Rengasamy A, Pajewski T N, Johns R A
Department of Anesthesiology, University of Virginia Health Sciences Center, Charlottesville 22908, USA.
Anesthesiology. 1997 Mar;86(3):689-98. doi: 10.1097/00000542-199703000-00022.
Inhalational anesthetics interact with the nitric oxide-cyclic guanosine monophosphate (NO-cGMP) pathway in the central nervous system (CNS) and attenuate excitatory neurotransmitter-induced cGMP concentration. The site of anesthetic action on the NO-cGMP pathway in the CNS remains controversial. This study investigated the effect of inhalational anesthetics on N-methyl-D-aspartate (NMDA)-stimulated NO synthase activity and cyclic cGMP production in rat cerebellum slices.
The interaction of inhalational anesthetics with NO synthase activation and cGMP concentration was determined in cerebellum slices of 10-day-old rats. Nitric oxide synthase activity in cerebellum slices was assessed by measuring the conversion of L-[3H]arginine to L-[3H]citrulline. The cGMP content of cerebellum slices was measured by radioimmunoassay.
Isoflurane at 1.5% and 3% enhanced the NMDA-stimulated NO synthase activity by two times while halothane at 1.5% and 3% produced no significant effect. However, the NMDA-stimulated cGMP production was inhibited by both anesthetic agents. The anesthetic inhibition of cGMP accumulation was not significantly altered by a mixture of superoxide dismutase and catalase or by glycine, a coagonist of the NMDA receptor.
The enhancement of NMDA-induced NO synthase activity by isoflurane and the inhibition of NMDA-stimulated cGMP production by halothane and isoflurane suggests that inhalational anesthetics interfere with the neuronal NO-cGMP pathway. This inhibitory effect of anesthetics on cGMP accumulation is not due to either their interaction with the glycine binding site of the NMDA receptor or to the action of superoxide anions.
吸入性麻醉药可与中枢神经系统(CNS)中的一氧化氮 - 环磷酸鸟苷(NO - cGMP)途径相互作用,并减弱兴奋性神经递质诱导的cGMP浓度。吸入性麻醉药在中枢神经系统中对NO - cGMP途径的作用位点仍存在争议。本研究调查了吸入性麻醉药对大鼠小脑切片中N - 甲基 - D - 天冬氨酸(NMDA)刺激的一氧化氮合酶活性和环化cGMP生成的影响。
在10日龄大鼠的小脑切片中测定吸入性麻醉药与一氧化氮合酶激活和cGMP浓度的相互作用。通过测量L - [3H]精氨酸向L - [3H]瓜氨酸的转化来评估小脑切片中的一氧化氮合酶活性。通过放射免疫测定法测量小脑切片的cGMP含量。
1.5%和3%的异氟烷将NMDA刺激的一氧化氮合酶活性提高了两倍,而1.5%和3%的氟烷则无显著影响。然而,两种麻醉剂均抑制了NMDA刺激的cGMP生成。超氧化物歧化酶和过氧化氢酶的混合物或NMDA受体的协同激动剂甘氨酸并未显著改变麻醉药对cGMP积累的抑制作用。
异氟烷增强NMDA诱导的一氧化氮合酶活性,氟烷和异氟烷抑制NMDA刺激的cGMP生成,这表明吸入性麻醉药会干扰神经元的NO - cGMP途径。麻醉药对cGMP积累的这种抑制作用既不是由于它们与NMDA受体的甘氨酸结合位点相互作用,也不是由于超氧阴离子的作用。