Evers A S, Elliott W J, Lefkowith J B, Needleman P
J Clin Invest. 1986 Mar;77(3):1028-33. doi: 10.1172/JCI112355.
The molecular mechanism of volatile anesthetic action remains unknown. Attempts to elucidate this mechanism have been complicated by the absence of models in which changes in neuronal cellular properties can be correlated with changes in whole animal anesthetic effect. In this study we describe a model where diet-induced alterations in rat brain fatty acid composition are correlated with alterations in volatile anesthetic potency. Rats maintained on a fat-free diet showed significant depletion of arachidonic acid (20:4 omega 6; 5,8,11,14-eicosatetraenoic acid) and docosahexaenoic acid (22:6 omega 3; 4,7,10,13,16,19,-docosahexaenoic acid) in brain, and a corresponding increase in Mead acid (20: 3 omega 9; 5,8,11-eicosatrienoic acid). These fat-deprived rats were significantly more sensitive to all volatile anesthetics tested than were age-controlled rats on a normal diet. Parenteral supplementation of the fat-deprived animals with linolenic acid (18: 3 omega 3, 9,12,15-octadecatrienoic acid) completely reconstituted the docosahexaenoic acid content of brain without affecting anesthetic sensitivity. In contrast, supplementation of the fat-deprived rats with linoleic acid (18: omega 6; 9,12-octadecadienoic acid) caused a dramatic decrease in anesthetic sensitivity, but only a small change in whole brain arachidonate content. Further analysis revealed that linoleate supplementation of fat-deprived animals resulted in a preferential normalization of the arachidonate content of brain phosphatidylinositol as compared with other brain phosphoglycerides. These results demonstrate for the first time a correlation between changes in membrane composition and anesthetic effect, and indicate that the precise fatty acid composition (perhaps in specific phospholipids) of brain is important in the mechanism of volatile anesthetic action.
挥发性麻醉药作用的分子机制仍然未知。由于缺乏能将神经元细胞特性的变化与全动物麻醉效果的变化相关联的模型,阐明这一机制的尝试变得复杂起来。在本研究中,我们描述了一个模型,其中饮食诱导的大鼠脑脂肪酸组成变化与挥发性麻醉药效能的变化相关。维持无脂饮食的大鼠脑内花生四烯酸(20:4 ω6;5,8,11,14-二十碳四烯酸)和二十二碳六烯酸(22:6 ω3;4,7,10,13,16,19-二十二碳六烯酸)显著减少,而麦迪酸(20:3 ω9;5,8,11-二十碳三烯酸)相应增加。这些脂肪缺乏的大鼠对所有测试的挥发性麻醉药的敏感性明显高于正常饮食的年龄对照大鼠。对脂肪缺乏的动物进行肠外补充亚麻酸(18:3 ω3;9,12,15-十八碳三烯酸)可完全恢复脑内二十二碳六烯酸的含量,而不影响麻醉敏感性。相反,给脂肪缺乏的大鼠补充亚油酸(18:ω6;9,12-十八碳二烯酸)会导致麻醉敏感性急剧下降,但全脑花生四烯酸含量仅有微小变化。进一步分析表明,给脂肪缺乏的动物补充亚油酸会使脑磷脂酰肌醇的花生四烯酸含量相对于其他脑磷酸甘油酯优先恢复正常。这些结果首次证明了膜组成变化与麻醉效果之间的相关性,并表明脑的精确脂肪酸组成(可能在特定磷脂中)在挥发性麻醉药作用机制中很重要。