Department of Anesthesiology, University of Pittsburgh, 3501 Fifth Avenue, Pittsburgh, PA 15261, USA.
J Pharmacol Exp Ther. 2011 Jan;336(1):134-44. doi: 10.1124/jpet.110.170431. Epub 2010 Aug 31.
The mechanism by which the inhaled anesthetic isoflurane produces amnesia and immobility is not understood. Isoflurane modulates GABA(A) receptors (GABA(A)-Rs) in a manner that makes them plausible targets. We asked whether GABA(A)-R α2 subunits contribute to a site of anesthetic action in vivo. Previous studies demonstrated that Ser270 in the second transmembrane domain is involved in the modulation of GABA(A)-Rs by volatile anesthetics and alcohol, either as a binding site or a critical allosteric residue. We engineered GABA(A)-Rs with two mutations in the α2 subunit, changing Ser270 to His and Leu277 to Ala. Recombinant receptors with these mutations demonstrated normal affinity for GABA, but substantially reduced responses to isoflurane. We then produced mutant (knockin) mice in which this mutated subunit replaced the wild-type α2 subunit. The adult mutant mice were overtly normal, although there was evidence of enhanced neonatal mortality and fear conditioning. Electrophysiological recordings from dentate granule neurons in brain slices confirmed the decreased actions of isoflurane on mutant receptors contributing to inhibitory synaptic currents. The loss of righting reflex EC(50) for isoflurane did not differ between genotypes, but time to regain the righting reflex was increased in N(2) generation knockins. This effect was not observed at the N(4) generation. Isoflurane produced immobility (as measured by tail clamp) and amnesia (as measured by fear conditioning) in both wild-type and mutant mice, and potencies (EC(50)) did not differ between the strains for these actions of isoflurane. Thus, immobility or amnesia does not require isoflurane potentiation of the α2 subunit.
吸入麻醉剂异氟醚产生遗忘和不动的机制尚不清楚。异氟醚以一种使它们成为合理靶点的方式调节 GABA(A)受体(GABA(A)-Rs)。我们询问 GABA(A)-R α2 亚基是否有助于体内麻醉作用的部位。先前的研究表明,第二跨膜域中的 Ser270 参与了挥发性麻醉剂和酒精对 GABA(A)-Rs 的调节,无论是作为结合位点还是关键变构残基。我们在 α2 亚基中设计了两个突变的 GABA(A)-Rs,将 Ser270 突变为 His,Leu277 突变为 Ala。具有这些突变的重组受体对 GABA 具有正常亲和力,但对异氟醚的反应明显降低。然后,我们在突变(基因敲入)小鼠中产生了这种突变亚基取代野生型 α2 亚基的突变体。成年突变小鼠明显正常,尽管有证据表明新生儿死亡率和恐惧条件反射增加。脑片齿状回颗粒神经元的电生理记录证实,突变受体对异氟醚作用的降低导致抑制性突触电流减少。异氟醚对野生型和突变型受体的翻正反射 EC(50)的丧失没有基因型差异,但在 N(2)代基因敲入小鼠中,恢复翻正反射的时间增加。在 N(4)代中未观察到这种影响。异氟醚在野生型和突变型小鼠中均产生不动(如夹尾测量)和遗忘(如恐惧条件反射测量),并且这些异氟醚作用的效力(EC(50))在两种品系之间没有差异。因此,不动或遗忘不需要异氟醚对 α2 亚基的增强作用。