Levin E D, Uemura E, Bowman R E
Department of Psychiatry, Duke University, Durham, NC.
Neurotoxicol Teratol. 1991 Jul-Aug;13(4):461-70. doi: 10.1016/0892-0362(91)90096-f.
Halothane, a commonly used general anesthetic, is considered to be relatively safe for that purpose. Chronic exposure, however, has been found to cause long-lasting damage to neural structure and impairment of behavioral function. In rats, behavioral alterations are particularly evident after developmental exposure, but they can also be seen with adult exposure, especially when halothane is given during the period of neural regrowth following a brain lesion. The pattern of neural damage includes retarded synaptogenesis, impaired dendritic branching and disruption of organelle structure. The behavioral syndrome includes learning impairment, decreased exploratory behavior and decreased nociceptive reactivity. In general, the neural pathology is more pronounced and more easily discernible than the behavioral effects. Neural damage, particularly to the hippocampus, can be clearly seen at points when behavioral impairments have not been found. This demonstrates that in some cases changes in neural structure can be more sensitive indicators of toxic damage than behavioral dysfunction. Halothane exposure has proved to be quite useful as an experimental tool in the study of neural and behavioral recovery after brain lesions. For example, after unilateral entorhinal cortical lesions, behavioral recovery and reactive synaptogenesis occur contemporaneously. It has not been demonstrated whether the behavioral recovery is due to this reinnervation. Postlesion halothane exposure almost completely suppresses reactive synaptogenesis, however, behavioral recovery of T-maze alternation behavior occurs in the halothane-treated rats as well as in controls. This suggests that recovery of spatial performance after such a lesion is not due to recovery of innervation in the dentate, but to some other process such as other neural systems taking over the functions lost with the brain lesion. The studies reviewed highlight the dangers of halothane exposure, especially during development or when recovering from brain injury. They also provide a good case study for comparing the relative sensitivity of morphological and behavioral measures in toxicology and point to the potential use of halothane as an experimental tool for examining the relationships between neural structure and behavioral function.
氟烷是一种常用的全身麻醉剂,在这方面被认为相对安全。然而,长期接触已被发现会对神经结构造成持久损害并损害行为功能。在大鼠中,发育性接触后行为改变尤为明显,但成年接触也会出现这种情况,尤其是在脑损伤后的神经再生期给予氟烷时。神经损伤的模式包括突触发生延迟、树突分支受损和细胞器结构破坏。行为综合征包括学习障碍、探索行为减少和伤害性反应降低。一般来说,神经病理学比行为影响更明显且更容易辨别。在尚未发现行为损伤的情况下,就可以清楚地看到神经损伤,尤其是对海马体的损伤。这表明在某些情况下,神经结构的变化可能比行为功能障碍更能敏感地指示毒性损伤。事实证明,氟烷暴露作为研究脑损伤后神经和行为恢复的实验工具非常有用。例如,单侧内嗅皮质损伤后,行为恢复和反应性突触发生同时出现。尚未证明行为恢复是否归因于这种再支配。然而,损伤后接触氟烷几乎完全抑制了反应性突触发生,但是,在接受氟烷治疗的大鼠以及对照组中,T迷宫交替行为的行为恢复都出现了。这表明这种损伤后空间性能的恢复不是由于齿状回神经支配的恢复,而是由于其他一些过程,例如其他神经系统接管了因脑损伤而丧失的功能。所综述的研究强调了接触氟烷的危险性,尤其是在发育期间或从脑损伤恢复时。它们还为比较毒理学中形态学和行为测量的相对敏感性提供了一个很好的案例研究,并指出氟烷作为研究神经结构与行为功能之间关系的实验工具的潜在用途。