Wang Ting, Wang Jun, Cottrell James E, Kass Ira S
Department of Anesthesiology, State University of New York, Downstate Medical Center, Brooklyn, New York 11203, USA.
J Neurosurg Anesthesiol. 2004 Jul;16(3):201-9. doi: 10.1097/00008506-200407000-00004.
The effects of small physiologic changes in Ca and Mg concentrations on neuronal burst firing were examined. Intracellular electrophysiologic recordings were made from CA1 pyramidal neurons in rat hippocampal slices. There was no difference in the resting potential or the input resistance of neurons bathed in the lower Ca-Mg artificial Cerebrospinal fluid (aCSF) (1.4 mM Ca; 1.3 mM Mg) compared with the higher Ca-Mg aCSF (2 mM Ca; 2 mM Mg). However, neurons in the lower Ca-Mg aCSF, but not the higher Ca-Mg aCSF, demonstrated depolarizing waves and bursts of action potentials; no single component of the aCSF accounted for this difference. Reducing the Ca from 2 to 1 mM in the higher Ca-Mg aCSF increased the mean frequency of action potentials from 28 to 171 Hz; the addition of 6-cyano-7-nitroquinoxaline-2,3-dione did not reduce the frequency. The threshold of potassium for inducing bursts was 5.25 with 1 mM Ca, 7.25 with 2 mM Ca, and 11.25 with 3 mM Ca. When Mg was reduced from 2 to 1 mM, the number of potassium-induced bursts increased to 190%; increasing Mg from 2 to 3 mM reduced the bursts to 58% (frequency with 2 mM Mg set to 100%). Small decreases in extracellular Ca and/or Mg led to increased excitability and burst firing, which may alter physiologic and pathophysiologic processes such as enhancing long-term potentiation, pain transmission, epileptogenesis, and neuronal damage and decreasing anesthetic potency. Increases in extracellular Ca and/or Mg would have the opposite effect on these processes. These effects of extracellular divalent ions on burst firing may explain some of the pathophysiologic effects of hypocalcemia and hypomagnesemia.
研究了钙和镁浓度的微小生理变化对神经元爆发式放电的影响。对大鼠海马切片中的CA1锥体神经元进行细胞内电生理记录。与高钙镁人工脑脊液(aCSF)(2 mM钙;2 mM镁)相比,浸泡在低钙镁人工脑脊液(1.4 mM钙;1.3 mM镁)中的神经元的静息电位或输入电阻没有差异。然而,浸泡在低钙镁人工脑脊液中的神经元,而非高钙镁人工脑脊液中的神经元,表现出去极化波和动作电位爆发;人工脑脊液的任何单一成分都不能解释这种差异。在高钙镁人工脑脊液中将钙从2 mM降至1 mM,动作电位的平均频率从28 Hz增加到171 Hz;添加6-氰基-7-硝基喹喔啉-2,3-二酮并没有降低频率。诱导爆发的钾阈值在钙浓度为1 mM时为5.25,钙浓度为2 mM时为7.25,钙浓度为3 mM时为11.25。当镁从2 mM降至1 mM时,钾诱导的爆发数量增加到190%;将镁从2 mM增加到3 mM,爆发数量减少到58%(将2 mM镁时的频率设为100%)。细胞外钙和/或镁的小幅降低会导致兴奋性增加和爆发式放电,这可能会改变生理和病理生理过程,如增强长时程增强、疼痛传递、癫痫发生和神经元损伤,并降低麻醉效力。细胞外钙和/或镁的增加会对这些过程产生相反的影响。细胞外二价离子对爆发式放电的这些影响可能解释了低钙血症和低镁血症的一些病理生理效应。