Nishioka Kenji, Shibata Osamu, Yamaguchi Masakazu, Yoshimura Maki, Makita Tetsuji, Sumikawa Koji
Department of Anesthesiology, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan.
J Anesth. 2007;21(2):171-5. doi: 10.1007/s00540-006-0478-6. Epub 2007 May 30.
Although succinylcholine (SCh) is often used as a muscle relaxant in electroconvulsive therapy, its influence on airway reactivity has not been fully investigated. We examined the effects of SCh on acetylcholine (ACh)-, carbachol (CCh)-, and electrical field stimulation (EFS)-induced contractions, and on the ACh-induced phosphatidylinositol (PI) response of rat trachea.
Thirty-two male Wistar rats weighing 250-350 g were used. The trachea was rapidly isolated and cut into 3-mm-wide rings. The resting tension was adjusted periodically to 1.0 g during the equilibration period. ACh, 1 microM; carbachol (CCh), 0.05 microM; or neither of them, was added, and SCh was then added at 1-300 microM final concentrations, and ring tension was examined. Contractions were elicited by EFS in the presence or absence of 100 microM SCh. Tracheal slices were incubated with [3H] myo-inositol, 1 microM ACh, and various concentrations of SCh. The accumulation of [3H] inositol monophosphate (IP1) was measured.
SCh did not affect the tension by itself without ACh, or with CCh, but SCh potentiated the ACh-induced contraction of rat trachea at concentrations of 10 microM or more (50% effective concentration [EC50]; 43.6 microM). SCh produced a significant increase in the amplitude and duration of EFS-induced contractions. SCh, at concentrations of 10 microM and 100 microM, potentiated ACh-induced IP1 accumulation.
SCh potentiated ACh-induced, but not CCh-induced, contractile and PI responses, and enhanced EFS-induced contraction of rat trachea, suggesting that competition for butyrylcholinesterase (BChE) in airway smooth muscle could be involved in the potentiation by SCh of ACh-induced airway smooth muscle contraction.
尽管琥珀酰胆碱(SCh)常用于电休克治疗中的肌肉松弛,但它对气道反应性的影响尚未得到充分研究。我们研究了SCh对乙酰胆碱(ACh)、卡巴胆碱(CCh)和电场刺激(EFS)诱导的大鼠气管收缩的影响,以及对ACh诱导的大鼠气管磷脂酰肌醇(PI)反应的影响。
使用32只体重250 - 350 g的雄性Wistar大鼠。迅速分离气管并切成3毫米宽的环。在平衡期,将静息张力定期调整至1.0 g。加入1 μM的ACh、0.05 μM的卡巴胆碱(CCh)或两者都不加入,然后加入终浓度为1 - 300 μM的SCh,并检测环张力。在有或没有100 μM SCh的情况下通过EFS引发收缩。将气管切片与[3H]肌醇、1 μM ACh和不同浓度的SCh一起孵育。测量[3H]肌醇单磷酸(IP1)的积累。
在没有ACh或有CCh的情况下,SCh本身不影响张力,但在浓度为10 μM或更高时(50%有效浓度[EC50];43.6 μM),SCh增强了ACh诱导的大鼠气管收缩。SCh使EFS诱导的收缩幅度和持续时间显著增加。在浓度为10 μM和100 μM时,SCh增强了ACh诱导的IP1积累。
SCh增强了ACh诱导的而非CCh诱导的收缩和PI反应,并增强了EFS诱导的大鼠气管收缩,提示气道平滑肌中丁酰胆碱酯酶(BChE)的竞争可能参与了SCh对ACh诱导的气道平滑肌收缩的增强作用。