Department of Neurophysiology, Hirosaki University Graduate School of Medicine, 5 Zaihu-cho, Hirosaki, Aomori, 036-8562, Japan.
Department of Anesthesiology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
J Anesth. 2019 Aug;33(4):531-542. doi: 10.1007/s00540-019-02663-z. Epub 2019 Jul 22.
The general anesthetics propofol and etomidate mainly exert their anesthetic actions via GABA A receptor (GABA-R). The GABA-R activity is influenced by phospholipase C-related inactive protein type-1 (PRIP-1), which is related to trafficking and subcellular localization of GABA-R. PRIP-1 deficiency attenuates the behavioral reactions to propofol but not etomidate. However, the effect of these anesthetics and of PRIP-1 deficiency on brain activity of CNS are still unclear. In this study, we examined the effects of propofol and etomidate on the electroencephalogram (EEG).
The cortical EEG activity was recorded in wild-type (WT) and PRIP-1 knockout (PRIP-1 KO) mice. All recorded EEG data were offline analyzed, and the power spectral density and 95% spectral edge frequency of EEG signals were compared between genotypes before and after injections of anesthetics.
PRIP-1 deficiency induced increases in EEG absolute powers, but did not markedly change the relative spectral powers during waking and sleep states in the absence of anesthesia. Propofol administration induced increases in low-frequency relative EEG activity and decreases in SEF95 values in WT but not in PRIP-1 KO mice. Following etomidate injection, low-frequency EEG power was increased in both genotype groups. At high frequency, the relative power in PRIP-1 KO mice was smaller than that in WT mice.
The lack of PRIP-1 disrupted the EEG power distribution, but did not affect the depth of anesthesia after etomidate administration. Our analyses suggest that PRIP-1 is differentially involved in anesthetic EEG activity with the regulation of GABA-R activity.
全身麻醉药异丙酚和依托咪酯主要通过 GABA A 受体(GABA-R)发挥其麻醉作用。GABA-R 的活性受磷脂酶 C 相关非活性蛋白 1 型(PRIP-1)的影响,PRIP-1 与 GABA-R 的转运和亚细胞定位有关。PRIP-1 缺乏可减轻异丙酚而非依托咪酯的行为反应。然而,这些麻醉剂和 PRIP-1 缺乏对中枢神经系统脑活动的影响仍不清楚。在这项研究中,我们研究了异丙酚和依托咪酯对脑电图(EEG)的影响。
在野生型(WT)和 PRIP-1 敲除(PRIP-1 KO)小鼠中记录皮质 EEG 活动。所有记录的 EEG 数据均离线分析,并比较了两种基因型在注射麻醉剂前后的 EEG 信号的功率谱密度和 95%频谱边缘频率。
PRIP-1 缺乏导致 EEG 绝对功率增加,但在没有麻醉的情况下,清醒和睡眠状态下的相对光谱功率没有明显变化。异丙酚给药诱导 WT 小鼠低频相对 EEG 活动增加和 SEF95 值降低,但在 PRIP-1 KO 小鼠中则没有。依托咪酯注射后,两种基因型组的低频 EEG 功率均增加。在高频下,PRIP-1 KO 小鼠的相对功率小于 WT 小鼠。
PRIP-1 的缺乏破坏了 EEG 功率分布,但不影响依托咪酯给药后的麻醉深度。我们的分析表明,PRIP-1 以不同的方式参与了与 GABA-R 活性调节相关的麻醉 EEG 活动。