{
  "abstract": "Volatile anesthetics and surgery can trigger neuroinflammation and neurological dysfunction, but their long-term effects remain poorly understood. Young adult male and female C57BL/6 mice underwent 4 h of 2% isoflurane anesthesia combined with laparotomy (Iso/OP) or sham treatment. At 12 weeks, olfactory and cognitive functions were assessed, followed by RNA sequencing of olfactory bulbs and hippocampi and plasma extracellular vesicle (EV) profiling. EV-associated inflammatory bioactivity was evaluated by hippocampal injection into naïve male mice. Iso/OP induced olfactory deficits at 12 weeks, with greater impairment in females. Female mice also exhibited deficits in spatial working memory and associative learning, whereas males showed relatively preserved cognitive function. Transcriptomic analyses revealed sex-dependent alterations in pathways related to synaptic function, neurodevelopment, extracellular matrix remodeling, stress responses, and chemotaxis. Iso/OP reduced circulating EV abundance, particularly among 40–100 nm particles, and altered EV proteomic profiles. Exploratory analyses of pooled hippocampal tissues revealed distinct cytokine and chemokine profiles following injection of plasma EVs from the four donor groups. Collectively, these findings demonstrate sex-dependent neurological and molecular alterations persisting 12 weeks after Iso/OP, accompanied by changes in circulating EVs. The exploratory EV transfer findings warrant further investigation into the potential contribution of circulating EVs to brain inflammatory responses.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Anesthesiology and Shock, Trauma and Anesthesiology Research Center (STAR), University of Maryland School of Medicine, Baltimore, MD 21201, USA",
    "Department of Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA",
    "University of Maryland- Medicine Institute for Neuroscience Discovery (UM-MIND), University of Maryland School of Medicine, Baltimore, MD 21201, USA"
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Yun Li",
      "orcid": "0000-0003-2040-4451"
    },
    {
      "affs": [
        0
      ],
      "name": "Ruth Park"
    },
    {
      "affs": [
        0
      ],
      "name": "Balaji Krishnamachary"
    },
    {
      "affs": [
        1
      ],
      "name": "Hangnoh Lee"
    },
    {
      "affs": [
        0
      ],
      "name": "Zhuofan Lei",
      "orcid": "0000-0002-4207-2796"
    },
    {
      "affs": [
        0
      ],
      "name": "Hui Li"
    },
    {
      "affs": [
        0,
        2
      ],
      "name": "Junfang Wu",
      "orcid": "0000-0003-3338-7291"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/9ex72rpvna938.bib",
  "cited_by": 0,
  "doi": "10.3390/ijms27219936",
  "fulltext_url": null,
  "id": "9ex72rpvna938",
  "issns": [
    "1422-0067"
  ],
  "landing_url": "https://www.mdpi.com/1422-0067/27/21/9936",
  "language": null,
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [],
  "openalex": null,
  "pdf_url": null,
  "pmcid": null,
  "pmid": null,
  "published": "2026-11-06",
  "publisher": "MDPI AG",
  "ris": "https://research.draconitic.com/paper/9ex72rpvna938.ris",
  "sources": [
    {
      "first_seen": "2026-11-07T00:21:12Z",
      "native_id": "10.3390/ijms27219936",
      "source": "crossref",
      "url": "https://www.mdpi.com/1422-0067/27/21/9936"
    }
  ],
  "subjects": [
    {
      "field": "biochemistry",
      "origin": "issn:1422-0067",
      "subfield": "general"
    }
  ],
  "title": "Long-Term Effects of Isoflurane Anesthesia and Surgery: Sex-Associated Neurological Dysfunction and Alterations in Circulating Extracellular Vesicles",
  "title_text": "Long-Term Effects of Isoflurane Anesthesia and Surgery: Sex-Associated Neurological Dysfunction and Alterations in Circulating Extracellular Vesicles",
  "type": "peer-reviewed",
  "updated_at": "2026-11-08T00:22:24Z",
  "url": "https://research.draconitic.com/paper/9ex72rpvna938",
  "venue": "International Journal of Molecular Sciences",
  "versions": []
}