麻醉对实验性神经毒感染的影响:I. 用西方和东方马脑炎病毒、圣路易斯脑炎病毒、脊髓灰质炎(兰辛)病毒和狂犬病病毒进行的体内研究。

INFLUENCE OF ANESTHESIA ON EXPERIMENTAL NEUROTROPIC VIRUS INFECTIONS : I. IN VIVO STUDIES WITH THE VIRUSES OF WESTERN AND EASTERN EQUINE ENCEPHALOMYELITIS, ST. LOUIS ENCEPHALITIS, POLIOMYELITIS (LANSING), AND RABIES.

机构信息

Department of Bacteriology and Immunology and Virus Research Laboratory, and the Department of Physiology and Pharmacology, Southwestern Medical College, Dallas.

出版信息

J Exp Med. 1946 Sep 30;84(4):277-92. doi: 10.1084/jem.84.4.277.

Abstract

Anesthesia with diethyl ether significantly alters the course and outcome of experimental infections with the equine encephalomyelitis virus (Eastern or Western type) or with the St. Louis encephalitis virus. No comparable effect is observed in experimental infections produced with rabies or poliomyelitis (Lansing) viruses. The neurotropic virus infections altered by ether anesthesia are those caused by viruses which are destroyed in vitro by this anesthetic, and those infections not affected by ether anesthesia are caused by viruses which apparently are not destroyed by ether in vitro. Another striking difference between these two groups of viruses is their pathogenesis in the animal host; those which are inhibited in vivo by ether anesthesia tend to infect cells of the cortex, basal ganglia, and only occasionally the cervical region of the cord. On the other hand, those which are not inhibited in vivo by ether anesthesia tend to involve cells of the lower central nervous system and in the case of rabies, peripheral nerves. This difference is of considerable importance in view of the fact that anesthetics affect cells of the lower central nervous system only in very high concentrations. It is obvious from the complexity of the problem that no clear-cut statement can be made at this point as to the mechanism of the observed effect of ether anesthesia in reducing the mortality rate in certain of the experimental neurotropic virus infections. Important possibilities include a direct specific effect of diethyl ether upon the virus and a less direct effect of the anesthetic upon the virus through its alteration of the metabolism of the host cell.

摘要

全身麻醉乙醚显著改变了马脑炎病毒(东部或西部类型)或圣路易斯脑炎病毒的实验感染的过程和结果。在狂犬病或脊髓灰质炎(兰辛)病毒的实验感染中没有观察到类似的影响。被乙醚麻醉改变的神经营养病毒感染是由体外被这种麻醉剂破坏的病毒引起的,而不受乙醚麻醉影响的感染是由体外显然不会被乙醚破坏的病毒引起的。这两组病毒之间的另一个显著区别是它们在动物宿主中的发病机制;那些在体内被乙醚麻醉抑制的病毒倾向于感染皮质、基底神经节的细胞,并且仅偶尔感染脊髓的颈部区域。另一方面,那些在体内不受乙醚麻醉抑制的病毒倾向于涉及较低的中枢神经系统的细胞,在狂犬病的情况下,还涉及外周神经。鉴于麻醉剂仅在非常高的浓度下才会影响较低的中枢神经系统的细胞,这一差异非常重要。从问题的复杂性可以明显看出,目前还不能就乙醚麻醉观察到的降低某些实验性神经营养病毒感染死亡率的效果的机制作出明确的陈述。重要的可能性包括二乙基醚对病毒的直接特异性影响,以及麻醉剂通过改变宿主细胞的代谢对病毒的间接影响。

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