Tanaka S, Tsuchida H
Department of Anesthesiology, Sapporo Medical University School of Medicine, Japan.
Anesthesiology. 1998 Nov;89(5):1209-17. doi: 10.1097/00000542-199811000-00022.
Although previous studies have proposed that anesthetics may influence signal transduction systems, their effects on the beta-adrenoceptor-mediated system have not been fully characterized in vascular smooth muscle. The aim of this study was to determine how halothane and isoflurane affect beta-adrenoceptor-mediated vasodilation in rat aorta and what mechanisms were involved.
Isometric tension and the intracellular calcium ion concentration ([Ca2+]i) were measured concomitantly in rat aortic strips from which the endothelium was removed. Strips precontracted with norepinephrine were dilated with the beta-adrenoceptor agonist, isoproterenol; the adenylyl cyclase activator, forskolin; or the membrane-permeable dibutyryl cyclic adenosine monophosphate (cAMP) with or without halothane or isoflurane. The effects of the anesthetics on each vasodilator were compared with the control responses. Beta-adrenoceptor binding characteristics and affinity for agonists were determined with [125I]-iodocyanopindolol with and without halothane or isoflurane. Furthermore, concentrations of cAMP induced by either isoproterenol or forskolin were measured with or without the anesthetics using an enzyme immunoassay procedure.
Halothane and isoflurane attenuated vasodilation and [Ca2+]i decreases induced by isoproterenol, whereas both anesthetics only slightly affected vasodilation and [Ca2+]i decreases induced by forskolin and dibutyryl cAMP. Halothane and isoflurane had no effect on beta-adrenoceptor binding characteristics and affinity for agonists. Three percent halothane or 4% isoflurane significantly reduced cAMP levels induced by isoproterenol but not by forskolin.
Halothane and isoflurane, at clinically relevant concentrations, can interfere with beta-adrenoceptor-mediated responses in the rat aorta at the steps after the agonist-receptor binding but before the adenylyl cyclase activation.
尽管先前的研究表明麻醉剂可能影响信号转导系统,但其对血管平滑肌中β - 肾上腺素能受体介导系统的影响尚未完全明确。本研究的目的是确定氟烷和异氟烷如何影响大鼠主动脉中β - 肾上腺素能受体介导的血管舒张以及涉及何种机制。
在去除内皮的大鼠主动脉条上同时测量等长张力和细胞内钙离子浓度([Ca2+]i)。用β - 肾上腺素能受体激动剂异丙肾上腺素、腺苷酸环化酶激活剂福斯高林或膜通透性二丁酰环磷酸腺苷(cAMP)使预先用去甲肾上腺素预收缩的条带舒张,同时使用或不使用氟烷或异氟烷。将麻醉剂对每种血管舒张剂的作用与对照反应进行比较。使用[125I] - 碘氰吲哚洛尔在使用或不使用氟烷或异氟烷的情况下测定β - 肾上腺素能受体结合特性和对激动剂的亲和力。此外,使用酶免疫测定法在使用或不使用麻醉剂的情况下测量由异丙肾上腺素或福斯高林诱导的cAMP浓度。
氟烷和异氟烷减弱了异丙肾上腺素诱导的血管舒张和[Ca2+]i降低,而两种麻醉剂仅轻微影响福斯高林和二丁酰cAMP诱导的血管舒张和[Ca2+]i降低。氟烷和异氟烷对β - 肾上腺素能受体结合特性和对激动剂的亲和力没有影响。3%的氟烷或4%的异氟烷显著降低了异丙肾上腺素诱导的cAMP水平,但不影响福斯高林诱导的cAMP水平。
在临床相关浓度下,氟烷和异氟烷可在激动剂 - 受体结合后但腺苷酸环化酶激活前的步骤干扰大鼠主动脉中β - 肾上腺素能受体介导的反应。