; Student’s t test; control, n = 6 mice [total 20 cells]; anesthesia, n = 7 mice [total 20 cells]. d, e Altered excitatory and inhibitory spontaneous synaptic transmissions in hippocampal CA1 pyramidal neurons. d Anesthesia group showed increased frequency (Welch ANOVA, p = 0.039), but normal amplitude (Kruskal–Wallis test, p = 0.908) of sEPSCs (control, n = 7 mice [total 21 cells]; anesthesia, n = 8 mice [total 21 cells]). e Anesthesia group showed decreased frequency (Student’s t test, p = 0.010) but normal amplitude (Student’s t test, p = 0.418) of sIPSCs in hippocampal CA1 pyramidal neurons (control, n = 6 mice [total 22 cells]; anesthesia, n = 6 mice [total 22 cells]). f Spontaneous action potentials (sAP) are significantly increased after early repeated ketamine anesthesia. sAPs were measured under I = 0 mode (p = 0.010, Kruskal–Wallis test; Control, n = 6 mice [total 21 cells]; anesthesia, n = 6 mice [total 24 cells]). Values are presented as means ± SD (n.s., not significant; *p < 0.05; **p < 0.01).