VA Medical Center and Department of Neurology and Molecular and Cellular Pharmacology, Miller School of Medicine, University of Miami, Miami, FL 33101, USA.
J Anesth. 2013 Feb;27(1):98-103. doi: 10.1007/s00540-012-1466-7. Epub 2012 Aug 25.
The anesthetic urethane is commonly used in physiological experiments. We tested urethane's actions on GABA receptors on the primary afferents in the spinal cord, which are one of the few areas in the adult central nervous system (CNS) that are depolarized by GABA, and on ligand-gated excitatory amino acid (EAA) receptors located on motoneurons. Both receptor types are critically important during anesthetic immobilization.
We used the isolated hemisected spinal cord of the frog in a sucrose gap chamber to record glutamate-, N-methyl-D-aspartate (NMDA)-, alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA)-, kainate-, and gamma-aminobutyric acid (GABA)-induced depolarizations of the dorsal root (DR) and ventral root (VR). DR potentials (DRPs) and VR potentials (VRPs) evoked by single supramaximal afferent stimuli were also studied. Urethane (10-80 mM) was applied for 10-30 min.
Urethane depressed EAA responses on the motoneurons in a dose-dependent manner. At a clinical anesthetic concentration (10 mM), EAA-induced depolarizations were reduced by 8.1 ± 2.2 % (n = 7, P = 0.025), but increasing the concentration to 40 mM revealed a larger, 24.7 ± 3 % (n = 53, P = 0.0001) depressing effect of urethane on all EAA responses in the motoneurons. However, GABA and K(+) responses recorded in the DR were not altered by the presence of 10 or 40 mM urethane. Evoked DRPs and VRPs were reduced by urethane and spontaneous DR and VR potentials were suppressed by 10 or blocked by 40 mM urethane.
Urethane appears to be selective for EAA-, sparing GABA responses at a clinical anesthetic concentration. Only a 10 % reduction of EAA activity seems to be necessary to induce anesthesia.
麻醉剂尿烷常用于生理实验。我们测试了尿烷对脊髓初级传入纤维中 GABA 受体的作用,GABA 受体是成年中枢神经系统(CNS)中少数几个被 GABA 去极化的区域之一,也是位于运动神经元上的配体门控兴奋性氨基酸(EAA)受体的作用之一。这两种受体类型在麻醉固定过程中都非常重要。
我们使用青蛙的分离半脊髓在蔗糖间隙室中记录谷氨酸、N-甲基-D-天冬氨酸(NMDA)、α-氨基-3-羟基-5-甲基-4-异恶唑丙酸(AMPA)、红藻氨酸和γ-氨基丁酸(GABA)诱导的背根(DR)和腹根(VR)去极化。还研究了单次最大传入刺激引起的 DR 电位(DRP)和 VR 电位(VRP)。尿烷(10-80mM)应用 10-30 分钟。
尿烷以剂量依赖的方式抑制运动神经元上的 EAA 反应。在临床麻醉浓度(10mM)下,EAA 诱导的去极化减少了 8.1±2.2%(n=7,P=0.025),但将浓度增加到 40mM 时,EAA 对运动神经元中所有 EAA 反应的抑制作用更大,为 24.7±3%(n=53,P=0.0001)。然而,DR 中记录的 GABA 和 K+反应不受 10 或 40mM 尿烷的影响。诱发的 DRP 和 VRP 被尿烷抑制,自发的 DR 和 VR 电位被 10mM 尿烷抑制或被 40mM 尿烷阻断。
在临床麻醉浓度下,尿烷似乎对 EAA 具有选择性,对 GABA 反应具有选择性。似乎只需要 10%的 EAA 活性降低就可以诱导麻醉。