Benzodiazepines inhibit the rate of neutrophil apoptosis |
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Authors: | Goto Y O’Malley C Fanning NF Wang J Redmond HP Shorten GD |
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Institution: | (1) Intensive Care Unit, Sir Charles Gairdner Hospital, Nedlands, WA, Australia;(2) Department of Anaesthesia and Intensive Care Medicine, Cork University Hospital, Wilton, Cork, Ireland;(3) Department of Surgery, Cork University Hospital, Ireland |
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Abstract: | Background Benzodiazepines, which are commonly administered perioperatively, can depress immune function. Neutrophil apoptosis plays
a central role in the regulation of inflammation. This is particularly important during and after surgery.
Aim To examine the effects of benzodiazepines (midazolam and diazepam) on neutrophil apoptosis.
Methods Venous blood samples were withdrawn from patients scheduled to undergo elective surgery, (a) immediately prior to, and 10
minutes after administration of midazolam 0.2mg/kg intravenously (n=11) and (b) immediately prior to, and 60 minutes after
administration of diazepam 10mg po (n=10). Neutrophil apoptosis was measured by Annexin VFITC after 1 and 12 hours in culture.
Results The percentage of apoptotic cells was significantly less after midazolam at 12% (11.9) hours in culture compared to pre-midazolam
29.7% (13.3) (p<0.05). After diazepam, the rates of neutrophil apoptosis were also significantly less after 12 hours in culture
(p<0.05).
Conclusion Administration of benzodiazepines in clinically relevant doses inhibits neutrophil apoptosis. In the perioperative period,
this may influence the inflammatory response to surgery. |
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