Nilsson G E, Tottmar O, Wahlström G
Brain Res. 1987 Apr 21;409(2):265-74.
Several authors have found that the aldehyde dehydrogenase (ALDH) inhibitor, disulfiram, prolongs hexobarbital-induced anaesthesia. It was suggested that this effect was caused by an alteration of the serotonergic system in brain, mediated by elevated levels of biogenic aldehydes. In the present study, disulfiram (300 mg/kg) was found to cause a 4-fold prolongation of hexobarbital-induced anaesthesia, while coprine (another potent ALDH-inhibitor) had no effect. This strongly suggested that biogenic aldehydes were not involved in this effect of disulfiram. The hexobarbital concentration in brain, at the electroencephalogram (EEG) criteria used for measuring hexobarbital sensitivity, was unaffected in rats given 75-300 mg/kg disulfiram, indicating that factors other than an increased brain hexobarbital sensitivity were responsible for the prolonged anaesthesia. Also 10-100 mg/kg coprine did not affect hexobarbital sensitivity measured this way. No alteration of the dopamine level in brain was found in rats given disulfiram, and in both disulfiram- and coprine-treated rats, similar changes in the serotonergic system were found. However, the level of norepinephrine was decreased in brains of disulfiram-treated rats, but it was unaffected by coprine. Thus, norepinephrine may have been involved in the prolongation of hexobarbital-induced anaesthesia caused by disulfiram.
几位作者发现,醛脱氢酶(ALDH)抑制剂双硫仑可延长己巴比妥诱导的麻醉时间。有人认为,这种作用是由脑内血清素能系统的改变引起的,而这种改变是由生物源性醛水平升高介导的。在本研究中,发现双硫仑(300毫克/千克)可使己巴比妥诱导的麻醉时间延长4倍,而鬼伞素(另一种有效的ALDH抑制剂)则没有效果。这有力地表明,生物源性醛不参与双硫仑的这种作用。在以脑电图(EEG)标准测量己巴比妥敏感性时,给予75 - 300毫克/千克双硫仑的大鼠脑内己巴比妥浓度未受影响,这表明除了脑内己巴比妥敏感性增加之外的其他因素导致了麻醉时间延长。同样,10 - 100毫克/千克的鬼伞素也不影响以这种方式测量的己巴比妥敏感性。给予双硫仑的大鼠脑内多巴胺水平未发现改变,并且在双硫仑和鬼伞素处理的大鼠中,血清素能系统都发现了类似的变化。然而,双硫仑处理的大鼠脑内去甲肾上腺素水平降低,但鬼伞素对其没有影响。因此,去甲肾上腺素可能参与了双硫仑引起的己巴比妥诱导麻醉时间延长的过程。