Siggins G R, Bloom F E, French E D, Madamba S G, Mancillas J, Pittman Q J, Rogers J
Ann N Y Acad Sci. 1987;492:350-66. doi: 10.1111/j.1749-6632.1987.tb48692.x.
With respect to the theme of this volume, the results of our recent studies on three neuronal model systems point to several relevant conclusions: ethanol may interact electrophysiologically with certain anesthetics such as urethane; ethanol can selectively enhance responses to certain neurotransmitters; resting membrane properties of individual neurons show a wide range of sensitivities to ethanol and are generally fairly insensitive; the synapse--independent of specific transmitters--seems most sensitive to ethanol. As regards the first point, it has long been known that ethanol and anesthetics have features in common, including the ability to alter the lipid components of biological membranes (see R. A. Harris et al., L. L. M. van Deenen et al., M. J. Hudspith et al., E. Rubin et al., and C. C. Cunningham & P. I. Spach in this volume), so interactions between the two are not unexpected. However, our electrophysiological findings suggest great caution and appropriate controls be used in in-vivo studies of anesthetized animals, as the interactions derived may actually reverse the usual effect of ethanol. The enhancement of responses to ACh and SS (second point) might be assumed to arise postsynaptically in the target cells recorded and are seen with low, intoxicating doses of ethanol. Whether this potentiation involves enhancement of specific agonist binding to the receptor or facilitation of the function of the ionic channel linked to the receptor remains to be determined. It is not hard to imagine that ethanol could perturb membrane properties near receptors, to alter their conformation and ligand binding, or perhaps even uncover hidden receptors. The relative insensitivity of the resting membrane properties (third point) may suggest that membrane channels responsible for these functions (e.g., 'leak' channels for Na+ and K+ ions) do not usually interact with the lipid components affected by ethanol, at least at low, 'intoxicating' ethanol concentrations. Finally, the reduction of synaptic potentials by ethanol may indicate a presynaptic locus of action, as the response to the transmitter for at least one of these synaptic potentials (GABA) was not altered. These data would seem to indicate that synaptic release of the transmitter is reduced by ethanol, at least in the hippocampal slice. The high sensitivity of this presynaptic element for ethanol could indicate that the machinery for synaptic release, such as conductances for calcium entry (see REF. 39) or the action of second messenger systems (e.g., those leading to synapsin phosphorylation) are particularly sensitive to ethanol.(ABSTRACT TRUNCATED AT 400 WORDS)
关于本卷的主题,我们最近对三个神经元模型系统的研究结果指向了几个相关结论:乙醇可能在电生理方面与某些麻醉剂(如氨基甲酸乙酯)相互作用;乙醇可以选择性地增强对某些神经递质的反应;单个神经元的静息膜特性对乙醇表现出广泛的敏感性范围,并且通常相当不敏感;突触——独立于特定神经递质——似乎对乙醇最为敏感。关于第一点,长期以来人们就知道乙醇和麻醉剂有共同特征,包括改变生物膜脂质成分的能力(见本卷中的R.A.哈里斯等人、L.L.M.范德嫩等人、M.J.赫德斯皮思等人、E.鲁宾等人以及C.C.坎宁安和P.I.斯帕奇),所以两者之间的相互作用并不意外。然而,我们的电生理研究结果表明,在对麻醉动物进行的体内研究中应极其谨慎并采用适当的对照,因为所产生的相互作用实际上可能会逆转乙醇的通常作用。对乙酰胆碱和促甲状腺激素释放激素反应的增强(第二点)可能被认为是在记录的靶细胞突触后产生的,并且在低剂量、致醉剂量的乙醇作用下可见。这种增强作用是涉及增强特定激动剂与受体的结合还是促进与受体相连的离子通道的功能,仍有待确定。不难想象乙醇可能会扰乱受体附近的膜特性,改变其构象和配体结合,甚至可能揭示隐藏的受体。静息膜特性的相对不敏感性(第三点)可能表明负责这些功能的膜通道(例如,钠和钾离子的“渗漏”通道)通常不会与受乙醇影响的脂质成分相互作用,至少在低剂量、“致醉”的乙醇浓度下不会。最后,乙醇对突触电位的降低可能表明其作用位点在突触前,因为至少其中一种突触电位(γ-氨基丁酸)对神经递质的反应未改变。这些数据似乎表明,至少在海马切片中,乙醇会降低神经递质的突触释放。这种突触前元件对乙醇的高敏感性可能表明,突触释放机制,如钙内流的电导(见参考文献39)或第二信使系统的作用(例如,那些导致突触素磷酸化的系统)对乙醇特别敏感。(摘要截取自400字)