Keita H, Henzel-Rouellé D, Dupont H, Desmonts J M, Mantz J
Department of Anesthesiology and Critical Care, Hospital Bichat, Paris, France.
Anesthesiology. 1999 Dec;91(6):1788-97. doi: 10.1097/00000542-199912000-00033.
Experimental data suggest that volatile anesthetics induce significant changes in extracellular dopamine concentrations in the striatum, a restricted but functionally important brain area. In the present study, the authors used a superfused slice preparation to examine the effects of halothane and isoflurane on both spontaneous and N-methyl-D-aspartate (NMDA)-evoked dopamine release in the striatum, and whether these effects involved actions of these anesthetics mediated by gamma-aminobutyric acid receptors in this structure.
Radioactivity collected from 5-min fractions was compared in the absence (basal release) or presence (evoked release) of NMDA alone and combined with various pharmacologic or anesthetic agents in slices of the dorsolateral striatum and synaptosomes of the whole striatum preloaded with 3H-dopamine and superfused with artificial cerebrospinal fluid.
In tetrodotoxin-treated striatal slices, halothane and isoflurane significantly increased dopamine basal release (EC50 = 0.33 mM and 0.41 mM for halothane and isoflurane, respectively). Both agents decreased the NMDA-evoked dopamine release in both the absence (IC50 = 0.15 mM and 0.14 mM for halothane and isoflurane, respectively) and presence (IC50 = 0.15 mM for both halothane and isoflurane) of tetrodotoxin in slices, and in synaptosomes (IC50 = 0.19 mM for both halothane and isoflurane). NMDA-induced dopamine release was significantly enhanced by bicuculline, a gamma-aminobutyric acid receptor antagonist. Halothane and isoflurane inhibitory effects on NMDA-evoked dopamine release were significantly reduced in the presence of bicuculline.
These results indicate that halothane and isoflurane decrease the NMDA-evoked dopamine release by acting directly at dopamine terminals in striatal slices. They support the involvement of both depression of presynaptic NMDA receptor-mediated responses and enhancement of gamma-aminobutyric acid receptor-mediated responses in these effects.
实验数据表明,挥发性麻醉药可引起纹状体(一个有限但功能重要的脑区)细胞外多巴胺浓度的显著变化。在本研究中,作者使用了一种灌流脑片制备方法,以研究氟烷和异氟烷对纹状体中自发和N-甲基-D-天冬氨酸(NMDA)诱发的多巴胺释放的影响,以及这些影响是否涉及这些麻醉药通过该结构中的γ-氨基丁酸受体介导的作用。
在预先加载3H-多巴胺并用人工脑脊液灌流的背外侧纹状体脑片和整个纹状体的突触体中,比较在单独不存在(基础释放)或存在(诱发释放)NMDA以及与各种药理学或麻醉剂联合存在的情况下,从5分钟馏分中收集的放射性。
在经河豚毒素处理的纹状体脑片中,氟烷和异氟烷显著增加多巴胺基础释放(氟烷和异氟烷的EC50分别为0.33 mM和0.41 mM)。在脑片中,无论是否存在河豚毒素(氟烷和异氟烷的IC50分别为0.15 mM和0.14 mM),以及在突触体中(氟烷和异氟烷的IC50均为0.19 mM),这两种药物均降低NMDA诱发的多巴胺释放。NMDA诱导的多巴胺释放被γ-氨基丁酸受体拮抗剂荷包牡丹碱显著增强。在存在荷包牡丹碱的情况下,氟烷和异氟烷对NMDA诱发的多巴胺释放的抑制作用显著降低。
这些结果表明,氟烷和异氟烷通过直接作用于纹状体脑片中的多巴胺终末来降低NMDA诱发的多巴胺释放。它们支持在这些作用中,突触前NMDA受体介导的反应的抑制和γ-氨基丁酸受体介导的反应的增强均起作用。