Department of Anesthesiology, Weill Cornell Medicine, New York, NY, USA.
Department of Anesthesiology, Weill Cornell Medicine, New York, NY, USA; Department of Pharmacology, Weill Cornell Medicine, New York, NY, USA.
Br J Anaesth. 2022 Jun;128(6):1019-1028. doi: 10.1016/j.bja.2022.01.014. Epub 2022 Feb 11.
General anaesthetics have marked effects on synaptic transmission, but their neuronal and circuit-level effects remain unclear. The volatile anaesthetic isoflurane differentially inhibits synaptic vesicle exocytosis in specific neuronal subtypes, but whether other common anaesthetics also have neurone-subtype-specific actions is unknown.
We used the genetically encoded fluorescent Ca sensor GCaMP6f to compare the pharmacological effects of isoflurane, sevoflurane, propofol, and ketamine on presynaptic excitability in hippocampal glutamatergic neurones and in hippocampal parvalbumin-, somatostatin-, and vasoactive intestinal peptide-expressing (PV, SST, and VIP, respectively) GABAergic interneurones.
Isoflurane and sevoflurane depressed activity-driven presynaptic Ca transients in a neurone-type-specific manner, with greater potency for inhibition of glutamate and SST compared with PV and VIP neurone presynaptic activation. In contrast, clinical concentrations of propofol (1 μM) or ketamine (15 μM) had no significant effects on presynaptic activation. Propofol potentiated evoked Ca entry in PV interneurones but only at a supraclinical concentration (3 μM).
Anaesthetic-agent-selective effects on presynaptic Ca entry have functional implications for hippocampal circuit function during i.v. or volatile anaesthetic-mediated anaesthesia. Hippocampal interneurones have distinct subtype-specific sensitivities to volatile anaesthetic actions on presynaptic Ca, which are similar between isoflurane and sevoflurane.
全身麻醉对突触传递有明显的影响,但它们的神经元和电路水平的影响仍不清楚。挥发性麻醉剂异氟醚在特定的神经元亚型中差异抑制突触小泡胞吐,但是其他常见的麻醉剂是否也具有神经元亚型特异性作用尚不清楚。
我们使用基因编码的荧光 Ca 传感器 GCaMP6f 来比较异氟醚、七氟醚、丙泊酚和氯胺酮对海马谷氨酸能神经元和海马表达 Parvalbumin、Somatostatin 和 Vasoactive Intestinal Peptide(分别为 PV、SST 和 VIP)的 GABA 能中间神经元的突触前兴奋性的药理学影响。
异氟醚和七氟醚以神经元类型特异性的方式抑制活性驱动的突触前 Ca 瞬变,对谷氨酸和 SST 抑制的效力大于对 PV 和 VIP 神经元突触前激活的抑制。相比之下,临床浓度的丙泊酚(1μM)或氯胺酮(15μM)对突触前激活没有显著影响。丙泊酚增强了 PV 中间神经元的诱发 Ca 内流,但仅在超临床浓度(3μM)下。
麻醉剂对突触前 Ca 进入的选择性作用对静脉或挥发性麻醉剂介导的麻醉期间海马电路功能具有功能意义。海马中间神经元对突触前 Ca 的挥发性麻醉剂作用具有独特的亚型特异性敏感性,异氟醚和七氟醚之间相似。