Peripheral Nerve Block with Ropivacaine Ameliorates Acute Compartment Syndrome by Promoting Macrophage M2 Polarization via JAK-STAT Signaling
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ABSTRACT: This work constructed a rat acute compartment syndrome (ACS) model to investigate the protective effect of ropivacaine peripheral nerve block (PNB) and its molecular mechanism. In vivo experiments showed that combined sciatic and femoral nerve block achieved the best therapeutic effect, alleviating tissue inflammatory injury and improving histopathological and limb function. In LPS-induced RAW264.7 macrophages, ropivacaine induced M2 macrophage polarization, inhibited pro-inflammatory cytokine secretion and cell migration without cell toxicity. Transcriptome sequencing screened out the JAK-STAT signaling pathway as the key enriched pathway. Further verification confirmed that ropivacaine activated JAK2-STAT3 signaling. Blocking JAK2 with inhibitor AG490 abolished M2 polarization and anti-inflammatory effects both in vitro and in vivo, and eliminated the tissue protection of PNB in ACS model animals. Our findings demonstrate that ropivacaine PNB relieves acute compartment syndrome inflammation by facilitating M2 macrophage polarization via the JAK-STAT pathway, providing a new non-surgical intervention strategy for ACS treatment.
ORGANISM(S): Mus musculus
PROVIDER: GSE336799 | GEO | 2026/09/30
REPOSITORIES: GEO
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