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静脉麻醉药和诱导剂存在时烟碱型乙酰胆碱离子通道的动力学

Kinetics of nicotinic acetylcholine ion channels in the presence of intravenous anaesthetics and induction agents.

作者信息

Wachtel R E, Wegrzynowicz E S

机构信息

Department of Veterans Affairs Medical Center, Iowa City, IA 52246.

出版信息

Br J Pharmacol. 1992 Jul;106(3):623-7. doi: 10.1111/j.1476-5381.1992.tb14385.x.

Abstract
  1. Single channel currents activated by 250 nM acetylcholine were recorded from cell-attached patches of BC3H1 mouse tumour cells grown in culture. Channels were recorded in the absence and presence of alphaxalone, diazepam, etomidate, fentanyl, ketamine, meperidine, or propofol. 2. All of the anaesthetics tested shortened channel open time but did not alter single channel current amplitude. Drug concentrations calculated to reduce the time constant of open-time distributions by 50% were 99 microM alphaxalone, 66 microM diazepam, 57 microM etomidate, 26 microM fentanyl, 15 microM ketamine, 16 microM meperidine, or 81 microM propofol. 3. Ketamine, meperidine, and propofol reduced channel open time at concentrations comparable to plasma levels attained during therapeutic use of these agents, while alphaxalone, diazepam, etomidate, and fentanyl reduced channel open time only at levels higher than those encountered clinically. 4. The potency of these drugs in decreasing channel open time appears to be directly correlated with their octanol/buffer partition coefficients. In contrast to expectations, however, agents with higher partition coefficients were less potent in altering channel open time. 5. Ketamine and meperidine produced a prominent third component in closed-time distributions, which were otherwise well described by the sum of two exponential components. Alphaxalone, diazepam, and etomidate also produced a small third component, while no additional component was seen with propofol or fentanyl. These additional components probably arise from creation of an additional closed state of the channel. 6. We conclude that these agents are not altering channel properties merely by exerting non-specific effects via the lipid bilayer and that they are probably not all acting by similar mechanisms.
摘要
  1. 从培养的BC3H1小鼠肿瘤细胞的细胞贴附膜片上记录了由250 nM乙酰胆碱激活的单通道电流。在不存在和存在α-羟孕酮、地西泮、依托咪酯、芬太尼、氯胺酮、哌替啶或丙泊酚的情况下记录通道电流。2. 所测试的所有麻醉剂均缩短了通道开放时间,但未改变单通道电流幅度。计算得出使开放时间分布的时间常数降低50%的药物浓度分别为:99 μMα-羟孕酮、66 μM地西泮、57 μM依托咪酯、26 μM芬太尼、15 μM氯胺酮、16 μM哌替啶或81 μM丙泊酚。3. 氯胺酮、哌替啶和丙泊酚在与这些药物治疗使用期间达到的血浆水平相当的浓度下降低了通道开放时间,而α-羟孕酮、地西泮、依托咪酯和芬太尼仅在高于临床遇到的水平时才降低通道开放时间。4. 这些药物在降低通道开放时间方面的效力似乎与其辛醇/缓冲液分配系数直接相关。然而,与预期相反,具有较高分配系数的药物在改变通道开放时间方面的效力较低。5. 氯胺酮和哌替啶在关闭时间分布中产生了一个突出的第三成分,否则用两个指数成分的总和可以很好地描述。α-羟孕酮、地西泮和依托咪酯也产生了一个小的第三成分,而丙泊酚或芬太尼未观察到额外成分。这些额外成分可能源于通道产生了额外的关闭状态。6. 我们得出结论,这些药物并非仅仅通过脂质双层施加非特异性作用来改变通道特性,而且它们可能并非都通过相似的机制起作用。

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Activation of a nicotinic acetylcholine receptor.烟碱型乙酰胆碱受体的激活。
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