Intravenous anesthetics are more effective than volatile anesthetics on inhibitory pathways in rat hippocampal CA1

Takehisa Asahi*, Koki Hirota, Rika Sasaki, Yamazaki Mitsuaki, Sheldon H. Roth

*この論文の責任著者

研究成果: ジャーナルへの寄稿学術論文査読

17 被引用数 (Scopus)

抄録

In this study, we have examined the effects of both volatile and IV general anesthetics on excitatory synaptic transmission, with and without recurrent inhibition, to clarify whether excitatory or inhibitory synapses are the major targets of action. Field population spike amplitudes (fPSs) of CA1 pyramidal neurons were recorded in rat hippocampal slices. Schaffer-collateral-commissural fibers (Sch) were stimulated orthodromically, and the evoked fPSs (PS[Sch]) in CA1 area were measured. In addition, the fPSs (PS[Alv+Sch]) elicited by stimulation of the Sch after antidromic stimulation of the alveus hippocampi (Alv) to produce recurrent inhibition were determined. It was observed that sevoflurane (0.5%-5%) and isoflurane (0.5%-5%) primarily inhibited PS[Sch] and also produced additive inhibition on the PS[Alv+Sch] in a concentration- dependent manner. The calculated 50% effective concentration (EC50) values for PS[Sch] and PS[Alv+Sch] were 5.3 vol% and 3.9 vol% (sevoflurane) and 1.7 vol% and 1.1 vol% (isoflurane), respectively. In comparison, thiopental (2.0 × 10-5-5.0 × 10-4 mol/L) reduced both the PS[Sch] and PS[Alv+Sch] in a concentration-dependent manner. The calculated EC50 values for thiopental on PS[Sch] and PS[Alv+Sch] were 3.4 × 10-4 and 5.7 × 10-5 mol/L, respectively. Propofol (2.0 × 10-5-3.5 × 10-4 mol/L) had little effect on the PS[Sch] but reduced PS[Alv+Sch] with a calculated EC 50 value of 5.1 × 10-4 mol/L. The effects of the IV anesthetics with recurrent inhibition were antagonized in the presence of the γ-aminobutyric acid-A-receptor antagonist bicuculline methiodide. In addition, all anesthetics prolonged recurrent inhibition from 100 ms (sevoflurane and isoflurane) to 400 ms (propofol). The results suggest that sevoflurane and isoflurane inhibit mainly on glutamate-mediated orthodromic pathways, whereas thiopental and propofol enhance γ-aminobutyric acid-A-mediated recurrent inhibitory pathways in CA1 neurons, thus providing further evidence that the mechanisms of general anesthetics are drug- and pathway-specific.

本文言語英語
ページ(範囲)772-778
ページ数7
ジャーナルAnesthesia and Analgesia
102
3
DOI
出版ステータス出版済み - 2006/03

ASJC Scopus 主題領域

  • 麻酔学および疼痛医療

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