Petrenko Andrey B, Tsujita Mika, Kohno Tatsuro, Sakimura Kenji, Baba Hiroshi
Division of Anesthesiology, Niigata University Graduate School of Medical and Dental Sciences, Department of Integrated Neuroscience, Center for Integrated Human Brain Science, Brain Research Institute, Niigata University, Japan.
Anesthesiology. 2007 Jun;106(6):1177-85. doi: 10.1097/01.anes.0000267601.09764.e6.
T-type calcium channels regulate neuronal membrane excitability and participate in a number of physiologic and pathologic processes in the central nervous system, including sleep and epileptic activity. Volatile anesthetics inhibit native and recombinant T-type calcium channels at concentrations comparable to those required to produce anesthesia. To determine whether T-type calcium channels are involved in the mechanisms of anesthetic action, the authors examined the effects of general anesthetics in mutant mice lacking alpha1G T-type calcium channels.
The hypnotic effects of volatile and intravenous anesthetics administered to mutant and C57BL/6 control mice were evaluated using the behavioral endpoint of loss of righting reflex. To investigate the immobilizing effects of volatile anesthetics in mice, the minimum alveolar concentration (MAC) values were determined using the tail-clamp method.
The 50% effective concentration for loss of righting reflex and MAC values for volatile anesthetics were not altered after alpha1G channel knockout. However, mutant mice required significantly more time to develop anesthesia/hypnosis after exposure to isoflurane, halothane, and sevoflurane and after intraperitoneal administration of pentobarbital.
The 50% effective concentration for loss of righting reflex and MAC values for the volatile anesthetics were not altered after alpha1G calcium channel knockout, indicating that normal functioning of alpha1G calcium channels is not required for the maintenance of anesthetic hypnosis and immobility. However, the timely induction of anesthesia/hypnosis by volatile anesthetic agents and some intravenous anesthetic agents may require the normal functioning of these channel subunits.
T型钙通道调节神经元膜兴奋性,并参与中枢神经系统的多种生理和病理过程,包括睡眠和癫痫活动。挥发性麻醉药在产生麻醉所需浓度相当的情况下抑制天然和重组T型钙通道。为了确定T型钙通道是否参与麻醉作用机制,作者研究了全身麻醉药对缺乏α1G T型钙通道的突变小鼠的影响。
使用翻正反射消失这一行为终点来评估给予突变小鼠和C57BL/6对照小鼠挥发性和静脉麻醉药后的催眠效果。为了研究挥发性麻醉药对小鼠的制动作用,采用尾夹法测定最低肺泡浓度(MAC)值。
α1G通道敲除后,挥发性麻醉药翻正反射消失的50%有效浓度和MAC值未改变。然而,突变小鼠在暴露于异氟烷、氟烷和七氟烷后以及腹腔注射戊巴比妥后,产生麻醉/催眠所需的时间明显更长。
α1G钙通道敲除后,挥发性麻醉药翻正反射消失的50%有效浓度和MAC值未改变,表明维持麻醉性催眠和制动不需要α1G钙通道的正常功能。然而,挥发性麻醉药和一些静脉麻醉药及时诱导麻醉/催眠可能需要这些通道亚基的正常功能。