Radford Cdr Kennett D, Park Thomas Y, Osborne-Smith Lisa, Choi Kwang H
is a Navy nurse anesthetist and assistant professor at the Uniformed Services University of the Health Sciences Daniel K. Inouye Graduate School of Nursing, Bethesda, Maryland.
was a research assistant for the Uniformed Services University of the Health Sciences, at the time this article was written.
AANA J. 2018 Oct;86(5):393-400.
Posttrauma anesthetic agents influence neuroendocrine responses that may affect fear memory. The effects of a subanesthetic intravenous (IV) ketamine infusion on mediators of stress and memory in rodents are unknown. Therefore, we used a clinically relevant method to administer a 2-hour subanesthetic IV ketamine infusion following a rodent fear-conditioning paradigm (paired tone plus foot shock) to evaluate the effects on corticosterone and brain-derived neurotrophic factor in the plasma of male Sprague-Dawley rats. We found that subanesthetic ketamine infusions (5 and 20 mg/kg/h) dose-dependently increased plasma corticosterone levels. Ketamine at 20 mg/kg/h significantly reduced plasma brain-derived neurotrophic factor measured 2 hours after the conclusion of the ketamine infusion. These results demonstrate that a subanesthetic IV ketamine infusion maintained a heightened neuroendocrine stress response after fear conditioning and reduced levels of a neurotrophin associated with memory, which may influence fear memory processing. The behavioral outcomes of these effects are unknown and warrant future investigation.
创伤后麻醉药物会影响神经内分泌反应,而这种反应可能会影响恐惧记忆。亚麻醉剂量的静脉注射氯胺酮对啮齿动物应激和记忆介质的影响尚不清楚。因此,我们采用一种与临床相关的方法,在啮齿动物恐惧条件反射范式(配对音加足部电击)后给予2小时的亚麻醉剂量静脉注射氯胺酮,以评估其对雄性Sprague-Dawley大鼠血浆中皮质酮和脑源性神经营养因子的影响。我们发现,亚麻醉剂量的氯胺酮输注(5和20毫克/千克/小时)剂量依赖性地增加了血浆皮质酮水平。氯胺酮剂量为20毫克/千克/小时时,在氯胺酮输注结束2小时后测得的血浆脑源性神经营养因子显著降低。这些结果表明,亚麻醉剂量的静脉注射氯胺酮在恐惧条件反射后维持了增强的神经内分泌应激反应,并降低了与记忆相关的神经营养因子水平,这可能会影响恐惧记忆的处理。这些影响的行为结果尚不清楚,值得未来进行研究。