Evers A S, Hossain M D
Department of Anesthesiology, Washington University School Medicine, St. Louis, Missouri 63110.
Adv Pharmacol. 1994;31:343-50. doi: 10.1016/s1054-3589(08)60627-4.
The experimental results reviewed in this article indicate that clinically relevant concentrations of halothane (and isoflurane and octanol) cause calcium to leak from IP3-gated intracellular calcium stores, resulting in depletion of the stores. Depletion of intracellular Ca2+ stores should attenuate the actions of a variety of hormones and neurotransmitters that use the IP3 pathway to produce their effects, potentially contributing to many volatile anesthetic side effects including bronchodilatation, vasodilatation, and unresponsiveness to vasoconstrictive agents.
本文所综述的实验结果表明,临床相关浓度的氟烷(以及异氟烷和辛醇)会导致钙离子从肌醇三磷酸(IP3)门控的细胞内钙库泄漏,从而致使钙库耗竭。细胞内Ca2+ 钙库的耗竭会减弱多种利用IP3途径产生效应的激素和神经递质的作用,这可能是导致许多挥发性麻醉剂副作用的原因,这些副作用包括支气管扩张、血管扩张以及对血管收缩剂无反应。