Gray A T, Winegar B D, Leonoudakis D J, Forsayeth J R, Yost C S
Department of Anesthesia, University of California School of Medicine, San Francisco, USA.
Anesthesiology. 1998 Apr;88(4):1076-84. doi: 10.1097/00000542-199804000-00029.
Volatile anesthetic agents can activate the S channel, a baseline potassium (K+) channel, of the marine mollusk Aplysia. To investigate whether cloned ion channels with electrophysiologic properties similar to the S channel (potassium selectivity, outward rectification, and activation independent of voltage) also are modulated by volatile anesthetic agents, the authors expressed the cloned yeast ion channel TOK1 (tandem pore domain, outwardly rectifying K+ channel) in Xenopus oocytes and studied its sensitivity to volatile agents.
Standard two-electrode voltage and patch clamp recording methods were used to study TOK1 channels expressed in Xenopus oocytes.
Studies with two-electrode voltage clamp at room temperature showed that halothane, isoflurane, and desflurane increased TOK1 outward currents by 48-65% in barium Frog Ringer's perfusate. The concentrations at which 50% potentiation occurred (EC50 values) were in the range of 768-814 microM (0.016-0.044 atm) and had a rank order of potency in atm in which halothane > isoflurane > desflurane. The potentiation of TOK1 by volatile anesthetic agents was rapid and reversible (onset and offset, 1-20 s). In contrast, the nonanesthetic 1,2-dichlorohexafluorocyclobutane did not potentiate TOK1 currents in concentrations up to five times the MAC value predicted by the Meyer-Overton hypothesis based on oil/gas partition coefficients. Single TOK1 channel currents were recorded from excised outside-out patches. The single channel open probability increased as much as twofold in the presence of isoflurane and rapidly returned to the baseline values on washout. Volatile anesthetic agents did not alter the TOK1 single channel current-voltage (I-V) relationship, however, suggesting that the site of action does not affect the permeation pathway of the channel.
TOK1 is a potassium channel that is stimulated by volatile anesthetic agents. The concentrations over which potentiation occurred (EC50 values) were higher than those commonly used in clinical practice (approximately twice MAC).
挥发性麻醉剂可激活海生软体动物海兔的S通道,一种基线钾(K+)通道。为研究具有与S通道相似电生理特性(钾选择性、外向整流和电压非依赖性激活)的克隆离子通道是否也受挥发性麻醉剂调节,作者在非洲爪蟾卵母细胞中表达克隆的酵母离子通道TOK1(串联孔结构域,外向整流K+通道),并研究其对挥发性药物的敏感性。
采用标准双电极电压钳和膜片钳记录方法研究非洲爪蟾卵母细胞中表达的TOK1通道。
室温下双电极电压钳研究显示,在钡-林格氏液灌注时,氟烷、异氟烷和地氟烷使TOK1外向电流增加48% - 65%。产生50%增强作用时的浓度(EC50值)在768 - 814微摩尔(0.016 - 0.044个大气压)范围内,按效力顺序为氟烷>异氟烷>地氟烷(以大气压计)。挥发性麻醉剂对TOK1的增强作用迅速且可逆(起效和消退时间为1 - 20秒)。相比之下,非麻醉性的1,2 - 二氯六氟环丁烷在浓度高达基于油/气分配系数由迈耶-奥弗顿假说预测的MAC值的五倍时,并未增强TOK1电流。从切除的外翻膜片记录单通道TOK1电流。在异氟烷存在时,单通道开放概率增加多达两倍,洗脱后迅速恢复到基线值。然而,挥发性麻醉剂并未改变TOK1单通道电流-电压(I-V)关系,这表明作用位点不影响通道的通透途径。
TOK1是一种受挥发性麻醉剂刺激的钾通道。产生增强作用的浓度(EC50值)高于临床实践中常用的浓度(约为MAC的两倍)。