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丘脑网状核计算模型中的挥发性麻醉作用

Volatile anesthetic action in a computational model of the thalamic reticular nucleus.

作者信息

Gottschalk Allan, Miotke Sam A

机构信息

Department of Anesthesiology and Critical Care Medicine, Johns Hopkins Hospital, Baltimore, MD 21287, USA.

出版信息

Anesthesiology. 2009 May;110(5):996-1010. doi: 10.1097/ALN.0b013e31819db923.

Abstract

BACKGROUND

Although volatile anesthetics (VAs) modulate the activity of multiple ion channels, the process whereby one or more of these effects are integrated to produce components of the general anesthetic state remains enigmatic. Computer models offer the opportunity to examine systems level effects of VA action at one or more sites. Motivated by the role of the thalamus in consciousness and sensory processing, a computational model of the thalamic reticular nucleus was used to determine the collective impact on model behavior of VA action at multiple sites.

METHODS

A computational model of the thalamic reticular nucleus was modified to permit VA modulation of its ion channels. Isobolographic analysis was used to determine how multiple sites interact.

RESULTS

VA modulation of either T-type Ca(2+) channels or gamma-aminobutyric acid type A receptors led to increased network synchrony. VA modulation of both further increased network synchronization. VA-induced decrements in Ca(2+) current permitted greater impact of inhibitory currents on membrane potential, but at higher VA concentrations the decrease in Ca(2+) current led to a decreased number of spikes in the burst generating the inhibitory signal. MAC-awake (the minimum alveolar concentration at which 50% of subjects will recover consciousness) concentrations of both isoflurane and halothane led to similar levels of network synchrony in the model.

CONCLUSIONS

Relatively modest VA effects at both T-type Ca(2+) channels and gamma-aminobutyric acid type A receptors can substantially alter network behavior in a computational model of a thalamic nucleus. The similarity of network behavior at MAC-awake concentrations of different VAs is consistent with a contribution of the thalamus to VA-induced unconsciousness through action at these channels.

摘要

背景

尽管挥发性麻醉剂(VAs)可调节多种离子通道的活性,但这些效应中的一种或多种如何整合以产生全身麻醉状态的组成部分这一过程仍然是个谜。计算机模型提供了在一个或多个位点研究VAs作用的系统水平效应的机会。受丘脑在意识和感觉处理中的作用启发,采用丘脑网状核的计算模型来确定VAs在多个位点作用对模型行为的总体影响。

方法

对丘脑网状核的计算模型进行修改,以允许VAs对其离子通道进行调节。采用等效应线分析来确定多个位点如何相互作用。

结果

VAs对T型Ca(2+)通道或γ-氨基丁酸A型受体的调节导致网络同步性增加。对两者的VAs调节进一步增强了网络同步性。VAs诱导的Ca(2+)电流减少使抑制性电流对膜电位的影响更大,但在较高的VAs浓度下,Ca(2+)电流的减少导致产生抑制信号的爆发中尖峰数量减少。异氟烷和氟烷的MAC-清醒(50%受试者恢复意识的最低肺泡浓度)浓度在模型中导致相似水平的网络同步性。

结论

在丘脑核的计算模型中,VAs对T型Ca(2+)通道和γ-氨基丁酸A型受体的相对适度的作用可显著改变网络行为。不同VAs在MAC-清醒浓度下网络行为的相似性与丘脑通过作用于这些通道对VAs诱导的无意识状态的贡献一致。

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