Yamazaki M
Department of Anesthesiology, Tsuboi Hospital, Koriyama.
Masui. 1996 Jan;45(1):70-6.
The effect of intrathecal administration of NMDA (N-methyl-D-aspartate) receptor antagonists on the isoflurane MAC (minimum alveolar anesthetic concentration), and on the locomotor function, were studied in Wistar rats with catheters placed intrathecally. We determined the isoflurane MAC after the administration of either a competitive NMDA receptor antagonist, AP7 (0.044-132 nmole), or a non-competitive NMDA receptor antagonist, MK801 (0.3-90 nmole), as well as NMDA (0.068-204 nmole), and saline. AP7 (0.44-132 nmole) and MK801 (30-90 nmole) decreased the MAC. Intrathecal administration of NMDA reversed these decreases of MAC, but reversal effect is incomplete with AP7 132 nmole and MK801 90 nmole. In a locomotor dysfunction test, rats showed motor dysfunction with AP7 132 nmole (P < 0.05) and MK801 90 nmole (P < 0.05), but low doses did not exert these effects. Large doses of NMDA antagonist decreased the isoflurane MAC due to motor dysfunction, but low doses reduced the MAC without impairing motor function. We suspect that NMDA receptor antagonists play important roles in determining the isoflurane MAC in the spinal cord.
在通过鞘内放置导管的Wistar大鼠中,研究了鞘内注射N-甲基-D-天冬氨酸(NMDA)受体拮抗剂对异氟烷最低肺泡有效浓度(MAC)以及运动功能的影响。我们在注射竞争性NMDA受体拮抗剂AP7(0.044 - 132纳摩尔)、非竞争性NMDA受体拮抗剂MK801(0.3 - 90纳摩尔)、NMDA(0.068 - 204纳摩尔)以及生理盐水后测定异氟烷MAC。AP7(0.44 - 132纳摩尔)和MK801(30 - 90纳摩尔)降低了MAC。鞘内注射NMDA逆转了MAC的这些降低,但AP7 132纳摩尔和MK801 90纳摩尔的逆转效果不完全。在运动功能障碍测试中,大鼠在注射AP7 132纳摩尔(P < 0.05)和MK801 90纳摩尔(P < 0.05)时出现运动功能障碍,但低剂量未产生这些影响。大剂量的NMDA拮抗剂由于运动功能障碍降低了异氟烷MAC,但低剂量降低MAC时未损害运动功能。我们推测NMDA受体拮抗剂在脊髓中决定异氟烷MAC方面发挥重要作用。