McDowell T S, Pancrazio J J, Lynch C
Department of Anesthesiology, University of Virginia Health Sciences Center, Charlottesville, USA.
Anesthesiology. 1996 Nov;85(5):1167-75. doi: 10.1097/00000542-199611000-00026.
Volatile anesthetics may act in part by inhibiting voltage-dependent calcium channels. The effects of several volatile agents on three types of calcium channels in a thyroid C-cell line were examined.
Whole-cell calcium currents were recorded using standard patch clamp techniques. Current-voltage relationships were derived before, during, and after application of isoflurane, enflurane, or halothane. Low-voltage-activated (LVA; T type) calcium currents were isolated based on the voltage range of activation. High-voltage-activated (HVA) calcium currents were separated into L and N types using omega-conotoxin GVIA (omega-CTX) and nicardipine.
All three agents reversibly decreased both LVA and HVA currents at clinically relevant concentrations. Isoflurane and enflurane both reduced peak LVA current more than peak HVA current: -33 +/- 6% (mean +/- SE) versus -22 +/- 4% for 0.71 mM isoflurane (n = 6), and -46 +/- 6% versus -35 +/- 5% for 1.21 mM enflurane (n = 6). In contrast, halothane depressed LVA and HVA currents to a similar extent: -22 +/- 4% versus -29 +/- 3% for 0.65 mM halothane (n = 6). Isoflurane had no effect on LVA whole-cell current kinetics. Pretreatment with either omega-CTX (400 nM) or nicardipine (1 microM) did not change the sensitivity of HVA current to isoflurane.
Isoflurane and enflurane block LVA calcium channels more potently than either L-type or N-type calcium channels, but halothane shows no such preferential effect. These results may have implications for the mechanism action of volatile anesthetics.
挥发性麻醉剂可能部分通过抑制电压依赖性钙通道起作用。研究了几种挥发性药物对甲状腺C细胞系中三种类型钙通道的影响。
使用标准膜片钳技术记录全细胞钙电流。在应用异氟烷、恩氟烷或氟烷之前、期间和之后得出电流-电压关系。基于激活的电压范围分离出低电压激活(LVA;T型)钙电流。使用ω-芋螺毒素GVIA(ω-CTX)和尼卡地平将高电压激活(HVA)钙电流分为L型和N型。
在临床相关浓度下,所有三种药物均可逆地降低LVA和HVA电流。异氟烷和恩氟烷降低LVA电流峰值的程度均大于HVA电流峰值:0.71 mM异氟烷时分别为-33±6%(平均值±标准误)和-22±4%(n = 6),1.21 mM恩氟烷时分别为-46±6%和-35±5%(n = 6)。相比之下,氟烷对LVA和HVA电流的抑制程度相似:0.65 mM氟烷时分别为-22±4%和-29±3%(n = 6)。异氟烷对LVA全细胞电流动力学无影响。用ω-CTX(400 nM)或尼卡地平(1 μM)预处理均未改变HVA电流对异氟烷的敏感性。
异氟烷和恩氟烷对LVA钙通道的阻断作用比L型或N型钙通道更强,但氟烷没有这种优先作用。这些结果可能对挥发性麻醉剂的作用机制有影响。