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调节腹侧苍白球中 GABA 能神经元的活动可改变丙泊酚的全身麻醉效果。

Regulating the activity of GABAergic neurons in the ventral pallidum alters the general anesthesia effect of propofol.

机构信息

Jiangsu Province Key Laboratory of Anesthesiology, NMPA Key Laboratory for Research and Evaluation of Narcotic and Psychotropic Drugs, Xuzhou Medical University, Xuzhou, China.

Department of Anesthesiology, Liyang People's Hospital, Jiangsu Province, Liyang, China; Department of Anesthesiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

出版信息

Neuropharmacology. 2024 Oct 1;257:110032. doi: 10.1016/j.neuropharm.2024.110032. Epub 2024 Jun 8.

Abstract

The full mechanism of action of propofol, a commonly administered intravenous anesthetic drug in clinical practice, remains elusive. The focus of this study was the role of GABAergic neurons which are the main neuron group in the ventral pallidum (VP) closely associated with anesthetic effects in propofol anesthesia. The activity of VP GABAergic neurons following propofol anesthesia in Vgat-Cre mice was observed via detecting c-Fos immunoreactivity by immunofluorescence and western blotting. Subsequently, chemogenetic techniques were employed in Vgat-Cre mice to regulate the activity of VP GABAergic neurons. The role of VP GABAergic neurons in generating the effects of general anesthesia induced by intravenous propofol was further explored through behavioral tests of the righting reflex. The results revealed that c-Fos expression in VP GABAergic neurons in Vgat-Cre mice dramatically decreased after propofol injection. Further studies demonstrated that chemogenetic activation of VP GABAergic neurons during propofol anesthesia shortened the duration of anesthesia and promoted wakefulness. Conversely, the inhibition of VP GABAergic neurons extended the duration of anesthesia and facilitated the effects of anesthesia. The results obtained in this study suggested that regulating the activity of GABAergic neurons in the ventral pallidum altered the effect of propofol on general anesthesia.

摘要

丙泊酚是一种常用的静脉麻醉药物,其作用机制仍不明确。本研究聚焦于腹侧苍白球(VP)中的 GABA 能神经元,该神经元群与丙泊酚麻醉的麻醉效果密切相关。通过免疫荧光和蛋白质印迹检测 c-Fos 免疫反应性,观察到丙泊酚麻醉后 Vgat-Cre 小鼠 VP GABA 能神经元的活性。随后,在 Vgat-Cre 小鼠中采用化学遗传技术调节 VP GABA 能神经元的活性。通过静脉注射丙泊酚诱导的全身麻醉的行为测试,进一步探讨了 VP GABA 能神经元在产生全身麻醉效应中的作用。结果表明,丙泊酚注射后 Vgat-Cre 小鼠 VP GABA 能神经元中的 c-Fos 表达显著降低。进一步的研究表明,丙泊酚麻醉期间激活 VP GABA 能神经元可缩短麻醉持续时间并促进觉醒。相反,抑制 VP GABA 能神经元可延长麻醉持续时间并促进麻醉效果。本研究结果表明,调节腹侧苍白球中 GABA 能神经元的活性可改变丙泊酚对全身麻醉的作用。

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