Nakao S, Adachi T, Murakawa M, Shinomura T, Kurata J, Shichino T, Shibata M, Tocyama I, Kimura H, Mori K
Department of Critical Care Medicine, Kyoto University Hospital, Japan.
Anesthesiology. 1996 Oct;85(4):874-82. doi: 10.1097/00000542-199610000-00024.
Ketamine, a noncompetitive N-methyl-D-aspartate antagonist, has psychotomimetic side effects. Recent studies have shown that noncompetitive N-methyl-D-aspartate antagonists cause morphologic damage to the cingulate and retrosplenial cortices and induce c-fos protein (c-Fos) in the same regions. Although benzodiazepines are effective in preventing these side effects, the neural basis of the drug interactions has not been established.
The effects of diazepam and halothane on c-Fos expression induced by ketamine were studied. Diazepam (1 and 5 mg/kg) or vehicle were administered subcutaneously, followed 7 min later by 100 mg/kg ketamine given intraperitoneally. Halothane (1.0 and 1.8%), was administered continuously from 10 min before ketamine administration until brain fixation. Two hours after ketamine injection, rats were perfused and their brains fixed and extracted. Brain sections were prepared in a cryostat and c-Fos expression was detected using immunohistochemical methods.
Ketamine induced c-Fos-like immunoreactivity in the cingulate and retrosplenial cortices, thalamus, and neocortex. Diazepam suppressed the ketamine-induced c-Fos-like immunoreactivity in the cingulate and retrosplenial cortices in a dose-dependent manner, leaving the thalamus and neocortex less affected. Halothane suppressed the ketamine-induced c-Fos-like immunoreactivity in the cingulate and retrosplenial cortices and the neocortex in a dose-dependent manner, leaving the thalamus relatively unaffected.
Halothane and diazepam inhibited ketamine-induced c-Fos expression in the cingulate and retrosplenial cortices, leaving the thalamus relatively unaffected.
氯胺酮是一种非竞争性N-甲基-D-天冬氨酸拮抗剂,具有拟精神病性副作用。近期研究表明,非竞争性N-甲基-D-天冬氨酸拮抗剂会对扣带回和压后皮质造成形态学损伤,并在相同区域诱导c-fos蛋白(c-Fos)表达。尽管苯二氮䓬类药物可有效预防这些副作用,但药物相互作用的神经基础尚未明确。
研究了地西泮和氟烷对氯胺酮诱导的c-Fos表达的影响。皮下注射地西泮(1和5mg/kg)或赋形剂,7分钟后腹腔注射100mg/kg氯胺酮。从氯胺酮给药前10分钟开始持续给予氟烷(1.0%和1.8%)直至脑部固定。氯胺酮注射两小时后,对大鼠进行灌注,固定并提取大脑。在低温恒温器中制备脑切片,采用免疫组织化学方法检测c-Fos表达。
氯胺酮在扣带回、压后皮质、丘脑和新皮质诱导c-Fos样免疫反应性。地西泮以剂量依赖性方式抑制氯胺酮在扣带回和压后皮质诱导的c-Fos样免疫反应性,而丘脑和新皮质受影响较小。氟烷以剂量依赖性方式抑制氯胺酮在扣带回、压后皮质和新皮质诱导产生的c-Fos样免疫反应性,丘脑相对未受影响。
氟烷和地西泮抑制氯胺酮诱导的扣带回和压后皮质中的c-Fos表达,丘脑相对未受影响。