From the Center for Integrative Brain Research, Seattle Children's Research Institute, Seattle, Washington (C.W.C., S.C., F.K., M.M.S., P.G.M.) the Department of Anesthesiology and Pain Medicine (C.W.C., M.M.S., P.G.M.) the Division of Medical Genetics, Department of Medicine (S.C.) the Department of Neurological Surgery (F.K.), University of Washington, Seattle, Washington.
Anesthesiology. 2018 Oct;129(4):744-755. doi: 10.1097/ALN.0000000000002368.
WHAT THIS ARTICLE TELLS US THAT IS NEW: BACKGROUND:: Knockout of the mitochondrial protein Ndufs4 (Ndufs4[KO]) in mice causes hypersensitivity to volatile anesthetics but resistance to ketamine. The authors hypothesized that electrocorticographic changes underlying the responses of Ndufs4(KO) to volatile anesthetics and to ketamine would be similar in mutant and control mice.
Electrocorticographic recordings at equipotent volatile anesthetic concentrations were compared between genotypes. In separate studies, control and cell type-specific Ndufs4(KO) mice were anesthetized with intraperitoneal ketamine to determine their ED50s.
Ndufs4 (KO) did not differ from controls in baseline electrocorticography (N = 5). Compared to baseline, controls exposed to isoflurane (EC50) lost power (expressed as mean baseline [µV/Hz]; mean isoflurane [µV/Hz]) in delta (2.45; 0.50), theta (1.41; 0.16), alpha (0.23; 0.05), beta (0.066; 0.016), and gamma (0.020; 0.005) frequency bands (N = 5). Compared to baseline, at their isoflurane EC50, Ndufs4(KO) maintained power in delta (1.08; 1.38), theta (0.36; 0.26), and alpha (0.09; 0.069) frequency bands but decreased in beta (0.041; 0.023) and gamma (0.020; 0.0068) frequency bands (N = 5). Similar results were seen for both genotypes in halothane. Vesicular glutamate transporter 2 (VGLUT2)-specific Ndufs4(KO) mice were markedly resistant to ketamine (ED50; 125 mg/kg) compared to control mice (ED50; 75 mg/kg; N = 6). At their respective ED95s for ketamine, mutant (N = 5) electrocorticography spectra showed a decrease in power in the beta (0.040; 0.020) and gamma (0.035; 0.015) frequency bands not seen in controls (N = 7).
Significant differences exist between the electrocorticographies of mutant and control mice at equipotent doses for volatile anesthetics and ketamine. The energetic state specifically of excitatory neurons determines the behavioral response to ketamine.
这篇文章告诉我们什么是新的:背景:在小鼠中敲除线粒体蛋白 Ndufs4(Ndufs4[KO])会导致对挥发性麻醉剂的超敏反应,但对氯胺酮的耐药性。作者假设,Ndufs4(KO)对挥发性麻醉剂和氯胺酮的反应的脑电描记变化在突变体和对照小鼠中是相似的。
比较基因型之间在等效挥发性麻醉剂浓度下的脑电描记图。在单独的研究中,用腹腔内氯胺酮麻醉对照和细胞类型特异性 Ndufs4(KO)小鼠,以确定它们的 ED50。
与对照相比,Ndufs4(KO)在基线脑电描记图上没有差异(N = 5)。与基线相比,接受异氟烷(EC50)的对照在 delta(2.45;0.50)、theta(1.41;0.16)、alpha(0.23;0.05)、beta(0.066;0.016)和 gamma(0.020;0.005)频率带中失去功率(表示为平均基线[µV/Hz];平均异氟烷[µV/Hz])(N = 5)。与基线相比,在其异氟烷 EC50 时,Ndufs4(KO)在 delta(1.08;1.38)、theta(0.36;0.26)和 alpha(0.09;0.069)频率带中保持功率,但在 beta(0.041;0.023)和 gamma(0.020;0.0068)频率带中降低(N = 5)。两种基因型在氟烷中均观察到类似的结果。囊泡谷氨酸转运体 2(VGLUT2)特异性 Ndufs4(KO)小鼠对氯胺酮(ED50;125mg/kg)的耐药性明显高于对照小鼠(ED50;75mg/kg;N = 6)。在各自的氯胺酮 ED95 时,突变体(N = 5)的脑电描记图显示在 beta(0.040;0.020)和 gamma(0.035;0.015)频率带中功率下降,而对照(N = 7)中未见这种情况。
在等效剂量的挥发性麻醉剂和氯胺酮下,突变体和对照小鼠的脑电描记图之间存在显著差异。兴奋性神经元的能量状态决定了对氯胺酮的行为反应。