Department of Anesthesiology, SMPH, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Department of Medical Genetics, SMPH, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Paediatr Anaesth. 2024 Dec;34(12):1240-1249. doi: 10.1111/pan.14999. Epub 2024 Sep 27.
Individuals with mitochondrial defects, especially those in Complex I of the electron transport chain, exhibit behavioral hypersensitivity and toxicity to volatile anesthetics. In Drosophila melanogaster, mutation of ND23 (NDUFS8 in mammals), which encodes a subunit of the matrix arm of Complex I, sensitizes flies to toxicity from isoflurane but not an equipotent dose of sevoflurane. Also, in ND23 flies, both anesthetics activate expression of stress response genes, but to different extents. Here, we investigated the generality of these findings by examining flies mutant for ND2 (ND2 in mammals), which encodes a subunit of the membrane arm of Complex I.
The serial anesthesia array was used to expose ND2 and ND23 flies to precise doses of isoflurane, sevoflurane, and oxygen. Behavioral sensitivity was assessed by a climbing assay and toxicity by percent mortality within 24 h of exposure. Changes in expression were determined by qRT-PCR of RNA isolated from heads at 0.5 h after anesthetic exposure.
Unlike ND23, ND2 did not affect behavioral sensitivity to isoflurane or sevoflurane. Furthermore, sevoflurane in hyperoxia as well as anoxia caused mortality of ND2 but not ND23 flies. Finally, the mutations had different effects on induction of stress response gene expression by the anesthetics.
Mutations in different arms of Complex I resulted in different behavioral sensitivities and toxicities to isoflurane and sevoflurane, indicating that (i) the anesthetics have mechanisms of action that involve arms of Complex I to different extents and (ii) the lack of behavioral hypersensitivity does not preclude susceptibility to anesthetic toxicity.
具有线粒体缺陷的个体,特别是电子传递链复合物 I 中的那些个体,表现出行为敏感性增强和对挥发性麻醉剂的毒性。在黑腹果蝇中,编码复合物 I 基质臂亚基的 ND23(哺乳动物中的 NDUFS8)突变使果蝇对异氟烷的毒性敏感,但对等效剂量的七氟醚不敏感。此外,在 ND23 果蝇中,两种麻醉剂都激活应激反应基因的表达,但程度不同。在这里,我们通过检查编码复合物 I 膜臂亚基的 ND2(哺乳动物中的 ND2)突变体果蝇,研究了这些发现的普遍性。
使用串行麻醉数组将 ND2 和 ND23 果蝇暴露于精确剂量的异氟烷、七氟醚和氧气中。通过攀爬试验评估行为敏感性,通过暴露后 24 小时内的死亡率评估毒性。麻醉暴露后 0.5 小时从头部分离 RNA,通过 qRT-PCR 确定表达变化。
与 ND23 不同,ND2 不影响对异氟烷或七氟醚的行为敏感性。此外,高氧和缺氧中的七氟醚会导致 ND2 但不导致 ND23 果蝇死亡。最后,这些突变对麻醉剂诱导应激反应基因表达有不同的影响。
不同臂的复合物 I 突变导致对异氟烷和七氟醚的不同行为敏感性和毒性,表明(i)麻醉剂的作用机制涉及到复合物 I 的不同臂,(ii)缺乏行为敏感性并不排除对麻醉毒性的易感性。