Eger Edmond I, Xing Yilei, Pearce Robert, Shafer Steven, Laster Michael J, Zhang Yi, Fanselow Michael S, Sonner James M
*Department of Anesthesia and Perioperative Care, University of California, San Francisco, California; †Department of Anesthesiology, University of Wisconsin, Madison, Wisconsin; ‡Department of Anesthesiology, Stanford University, Stanford, California; and §Department of Psychology, University of California, Los Angeles, California.
Anesth Analg. 2003 Apr;96(4):1010-1018. doi: 10.1213/01.ANE.0000055360.30078.FF.
In animals, the conventional inhaled anesthetic, isoflurane, impairs learning fear to context and fear to tone, doing so at concentrations that produce amnesia in humans. Nonimmobilizers are inhaled compounds that do not produce immobility in response to noxious stimulation, nor do they decrease the requirement for conventional inhaled anesthetics. Like isoflurane, the nonimmobilizer 1,2-dichlorohexafluorocyclobutane (2N) impairs learning at concentrations less than those predicted from its lipophilicity to produce anesthesia. The capacity of the nonimmobilizer di-(2,2,2,-trifluoroethyl) ether (flurothyl) to affect learning and memory has not been studied. Both nonimmobilizers can cause convulsions. We hypothesized that if isoflurane, 2N, and flurothyl act by the same mechanism to impair learning and memory, their effects should be additive. We found that isoflurane, 2N, and flurothyl (each, alone) impaired learning fear to context and fear to tone in rats, with the nonimmobilizers doing so at concentrations less than those that cause convulsions. (Fear was defined by freezing [volitional immobility] in the presence of the conditioned stimulus [context or tone].) However, the combination of isoflurane and 2N or flurothyl produced an antagonistic rather than an additive effect on learning, a finding in conflict with our hypothesis. And flurothyl was no less potent than 2N (at least no less potent relative to the concentration of each that produced convulsions) in its capacity to impair learning. We conclude that conventional inhaled anesthetics and nonimmobilizers impair learning and memory by different mechanisms. The basis for this impairment remains unknown.
Conventional inhaled anesthetics and nonimmobilizers are antagonistic in their effects on learning and memory, and this finding suggests that they impair learning and memory, at least in part, by different mechanisms.
在动物中,传统吸入麻醉剂异氟烷会损害对环境的恐惧学习和对音调的恐惧学习,其产生这种损害的浓度会在人类中导致失忆。非麻醉性吸入化合物是指那些在受到有害刺激时不会产生不动状态,也不会降低对传统吸入麻醉剂需求的吸入性化合物。与异氟烷一样,非麻醉性化合物1,2 - 二氯六氟环丁烷(2N)在低于根据其亲脂性预测的产生麻醉作用的浓度时就会损害学习。非麻醉性化合物二(2,2,2 - 三氟乙基)醚(氟替尔)对学习和记忆的影响尚未得到研究。这两种非麻醉性化合物都可引起惊厥。我们假设,如果异氟烷、2N和氟替尔通过相同机制损害学习和记忆,那么它们的作用应该是相加的。我们发现,异氟烷、2N和氟替尔(各自单独使用时)都会损害大鼠对环境的恐惧学习和对音调的恐惧学习,非麻醉性化合物在低于引起惊厥的浓度时就能产生这种损害。(恐惧通过在条件刺激(环境或音调)出现时的僵住不动(自主静止)来定义。)然而,异氟烷与2N或氟替尔联合使用时,对学习产生的是拮抗作用而非相加作用,这一发现与我们的假设相矛盾。而且氟替尔在损害学习的能力方面并不比2N弱(至少相对于各自产生惊厥的浓度而言不弱)。我们得出结论,传统吸入麻醉剂和非麻醉性化合物通过不同机制损害学习和记忆。这种损害的基础仍然未知。
传统吸入麻醉剂和非麻醉性化合物对学习和记忆的影响是拮抗的,这一发现表明它们至少部分地通过不同机制损害学习和记忆。