Katayama Sohtaro, Irifune Masahiro, Kikuchi Nobuhito, Takarada Tohru, Shimizu Yoshitaka, Endo Chie, Takata Takashi, Dohi Toshihiro, Sato Tomoaki, Kawahara Michio
Department of Dental Anesthesiology, Division of Clinical Medical Science, Programs for Applied Biomedicine, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan.
Anesth Analg. 2007 Jun;104(6):1422-9, table of contents. doi: 10.1213/01.ane.0000261519.04083.3e.
The general anesthetic state comprises behavioral and perceptual components, including amnesia, unconsciousness, and immobility. gamma-Aminobutyric acidergic (GABAergic) inhibitory neurotransmission is an important target for anesthetic action at the in vitro cellular level. In vivo, however, the functional relevance of enhancing GABAergic neurotransmission in mediating essential components of the general anesthetic state is unknown. Gabaculine is a GABA-transaminase inhibitor that inhibits degradation of released GABA, and consequently increases endogenous GABA in the central nervous system. Here, we examined, behaviorally, the ability of increased GABA levels to produce components of the general anesthetic state.
All drugs were administered systemically in adult male ddY mice. To assess the general anesthetic components, two end-points were used. One was loss of righting reflex (LORR; as a measure of unconsciousness); the other was loss of movement in response to tail-clamp stimulation (as a measure of immobility).
Gabaculine induced LORR in a dose-dependent fashion with a 50% effective dose of 100 (75-134; 95% confidence limits) mg/kg. The behavioral and microdialysis studies revealed that the endogenous GABA-induced LORR occurred in a brain concentration-dependent manner. However, even larger doses of gabaculine (285-400 mg/kg) produced no loss of tail-clamp response. In contrast, all the tested volatile anesthetics concentration-dependently abolished both righting and tail-clamp response, supporting the evidence that volatile anesthetics act on a variety of molecular targets.
These findings indicate that LORR is associated with enhanced GABAergic neurotransmission, but that immobility in response to noxious stimulation is not, suggesting that LORR and immobility are mediated through different neuronal pathways and/or regions in the central nervous system.
全身麻醉状态包括行为和感知成分,如失忆、无意识和不动。γ-氨基丁酸能(GABA能)抑制性神经传递是体外细胞水平麻醉作用的重要靶点。然而,在体内,增强GABA能神经传递在介导全身麻醉状态基本成分中的功能相关性尚不清楚。加巴喷丁是一种GABA转氨酶抑制剂,可抑制释放的GABA降解,从而增加中枢神经系统内源性GABA。在此,我们通过行为学方法研究了GABA水平升高产生全身麻醉状态成分的能力。
所有药物均经全身给药于成年雄性ddY小鼠。为评估全身麻醉成分,采用了两个终点指标。一个是翻正反射消失(LORR;作为无意识的指标);另一个是对夹尾刺激无运动反应(作为不动的指标)。
加巴喷丁以剂量依赖性方式诱导LORR,半数有效剂量为100(75 - 134;95%置信限)mg/kg。行为学和微透析研究表明,内源性GABA诱导的LORR呈脑浓度依赖性。然而,即使更大剂量的加巴喷丁(285 - 400 mg/kg)也未导致夹尾反应消失。相比之下,所有测试的挥发性麻醉剂均以浓度依赖性方式消除了翻正和夹尾反应,支持了挥发性麻醉剂作用于多种分子靶点的证据。
这些发现表明,LORR与增强的GABA能神经传递有关,但对有害刺激的不动反应并非如此,这表明LORR和不动是通过中枢神经系统中不同的神经元通路和/或区域介导的。