Miyawaki I, Nakamura K, Yokubol B, Kitamura R, Mori K
Department of Anesthesia, Kyoto University Hospital, Japan.
Can J Anaesth. 1997 Dec;44(12):1301-7. doi: 10.1007/BF03012780.
The nitric oxide (NO)/cyclic guanosine monophosphate (cGMP) system is involved in glutamatergic neurotransmission. The current study determined the effects of propofol, ketamine and midazolam on rat cerebellar cGMP formation, attempting to clarify whether the effect was due to suppression of NO-cGMP system or to direct interaction with glutamatergic receptors.
Cerebellar slices, obtained from six- to eight-day-old Wistar rats, were pretreated with propofol (10 microM-1 mM), ketamine (10-100 microM) or midazolam (1-100 microM) for 30 min. and then stimulated with L-glutamate (3 mM), N-methyl-D-aspartate (NMDA, 0.1 mM), kainate (0.1 mM) or sodium nitroprusside (SNP, 0.3 mM) (n = 5-11 for each group). The levels of cGMP were determined by radioimmunoassay.
None of the anaesthetics studied altered cGMP levels when no stimulant was given. Propofol (10 microM-1 mM) suppressed L-glutamate-, NMDA-, kainate- and SNP stimulated cGMP formation in a concentration-dependent manner, the sensitivity to propofol was in the order of NMDA > kainate > L-glutamate. SNP. Ketamine (10-100 microM) suppressed L-glutamate- and NMDA-stimulated cGMP formation, but did not suppress kainate- or SNP-stimulated cGMP formation. Midazolam (10-100 microM) did not affect NMDA-, L-glutamate- or SNP-stimulated cGMP formation, but suppressed kainate-induced formation.
The inhibitory effects of propofol, ketamine and midazolam on cGMP formation in rat cerebellar slices are due mainly to interaction with receptors for excitatory amines, and not due to the suppression of nitric oxide synthase or guanylate cyclase activities.
一氧化氮(NO)/环磷酸鸟苷(cGMP)系统参与谷氨酸能神经传递。本研究测定了丙泊酚、氯胺酮和咪达唑仑对大鼠小脑cGMP生成的影响,试图阐明这种影响是由于抑制NO-cGMP系统还是与谷氨酸能受体直接相互作用所致。
取6至8日龄Wistar大鼠的小脑切片,用丙泊酚(10微摩尔/升至1毫摩尔/升)、氯胺酮(10至100微摩尔/升)或咪达唑仑(1至100微摩尔/升)预处理30分钟,然后用L-谷氨酸(3毫摩尔/升)、N-甲基-D-天冬氨酸(NMDA,0.1毫摩尔/升)、海人酸(0.1毫摩尔/升)或硝普钠(SNP,0.3毫摩尔/升)刺激(每组n = 5至11)。采用放射免疫分析法测定cGMP水平。
在未给予刺激剂时,所研究的麻醉药均未改变cGMP水平。丙泊酚(10微摩尔/升至1毫摩尔/升)以浓度依赖方式抑制L-谷氨酸、NMDA、海人酸和SNP刺激的cGMP生成,对丙泊酚的敏感性顺序为NMDA>海人酸>L-谷氨酸>SNP。氯胺酮(10至100微摩尔/升)抑制L-谷氨酸和NMDA刺激的cGMP生成,但不抑制海人酸或SNP刺激的cGMP生成。咪达唑仑(10至100微摩尔/升)不影响NMDA、L-谷氨酸或SNP刺激的cGMP生成,但抑制海人酸诱导的生成。
丙泊酚、氯胺酮和咪达唑仑对大鼠小脑切片中cGMP生成的抑制作用主要是由于与兴奋性胺类受体相互作用,而非由于抑制一氧化氮合酶或鸟苷酸环化酶活性。