Tarasiuk A, Grossman Y, Kendig J J
Unit of Physiology, Faculty for Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Br J Anaesth. 1991 Jan;66(1):88-96. doi: 10.1093/bja/66.1.88.
High pressure and anaesthetic agents are mutual antagonists in intact animals, but antagonism is not observed in isolated nerve cells. In order to test the hypothesis that a neural network might display pressure-anaesthetic antagonism not found in simpler systems, we have examined the effects of pentobarbitone at normal pressure and at 10.1 MPa helium pressure on the rhythmic activity of medullary respiratory centres of isolated brainstem and spinal cord from 0-3 day old rats. Pentobarbitone 5-80 mumol litre-1 depressed the frequency, amplitude and area of spontaneous bursts recorded from C5, reduced respiratory drive, and altered the response to trigeminal nerve root stimulation. Compression to 10.1 MPa decreased ventilatory frequency and respiratory drive, and either did not interact with or enhanced the depressant effects of pentobarbitone. Pentobarbitone and helium pressure altered the response to trigeminal nerve root stimulation in the same manner. The results are consistent with additive rather than antagonistic effects of pressure and a barbiturate on the determinants of output from the respiratory centre-motor neurone pathway. Pressure-anaesthetic antagonism may be a property unique to the neural circuitry which underlies awake behaviour and pressure-induced seizures, rather than reflecting a fundamental molecular-level antagonism.
在完整动物中,高压与麻醉剂相互拮抗,但在分离的神经细胞中未观察到拮抗作用。为了验证神经网络可能表现出在更简单系统中未发现的压力 - 麻醉拮抗作用这一假设,我们研究了戊巴比妥在常压和10.1兆帕氦压下对0 - 3日龄大鼠分离脑干和脊髓延髓呼吸中枢节律性活动的影响。5 - 80微摩尔/升的戊巴比妥降低了从C5记录的自发爆发的频率、幅度和面积,降低了呼吸驱动,并改变了对三叉神经根刺激的反应。压缩至10.1兆帕降低了通气频率和呼吸驱动,并且要么不与戊巴比妥的抑制作用相互作用,要么增强其抑制作用。戊巴比妥和氦压以相同方式改变了对三叉神经根刺激的反应。结果表明,压力和巴比妥类药物对呼吸中枢 - 运动神经元通路输出决定因素的作用是相加而非拮抗的。压力 - 麻醉拮抗作用可能是清醒行为和压力诱发癫痫发作所依赖的神经回路特有的特性,而不是反映基本的分子水平拮抗作用。