Nakao H, Ono J, Nogaya J, Yokono S, Yube K
Department of Anesthesiology and Emergency Medicine, Kagawa Medical University, 1750-1 Ikenobe, Miki, Kita, Kagawa, 761-0793, Japan.
J Anesth. 2001;15(2):88-92. doi: 10.1007/s005400170033.
. It has been reported that brain catecholamines alter the minimum alveolar concentration (MAC) of anesthetics. The extent of the relation between the levels of brain catecholamine and anesthetic sensitivity should be evaluated by excluding several factors.
Anesthetic sensitivity was measured by using loss of the righting reflex in three strains of mice with different sensitivities. The mice were decapitated without any anesthesia, adding on ddN and C57BL/6J mice in 2% enflurane, their brains were divided into three parts, and dopamine and norepinephrine levels were analyzed by high-performance liquid chromatography (HPLC). Results. The values of enflurane requirement (%) were 1.30 +/- 0.05 in ddN, 1.10 +/- 0.02 in C57BL/6J, and 1.05 +/- 0.02 in MSM mice. The values of dopamine (microg.g(-1)) in the mesencephalon were 0.23 +/- 0.02 in ddN, 0.15 +/- 0.02 in C57BL/6J, and 0.12 +/- 0.02 in MSM (mean +/- SE). No statistical significance in the values in 2% enflurane could be obtained between ddN and C57BL/6J. The stepwise regression line showed a significant correlation: enflurane requirement (%) = -0.89 + 1.60 x (dopamine levels of mesencephalon) (r(2) = 0.571, P < 0.0001).
Dopamine in the mesencephalon seems to play an important role in the production of different anesthetic sensitivities, and the anesthetic mechanism might be related to the regulation of dopamine levels that promote arousal.
据报道,脑内儿茶酚胺会改变麻醉药的最低肺泡浓度(MAC)。应通过排除几个因素来评估脑内儿茶酚胺水平与麻醉敏感性之间关系的程度。
使用翻正反射消失来测量三种不同敏感性品系小鼠的麻醉敏感性。小鼠在未进行任何麻醉的情况下断头,在ddN和C57BL/6J小鼠中添加2%的安氟醚,将它们的脑部分为三部分,通过高效液相色谱法(HPLC)分析多巴胺和去甲肾上腺素水平。结果:ddN小鼠的安氟醚需求量(%)值为1.३० ±०.०५,C57BL/6J小鼠为1.१० ±०.०२,MSM小鼠为1.०५ ±०.०२。中脑内多巴胺(微克·克⁻¹)的值在ddN小鼠中为०.२३ ±०.०२,C57BL/6J小鼠中为०.१५ ±०.०२,MSM小鼠中为०.१२ ±०.०२(平均值 ± 标准误)。在2%安氟醚条件下,ddN和C57BL/6J小鼠的值无统计学意义。逐步回归线显示出显著相关性:安氟醚需求量(%) = -०.८९ + १.६० ×(中脑多巴胺水平)(r² =०.५७१,P <०.०००१)。
中脑多巴胺似乎在不同麻醉敏感性的产生中起重要作用,且麻醉机制可能与促进觉醒的多巴胺水平调节有关。