Shiraishi Munehiro, Shibuya Izumi, Minami Kouichiro, Uezono Yasuhito, Okamoto Takashi, Yanagihara Nobuyuki, Ueno Susumu, Ueta Yoichi, Shigematsu Akio
Department of Anesthesiology, University of Occupational and Environmental Health, School of Medicine, Kitakyushu, Japan.
Anesth Analg. 2002 Oct;95(4):900-6, table of contents. doi: 10.1097/00000539-200210000-00020.
Several lines of evidence suggest that nicotinic acetylcholine receptors (nAChRs) are a target of general anesthetics. Alphaxalone (5alpha-pregnan-3alpha-ol-11, 20-dion) is a neurosteroid, which was used clinically for anesthesia, but its effects on the function of nAChRs have not been well investigated. We examined the effects of alphaxalone on nAChRs in cultured bovine adrenal chromaffin cells. We studied the effects of alphaxalone on nicotine-induced increases in the cytosolic Ca(2+) concentration (Ca(2+)) and on membrane currents using Ca(2+)-imaging and whole-cell patch-clamp techniques, respectively, in these cells. We also examined the effects of alphaxalone on gamma-aminobutyric acid A receptors in the same cells and compared them with the effects on nAChRs. Alphaxalone (0.1-100 micro M) inhibited nicotine-induced Ca(2+) increases in a concentration-dependent manner. Alphaxalone inhibited high K(+)-induced Ca(2+) increases, but the inhibition was observed only at 100 micro M. In voltage-clamp experiments using negative holding potentials, alphaxalone (0.1-100 micro M) itself induced inward currents, which were abolished by the gamma-aminobutyric acid A receptor antagonist picrotoxin. Alphaxalone also inhibited nicotine-induced inward currents, and the inhibition was unaffected by picrotoxin. We conclude that alphaxalone, at anesthetic concentrations, inhibits nAChRs in adrenal chromaffin cells. Alphaxalone may affect the sympathetic and other nervous systems via inhibition of nAChRs.
Alphaxalone inhibits the function of nAChRs at clinically relevant concentrations in adrenal chromaffin cells. Thus, the present findings may provide some information for understanding the anesthetic mechanism of alphaxalone.
多条证据表明烟碱型乙酰胆碱受体(nAChRs)是全身麻醉药的作用靶点。阿法沙龙(5α-孕烷-3α-醇-11,20-二酮)是一种神经甾体,曾用于临床麻醉,但其对nAChRs功能的影响尚未得到充分研究。我们研究了阿法沙龙对培养的牛肾上腺嗜铬细胞中nAChRs的影响。我们分别使用钙成像和全细胞膜片钳技术,研究了阿法沙龙对尼古丁诱导的胞质钙浓度([Ca(2+)]i)升高以及对膜电流的影响。我们还研究了阿法沙龙对同一细胞中γ-氨基丁酸A受体的影响,并将其与对nAChRs的影响进行比较。阿法沙龙(0.1 - 100μM)以浓度依赖的方式抑制尼古丁诱导的[Ca(2+)]i升高。阿法沙龙抑制高钾诱导的[Ca(2+)]i升高,但仅在100μM时观察到这种抑制作用。在使用负性钳制电位的电压钳实验中,阿法沙龙(0.1 - 100μM)本身诱导内向电流,该电流被γ-氨基丁酸A受体拮抗剂匹鲁卡品所阻断。阿法沙龙还抑制尼古丁诱导的内向电流,且这种抑制不受匹鲁卡品的影响。我们得出结论,在麻醉浓度下,阿法沙龙抑制肾上腺嗜铬细胞中的nAChRs。阿法沙龙可能通过抑制nAChRs影响交感神经和其他神经系统。
阿法沙龙在肾上腺嗜铬细胞的临床相关浓度下抑制nAChRs的功能。因此,本研究结果可能为理解阿法沙龙的麻醉机制提供一些信息。