Simoneau C, Thuringer D, Cai S, Garneau L, Blaise G, Sauvé R
Department de Physiologie, Université de Montréal, Canada.
Anesthesiology. 1996 Aug;85(2):366-79. doi: 10.1097/00000542-199608000-00019.
Volatile anesthetics, such as halothane and isoflurane, have been reported to affect the endothelium mediated relaxation of vascular smooth muscle cells. Because the activity of the constitutive nitric oxide synthase in endothelial cells depends on the availability of intracellular Ca2+, there is a definite possibility that the observed inhibitory effect of volatile anesthetics involves an action on the agonist-evoked internal Ca2+ mobilization and/or Ca2+ influx in these cells. Therefore, a study was undertaken to determine how halothane and isoflurane affect the Ca2+ signalling process in vascular endothelial cells.
The effect of halothane and isoflurane on the Ca2+ response to bradykinin of bovine aortic endothelial (BAE) cells was investigated using the fluorescent Ca2+ indicator fura-2. Halothane or isoflurane was applied either to resting cells or after bradykinin stimulation. The agonist-evoked Ca2+ influx in BAE cells was estimated by measuring either the rate of fura-2 quenching induced by Mn2+ or the increase in cytosolic Ca2+ concentration initiated after readmission of external Ca2+ after a brief exposure of the cells to a Ca(2+)-free external medium. The effects of halothane on cell potential and intracellular Ca2+ concentration were measured in cell-attached patch-clamp experiments in which a calcium-activated K+ channel and an inward rectifying Ca(2+)-independent K+ channel were used as probes to simultaneously monitor the intracellular Ca2+ concentration and the cell transmembrane potential. In addition, combined fura-2 and patch-clamp cell-attached recordings were carried out, to correlate the variations in internal Ca2+ caused by halothane and the activity of the Ca(2+)-dependent K+ channels, which are known in BAE cells to regulate intracellular potential. Finally, a direct action of halothane and isoflurane on the gating properties of the Ca(2+)-activated K+ channel present in these cells was investigated in patch-excised inside-out experiments.
The results of the current study indicate that the initial Ca2+ increase in response to bradykinin stimulation is not affected by halothane, but that pulse applications of halothane (0.4-2 mM) or isoflurane (0.5-1 mM) reversibly reduce the sustained cytosolic Ca2+ increase initiated either by bradykinin or by the Ca2+ pump inhibitor thapsigargin. In addition, halothane appeared to dose-dependently inhibit the Ca2+ influx evoked by bradykinin, and to cause, concomitant to a decrease in cytosolic Ca2+ concentration, a depolarization of the cell potential. Halothane failed, however, to affect internal Ca2+ concentration in thapsigargin-treated endothelial cells, which were depolarized using a high K+ external solution. Finally, halothane and isoflurane decreased the open probability of the Ca(2+)-dependent K+ channel present in these cells.
These observations suggest that the effects of halothane and isoflurane on Ca2+ homeostasis in BAE cells reflect, for the most part, a reduction of the thapsigargin- or bradykinin-evoked Ca2+ influx, which would be consequent to a cellular depolarization caused by an inhibition of the Ca(2+)-dependent K+ channel activity initiated after cell stimulation.
据报道,挥发性麻醉剂,如氟烷和异氟烷,会影响内皮介导的血管平滑肌细胞舒张。由于内皮细胞中组成型一氧化氮合酶的活性取决于细胞内Ca2+的可用性,因此挥发性麻醉剂观察到的抑制作用很有可能涉及对这些细胞中激动剂诱发的细胞内Ca2+动员和/或Ca2+内流的作用。因此,开展了一项研究以确定氟烷和异氟烷如何影响血管内皮细胞中的Ca2+信号传导过程。
使用荧光Ca2+指示剂fura-2研究氟烷和异氟烷对牛主动脉内皮(BAE)细胞对缓激肽的Ca2+反应的影响。氟烷或异氟烷应用于静息细胞或缓激肽刺激后。通过测量Mn2+诱导的fura-2淬灭速率或细胞短暂暴露于无Ca2+外部培养基后重新加入外部Ca2+后启动的胞质Ca2+浓度增加来估计BAE细胞中激动剂诱发的Ca2+内流。在细胞贴附式膜片钳实验中测量氟烷对细胞电位和细胞内Ca2+浓度的影响,其中使用钙激活K+通道和内向整流非Ca2+依赖性K+通道作为探针同时监测细胞内Ca2+浓度和细胞跨膜电位。此外,进行了fura-2和膜片钳细胞贴附式联合记录,以关联氟烷引起的细胞内Ca2+变化与Ca2+依赖性K+通道的活性,已知在BAE细胞中该通道调节细胞内电位。最后,在膜片切除的内向外实验中研究了氟烷和异氟烷对这些细胞中存在的钙激活K+通道门控特性的直接作用。
当前研究结果表明,对缓激肽刺激的初始Ca2+增加不受氟烷影响,但氟烷(0.4 - 2 mM)或异氟烷(0.5 - 1 mM)的脉冲应用可逆地减少由缓激肽或Ca2+泵抑制剂毒胡萝卜素引发的持续胞质Ca2+增加。此外,氟烷似乎剂量依赖性地抑制缓激肽诱发的Ca2+内流,并伴随着胞质Ca2+浓度降低导致细胞电位去极化。然而,氟烷未能影响用高K+外部溶液去极化的毒胡萝卜素处理的内皮细胞中的细胞内Ca2+浓度。最后,氟烷和异氟烷降低了这些细胞中存在的Ca2+依赖性K+通道的开放概率。
这些观察结果表明,氟烷和异氟烷对BAE细胞中Ca2+稳态的影响在很大程度上反映了毒胡萝卜素或缓激肽诱发的Ca2+内流的减少,这将是细胞刺激后由Ca2+依赖性K+通道活性抑制引起的细胞去极化的结果。