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丙泊酚对大鼠海马切片癫痫样活动的抗惊厥作用。

The anticonvulsant action of propofol on epileptiform activity in rat hippocampal slices.

作者信息

Ohmori Hideya, Sato Yasumitsu, Namiki Akiyoshi

机构信息

*Department of Anesthesiology, Kitami Red Cross Hospital; †Department of Anesthesiology, Moriyama Hospital; and ‡Department of Anesthesiology, Sapporo Medical University School of Medicine, Hokkaido, Japan.

出版信息

Anesth Analg. 2004 Oct;99(4):1095-1101. doi: 10.1213/01.ANE.0000130356.22414.2B.

Abstract

We used extracellular electrophysiological recordings from the CA1 region in rat hippocampal slices to investigate the effects of propofol on the field excitatory postsynaptic potential (fEPSP), population spike, and epileptiform activity induced by a Mg(2+)-free condition. Propofol depressed the population spike, fEPSP, and epileptiform activity. Both aminophylline, a nonselective adenosine receptor antagonist, and 8-cyclopentyl-1,3-dipropylxanthine, an A(1) receptor antagonist, significantly reduced the effect of propofol on fEPSP amplitude. However, 3,7-dimethyl-1-propagylxanthine, an A(2) receptor antagonist, did not alter the effect of propofol on fEPSP amplitude. Picrotoxin, a specific chloride channel blocker, partly reduced the effect of propofol on epileptiform activity, but bicuculline, a competitive gamma-aminobutyric acid(A) receptor antagonist, failed to antagonize it. Aminophylline significantly reduced the action of propofol on the epileptiform activity. The anticonvulsant action of propofol was partly reduced by 8-cyclopentyl-1,3-dipropylxanthine, whereas 3,7-dimethyl-1-propagylxanthine failed to affect it. Adenosine depressed the amplitude of fEPSPs in a dose-dependent manner, and propofol enhanced this inhibition. The results demonstrated that, in rat hippocampal slices, propofol inhibits epileptiform activity. In addition, adenosine neuromodulation through the A(1) receptor may contribute to the anticonvulsant action of propofol.

摘要

我们采用大鼠海马脑片CA1区的细胞外电生理记录,来研究丙泊酚对场兴奋性突触后电位(fEPSP)、群体峰电位以及由无镁条件诱导的癫痫样活动的影响。丙泊酚抑制群体峰电位、fEPSP和癫痫样活动。非选择性腺苷受体拮抗剂氨茶碱和A(1)受体拮抗剂8-环戊基-1,3-二丙基黄嘌呤,均显著降低丙泊酚对fEPSP幅度的作用。然而,A(2)受体拮抗剂3,7-二甲基-1-丙炔基黄嘌呤,并未改变丙泊酚对fEPSP幅度的作用。特异性氯离子通道阻滞剂荷包牡丹碱部分降低丙泊酚对癫痫样活动的作用,但竞争性γ-氨基丁酸(A)受体拮抗剂荷包牡丹碱未能拮抗该作用。氨茶碱显著降低丙泊酚对癫痫样活动的作用。8-环戊基-1,3-二丙基黄嘌呤部分降低丙泊酚的抗惊厥作用,而3,7-二甲基-1-丙炔基黄嘌呤未能影响该作用。腺苷以剂量依赖性方式降低fEPSP的幅度,丙泊酚增强这种抑制作用。结果表明,在大鼠海马脑片中,丙泊酚抑制癫痫样活动。此外,通过A(1)受体的腺苷神经调节可能有助于丙泊酚的抗惊厥作用。

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