Dolin S J, Smith M B, Soar J, Morris P J
Clinical Pharmacology Unit, Addenbrooke's Hospital, Cambridge.
Br J Anaesth. 1992 May;68(5):523-6. doi: 10.1093/bja/68.5.523.
We have investigated the pharmacological basis of CNS excitation that occurs in association with general anaesthesia in mice. Propofol produced sustained clonic movements during anaesthesia. Methohexitone produced intermittent non-rhythmic jerking during anaesthesia. Ethanol and pentobarbitone produced anaesthesia without associated clonic movements. Doses of all anaesthetic drugs were equipotent. Surface EEG recordings showed paroxysmal discharges consistent with interictal manifestations of cortical seizures with methohexitone or propofol, but not with ethanol or pentobarbitone. Strychnine, a glycine antagonist without effects on the cerebral cortex, and bicuculline, a GABAA antagonist with effects on the cerebral cortex, were used in doses that were equipotent-0.5 log units less than the ED10 for clonic convulsions. Strychnine potentiated both excitatory behaviour and EEG paroxysmal discharges when given with methohexitone or propofol, but not with ethanol or pentobarbitone. Bicuculline did not affect either behaviour or EEG with any of the anaesthetic drugs. Our data show that methohexitone and propofol produced CNS excitation, while pentobarbitone and ethanol did not. We propose that the pharmacological basis of this excitation may be glycine antagonism occurring in subcortical structures.
我们研究了小鼠全身麻醉时发生的中枢神经系统兴奋的药理学基础。丙泊酚在麻醉期间产生持续的阵挛性运动。甲己炔巴比妥在麻醉期间产生间歇性无节律的抽搐。乙醇和戊巴比妥产生麻醉且无相关阵挛性运动。所有麻醉药物的剂量均等效。表面脑电图记录显示,使用甲己炔巴比妥或丙泊酚时出现与皮质癫痫发作间期表现一致的阵发性放电,但使用乙醇或戊巴比妥时则未出现。士的宁是一种对大脑皮层无作用的甘氨酸拮抗剂,荷包牡丹碱是一种对大脑皮层有作用的GABAA拮抗剂,使用的剂量等效——比阵挛性惊厥的ED10低0.5对数单位。与甲己炔巴比妥或丙泊酚合用时,士的宁增强了兴奋行为和脑电图阵发性放电,但与乙醇或戊巴比妥合用时则未增强。荷包牡丹碱对任何一种麻醉药物的行为或脑电图均无影响。我们的数据表明,甲己炔巴比妥和丙泊酚会引起中枢神经系统兴奋,而戊巴比妥和乙醇则不会。我们推测这种兴奋的药理学基础可能是皮质下结构中发生的甘氨酸拮抗作用。