Dong Hai-long, Fukuda Satoru, Murata Eri, Zhu Zhenghua, Higuchi Takashi
Department of Anesthesiology & Reanimatology, Faculty of Medical Science, University of Fukui, Fukui, Japan..
Anesthesiology. 2006 May;104(5):1023-32. doi: 10.1097/00000542-200605000-00019.
Cholinergic arousal system plays an important role in the maintenance of consciousness. The authors investigated whether the intrabasalis injection of orexin-A or orexin-B and the electrically stimulated pedunculopontine tegmentum nuclei (PPTg: the origin of cholinergic ascending pathways) may alter acetylcholine efflux and electroencephalographic activity in the somatosensory cortex in relation to the orexinergic system in isoflurane-anesthetized rats.
Either orexin-A (10, 30, or 100 pmol) or orexin-B (10, 30, or 100 pmol) (n = 6 each) was injected into the basal forebrain while the electroencephalogram was measured during 1.0 minimum alveolar concentration (1.2%) isoflurane anesthesia. Injection of Ringer's solution was used as a control. The PPTg was electrically stimulated twice with the following conditions: 1-s stimulus train (0.2 ms, 100 Hz, 400 microA) per min for 20 min. Twenty minutes before the second PPTg stimulation, Ringer's solution or 20 microg SB334867, an orexin-1 receptor antagonist (n = 5 each) was injected into the basal forebrain.
Injection of orexin-A (30 and 100 pmol) and orexin-B (100 pmol) significantly increased the acetylcholine efflux in the somatosensory cortex (P < 0.05). Injection of orexin-A (10, 30, 100 pmol) and orexin-B (30, 100 pmol) changed the burst and suppression patterns to arousal electroencephalogram. Compared with orexin-B, injection of a lower dose of orexin-A induced increase in the acetylcholine efflux and arousal electroencephalogram. SB334867 significantly attenuated the increases in the acetylcholine efflux and electroencephalographic activation evoked by PPTg stimulation.
The authors demonstrated that orexin-A was more potent than orexin-B in producing alteration of cholinergic basal forebrain neuronal activity and that the cortical activation induced by the PPTg stimulation against isoflurane anesthesia may be mediated through the orexin-1 receptors in the basal forebrain.
胆碱能觉醒系统在意识维持中起重要作用。作者研究了在异氟烷麻醉的大鼠中,向基底前脑内注射食欲素-A或食欲素-B以及电刺激脚桥被盖核(PPTg:胆碱能上行通路的起源)是否会改变体感皮层中的乙酰胆碱外流和脑电图活动,这与食欲素能系统有关。
在1.0最低肺泡浓度(1.2%)异氟烷麻醉期间测量脑电图时,将食欲素-A(10、30或100皮摩尔)或食欲素-B(10、30或100皮摩尔)(每组n = 6)注入基底前脑。注射林格氏液作为对照。对PPTg进行两次电刺激,条件如下:每分钟1次刺激串(0.2毫秒,100赫兹,400微安),持续20分钟。在第二次PPTg刺激前20分钟,将林格氏液或20微克SB334867(一种食欲素-1受体拮抗剂,每组n = 5)注入基底前脑。
注射食欲素-A(30和100皮摩尔)和食欲素-B(100皮摩尔)显著增加了体感皮层中的乙酰胆碱外流(P < 0.05)。注射食欲素-A(10、30、100皮摩尔)和食欲素-B(30、100皮摩尔)将爆发和抑制模式转变为觉醒脑电图。与食欲素-B相比,注射较低剂量的食欲素-A可诱导乙酰胆碱外流增加和觉醒脑电图。SB334867显著减弱了PPTg刺激引起的乙酰胆碱外流增加和脑电图激活。
作者证明,在产生胆碱能基底前脑神经元活动改变方面,食欲素-A比食欲素-B更有效,并且PPTg刺激对抗异氟烷麻醉诱导的皮层激活可能通过基底前脑的食欲素-1受体介导。