Onizuka Shin, Kasaba Toshiharu, Takasaki Mayumi
Department of Anesthesiology, Miyazaki Medical College, University of Miyazaki, Kiyotake-Cho, Miyazaki 889-1692, Japan.
Anesth Analg. 2008 Oct;107(4):1236-42. doi: 10.1213/ane.0b013e31818064f6.
The presynaptic effect of lidocaine on cholinergic synaptic transmission is unclear because of the difficulty in identifying presynaptic neurons and the complexity of the central nervous system in vivo. To clarify the effect of lidocaine on cholinergic synapse, we reconstructed a cultured soma-soma chemical synapse model consisting of two identified visceral dorsal 4 (VD4) and left pedal e-1 (LPeD1) neurons from the snail, Lymnaea stagnalis, in vitro, and used it to determine how lidocaine affects cholinergic synaptic transmission.
The response to acetylcholine and excitatory postsynaptic potential (EPSP) amplitude was recorded in the reconstructed chemical synaptic transmission model composed of VD4 and LPeD1 neurons. The currents for acetylcholine measurements were made under voltage-clamp in the presynaptic VD4 and postsynaptic LPeD1 neurons.
Lidocaine inhibited both EPSP and the response for acetylcholine of the postsynaptic neuron. EPSP amplitude was reduced in a voltage-dependent manner in the presynaptic neuron, and lidocaine induced a hyperpolarization shift of the voltage-dependent inactivation curves of EPSP amplitude.
Lidocaine inhibits cholinergic synaptic transmission with a voltage-dependent inactivation of EPSP amplitude through the membrane potential depolarization of presynaptic neurons.
由于在体内难以识别突触前神经元以及中枢神经系统的复杂性,利多卡因对胆碱能突触传递的突触前效应尚不清楚。为了阐明利多卡因对胆碱能突触的作用,我们在体外重建了一个由来自椎实螺的两个已鉴定的内脏背侧4(VD4)和左足e-1(LPeD1)神经元组成的培养体-体化学突触模型,并使用该模型来确定利多卡因如何影响胆碱能突触传递。
在由VD4和LPeD1神经元组成的重建化学突触传递模型中记录对乙酰胆碱的反应和兴奋性突触后电位(EPSP)幅度。在突触前VD4和突触后LPeD1神经元中,在电压钳制下测量乙酰胆碱的电流。
利多卡因抑制突触后神经元的EPSP和对乙酰胆碱的反应。突触前神经元中EPSP幅度以电压依赖性方式降低,并且利多卡因诱导EPSP幅度的电压依赖性失活曲线发生超极化移位。
利多卡因通过突触前神经元的膜电位去极化,以电压依赖性方式使EPSP幅度失活,从而抑制胆碱能突触传递。