Department of Anesthesiology and Critical Care Medicine, Yokohama City University Graduate School of Medicine, Yokohama, Kanagawa 236-0004, Japan.
Neuroscience. 2013 May 1;237:151-60. doi: 10.1016/j.neuroscience.2013.01.062. Epub 2013 Feb 8.
General anesthesia is occasionally associated with postoperative complications such as sleep disorder, drowsiness, or mood alterations. Hippocampal acetylcholine (ACh), the extracellular level of which increases during the dark (active) phase and decreases during the light (rest) phase in rats, is thought to be associated with locomotor activity and be crucial for learning and memory. Propofol, an intravenous anesthetic, is known to shift the circadian rhythms of physiological parameters including locomotor activity and body temperature in both rodents and humans, while the effects of volatile anesthetics on the circadian rhythm largely remain unclear. The present study examined the effects of isoflurane anesthesia on the diurnal changes in hippocampal ACh release and locomotor activity in rats. Rats were divided into three groups: a light-phase anesthesia group (LA group), a dark-phase anesthesia group (DA group), and a control group. They were exposed to a 12-h light/12-h dark environment and anesthetized with 1.4% isoflurane for 4h during the middle of the light phase (LA group) and dark phase (DA group). Simultaneous measurement of hippocampal ACh by microdialysis and locomotor activity were done for 60h under free-moving conditions. Hippocampal ACh release and locomotor activity showed a clear circadian rhythm. In the DA group, but not in the LA group, the diurnal variation in ACh release was significantly disturbed and a more than 2-h phase-advance in locomotor activity was observed. There was a significant correlation between hippocampal ACh release and locomotor activity, and isoflurane anesthesia disrupted it even after anesthesia was discontinued. This study revealed that the levels and circadian rhythms of hippocampal ACh release and locomotor activity were more sensitive to isoflurane anesthesia when it was administered during the active phase. Our findings suggest that anesthesia exerts differential effects on the regulation of circadian rhythms depending on the circadian phase.
全身麻醉偶尔会与术后并发症相关,例如睡眠障碍、嗜睡或情绪改变。在大鼠中,海马乙酰胆碱(ACh)的细胞外水平在暗(活跃)期增加,在亮(休息)期减少,被认为与运动活动有关,并且对学习和记忆至关重要。异丙酚是一种静脉麻醉剂,已知它会改变包括运动活动和体温在内的生理参数的昼夜节律,无论是在啮齿动物还是人类中,而挥发性麻醉剂对昼夜节律的影响在很大程度上仍不清楚。本研究检查了异氟烷麻醉对大鼠海马 ACh 释放和运动活动的昼夜变化的影响。大鼠分为三组:亮相麻醉组(LA 组)、暗相麻醉组(DA 组)和对照组。它们暴露在 12 小时光照/12 小时黑暗环境中,并在光照相(LA 组)和暗相(DA 组)的中间阶段用 1.4%异氟烷麻醉 4 小时。在自由活动条件下进行 60 小时的海马 ACh 微透析和运动活动的同步测量。海马 ACh 释放和运动活动表现出明显的昼夜节律。在 DA 组中,但不在 LA 组中,ACh 释放的昼夜变化明显受到干扰,并且观察到运动活动的相位提前超过 2 小时。海马 ACh 释放与运动活动之间存在显著相关性,即使在麻醉停止后,异氟烷麻醉也会破坏这种相关性。这项研究表明,当在活跃期进行麻醉时,海马 ACh 释放和运动活动的水平和昼夜节律对异氟烷麻醉更为敏感。我们的发现表明,麻醉根据昼夜节律相位对昼夜节律的调节产生不同的影响。