Liu J, Laster M J, Taheri S, Eger E I, Chortkoff B, Halsey M J
Department of Anesthesia, University of California, San Francisco 94143-0464.
Anesth Analg. 1994 Dec;79(6):1049-55. doi: 10.1213/00000539-199412000-00005.
Neither lipophilicity nor vapor pressure of larger n-alkanes appear to correlate with their anesthetizing partial pressures in inspired gas. Such results suggest that the Meyer-Overton hypothesis and Ferguson's rule may not apply to these compounds. An alternative explanation might be that a large difference in inspired-to-arterial partial pressure exists, i.e., that the inspired partial pressure misrepresents the effective partial pressure. To test this explanation, we investigated the kinetics of five consecutive even-numbered n-alkanes (C2H6 to C10H22) in rats. The ratio of end-tidal-to-inspired (PA/PI), arterial-to-end-tidal (Pa/PA), and arterial-to-inspired (Pa/PI) partial pressures decreased with increasing carbon chain length, consistent with our separate finding that blood solubility increased. Using Pa/PI and the minimum inspired concentration (MIC) obtained previously, we calculated the true effective potency, minimum alveolar anesthetic concentration (MAC); of these n-alkanes as (Pa/PI)(MIC). This markedly improved, but did not perfectly correct, the correlation of MAC with lipid solubility (the Meyer-Overton hypothesis) and vapor pressure (Ferguson's rule). A coefficient of variation of 76.7% was found for the product of MAC and the olive oil/gas partition coefficient. More importantly, the correlation of the logarithm of MAC and oil solubility had a slope of -0.724 (i.e., deviated from -1.0), whereas the slope for eight conventional anesthetics was -1.046 (approached-1.0). These data imply that olive oil does not adequately mimic the nature of the anesthetic site of action of n-alkanes.
较大的正构烷烃的亲脂性和蒸气压似乎都与它们在吸入气体中的麻醉分压无关。这些结果表明,迈耶-奥弗顿假说和弗格森法则可能不适用于这些化合物。另一种解释可能是,吸入分压与动脉分压之间存在很大差异,即吸入分压不能代表有效分压。为了验证这一解释,我们研究了五种连续的偶数正构烷烃(C2H6至C10H22)在大鼠体内的动力学。呼气末与吸入(PA/PI)、动脉与呼气末(Pa/PA)以及动脉与吸入(Pa/PI)的分压比值随着碳链长度的增加而降低,这与我们单独发现的血液溶解度增加的结果一致。使用Pa/PI和先前获得的最低吸入浓度(MIC),我们计算了这些正构烷烃的真正有效效能,即最低肺泡麻醉浓度(MAC),计算方法为(Pa/PI)(MIC)。这显著改善了,但并未完美校正,MAC与脂溶性(迈耶-奥弗顿假说)和蒸气压(弗格森法则)之间的相关性。MAC与橄榄油/气体分配系数的乘积的变异系数为76.7%。更重要的是,MAC的对数与油溶解度之间的相关性斜率为-0.724(即偏离-1.0),而八种传统麻醉剂的斜率为-1.046(接近-1.0)。这些数据表明,橄榄油不能充分模拟正构烷烃麻醉作用部位的性质。