Pajewski T N, Miao N, Lynch C, Johns R A
Department of Anesthesiology, University of Virginia Health Sciences Center, Charlottesville 22906-0010, USA.
Anesthesiology. 1996 Nov;85(5):1147-56. doi: 10.1097/00000542-199611000-00024.
The site where volatile anesthetics inhibit endothelium-dependent, nitric oxide-mediated vasodilation is unclear. To determine whether anesthetics could limit endothelium-dependent nitric oxide production by inhibiting receptor-mediated increases in cytosolic Ca2+, experiments were performed to see if the inhalational anesthetics halothane, isoflurane, and enflurane affect intracellular Ca2+ ([Ca2+]i) transients induced by the agonists bradykinin and adenosine triphosphate in cultured bovine aortic endothelial cells.
Bovine aortic endothelial cells, which had been loaded with the fluorescent Ca2+ indicator Fura-2, were added to medium preequilibrated with volatile anesthetic (1.25% and 2.5% for isoflurane, 1.755 and 3.5% for enflurane, and 0.75% and 1.5% for halothane). In Ca(2+)-containing medium, intracellular Ca2+ transients were elicited in response to bradykinin (10 nM and 1 microM) or adenosine triphosphate (1 microM and 100 microM).
Both bradykinin and adenosine triphosphate triggered a rapid rise to peak [Ca2+]i followed by a gradual decline to a plateau above the resting level. Although basal [Ca2+]i was unaltered by the anesthetics, both halothane and enflurane, in a dose-dependent manner, depressed the peak and plateau of the [Ca2+]i transient elicited by 10 nM bradykinin, whereas isoflurane had no effect. When [Ca2+]i transients were elicited by 1 microM bradykinin, halothane (1% and 5%) did not alter peak and plateau levels. Halothane and enflurane also decreased [Ca2+]i transients evoked by 1 microM and 100 microM adenosine triphosphate, whereas isoflurane also had no effect in this setting.
Halothane and enflurane, but not isoflurane, inhibit bradykinin- and adenosine triphosphate-stimulated Ca2+ transients in endothelial cells. Limitations of Ca2+ availability to activate constitutive endothelial nitric oxide synthase could allow for part, but not all, of the inhibition of endothelium-dependent nitric oxide-mediated vasodilation by inhalational anesthetics.
挥发性麻醉药抑制内皮依赖性、一氧化氮介导的血管舒张的部位尚不清楚。为了确定麻醉药是否可通过抑制受体介导的胞质Ca2+升高来限制内皮依赖性一氧化氮的产生,进行了实验以观察吸入麻醉药氟烷、异氟烷和恩氟烷是否会影响培养的牛主动脉内皮细胞中由激动剂缓激肽和三磷酸腺苷诱导的细胞内Ca2+([Ca2+]i)瞬变。
将已加载荧光Ca2+指示剂Fura-2的牛主动脉内皮细胞加入用挥发性麻醉药预平衡的培养基中(异氟烷为1.25%和2.5%,恩氟烷为1.755%和3.5%,氟烷为0.75%和1.5%)。在含Ca(2+)的培养基中,响应缓激肽(10 nM和1 microM)或三磷酸腺苷(1 microM和100 microM)引发细胞内Ca2+瞬变。
缓激肽和三磷酸腺苷均引发[Ca2+]i迅速上升至峰值,随后逐渐下降至高于静息水平的平台期。尽管麻醉药未改变基础[Ca2+]i,但氟烷和恩氟烷均以剂量依赖性方式降低了由10 nM缓激肽诱导的[Ca2+]i瞬变的峰值和平台期,而异氟烷无此作用。当由1 microM缓激肽引发[Ca2+]i瞬变时,氟烷(1%和5%)未改变峰值和平台期水平。氟烷和恩氟烷也降低了由1 microM和100 microM三磷酸腺苷诱发的[Ca2+]i瞬变,而异氟烷在此情况下也无作用。
氟烷和恩氟烷而非异氟烷抑制内皮细胞中缓激肽和三磷酸腺苷刺激的Ca2+瞬变。Ca2+可利用性的限制以激活组成型内皮一氧化氮合酶可能是吸入麻醉药对内皮依赖性一氧化氮介导的血管舒张抑制作用的部分而非全部原因。