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这种蠕虫揭示了麻醉机制。

The worm sheds light on anesthetic mechanisms.

作者信息

Singaram Vinod K, Morgan Philip G, Sedensky Margaret M

机构信息

Department of Genetics; Case Western Reserve University; Cleveland, OH USA.

出版信息

Worm. 2012;1(3):164-169. doi: 10.4161/worm.20002.

DOI:10.4161/worm.20002
PMID:23730538
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3666045/
Abstract

One hundred and sixty five years have passed since the first documented use of volatile anesthetics to aid in surgery, but we have yet to understand the underlying mechanism of action of these drugs. There is no question that, in vitro, volatile anesthetics can affect the function of numerous neuronal and non-neuronal proteins. In fact, volatile anesthetics are capable of binding such diverse proteins as albumin and bacterial luciferase. The promiscuity of volatile anesthetic binding makes it difficult to determine which proteins are modulated by anesthetics to cause the state of anesthesia. Consequently, despite a great deal of in vitro data, the fundamental physiological process that volatile anesthetics perturb to effect neuronal silencing is not yet identified. Recently, data has increasingly indicated that membrane leak channels may play a role in the anesthetic response. Here we comment on the use of optogenetics to further support such a model.

摘要

自首次有文献记载使用挥发性麻醉剂辅助手术以来,已经过去了165年,但我们尚未了解这些药物的潜在作用机制。毫无疑问,在体外,挥发性麻醉剂能够影响众多神经元和非神经元蛋白质的功能。事实上,挥发性麻醉剂能够与诸如白蛋白和细菌荧光素酶等多种不同的蛋白质结合。挥发性麻醉剂结合的杂乱性使得难以确定哪些蛋白质受到麻醉剂的调节从而导致麻醉状态。因此,尽管有大量的体外数据,但挥发性麻醉剂扰乱以实现神经元沉默的基本生理过程尚未被确定。最近,越来越多的数据表明膜漏通道可能在麻醉反应中起作用。在此,我们评论利用光遗传学进一步支持这样一种模型。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1031/3670288/8a8bdff795c8/worm-1-164-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1031/3670288/1857cd335294/worm-1-164-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1031/3670288/8a8bdff795c8/worm-1-164-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1031/3670288/1857cd335294/worm-1-164-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1031/3670288/8a8bdff795c8/worm-1-164-g2.jpg

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1
The worm sheds light on anesthetic mechanisms.这种蠕虫揭示了麻醉机制。
Worm. 2012;1(3):164-169. doi: 10.4161/worm.20002.
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Optical reversal of halothane-induced immobility in C. elegans.光学逆转秀丽隐杆线虫中海氟烷诱导的不动性。
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Knockout of the gene encoding the K(2P) channel KCNK7 does not alter volatile anesthetic sensitivity.编码K(2P)通道KCNK7的基因敲除不会改变挥发性麻醉药的敏感性。
Behav Brain Res. 2008 Nov 21;193(2):192-6. doi: 10.1016/j.bbr.2008.05.010. Epub 2008 May 20.

本文引用的文献

1
Optical reversal of halothane-induced immobility in C. elegans.光学逆转秀丽隐杆线虫中海氟烷诱导的不动性。
Curr Biol. 2011 Dec 20;21(24):2070-6. doi: 10.1016/j.cub.2011.10.042. Epub 2011 Dec 1.
2
Graded synaptic transmission at the Caenorhabditis elegans neuromuscular junction.秀丽隐杆线虫神经肌肉接头处的分级突触传递。
Proc Natl Acad Sci U S A. 2009 Jun 30;106(26):10823-8. doi: 10.1073/pnas.0903570106. Epub 2009 Jun 15.
3
Thalamic microinfusion of antibody to a voltage-gated potassium channel restores consciousness during anesthesia.
向丘脑微量注射针对电压门控钾通道的抗体可在麻醉期间恢复意识。
Anesthesiology. 2009 Apr;110(4):766-73. doi: 10.1097/aln.0b013e31819c461c.
4
Is a new paradigm needed to explain how inhaled anesthetics produce immobility?是否需要一种新的范式来解释吸入性麻醉剂是如何产生麻醉效果的?
Anesth Analg. 2008 Sep;107(3):832-48. doi: 10.1213/ane.0b013e318182aedb.
5
Additivity versus synergy: a theoretical analysis of implications for anesthetic mechanisms.相加作用与协同作用:对麻醉机制影响的理论分析
Anesth Analg. 2008 Aug;107(2):507-24. doi: 10.1213/ane.0b013e31817b7140.
6
Is synergy the rule? A review of anesthetic interactions producing hypnosis and immobility.协同作用是规律吗?关于产生催眠和不动效果的麻醉相互作用的综述。
Anesth Analg. 2008 Aug;107(2):494-506. doi: 10.1213/ane.0b013e31817b859e.
7
Inhaled anesthetics do not combine to produce synergistic effects regarding minimum alveolar anesthetic concentration in rats.吸入麻醉药在大鼠最低肺泡有效浓度方面不会联合产生协同效应。
Anesth Analg. 2008 Aug;107(2):479-85. doi: 10.1213/01.ane.0000295805.70887.65.
8
General anaesthesia: from molecular targets to neuronal pathways of sleep and arousal.全身麻醉:从分子靶点到睡眠与觉醒的神经通路
Nat Rev Neurosci. 2008 May;9(5):370-86. doi: 10.1038/nrn2372.
9
TASK-3 knockout mice exhibit exaggerated nocturnal activity, impairments in cognitive functions, and reduced sensitivity to inhalation anesthetics.TASK-3基因敲除小鼠表现出夜间活动过度、认知功能受损以及对吸入性麻醉剂的敏感性降低。
J Pharmacol Exp Ther. 2007 Dec;323(3):924-34. doi: 10.1124/jpet.107.129544. Epub 2007 Sep 17.
10
Thalamic microinjection of nicotine reverses sevoflurane-induced loss of righting reflex in the rat.向大鼠丘脑微量注射尼古丁可逆转七氟醚诱导的翻正反射消失。
Anesthesiology. 2007 Aug;107(2):264-72. doi: 10.1097/01.anes.0000270741.33766.24.