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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Burkat, Paul M. Lor, Chong Perouansky, Misha Pearce, Robert A. |
| Description | Author Affiliation: Burkat PM ( From the Department of Anesthesiology, University of Wisconsin SMPH, Madison, Wisconsin.) |
| Abstract | BACKGROUND: Modulation of γ-aminobutyric acid type A receptors (GABAARs) by general anesthetics may contribute to their ability to produce amnesia. Receptors containing 5 subunits, which mediate tonic and slow synaptic inhibition, are co-localized with ß3 and γ2 subunits in dendritic layers of the hippocampus and are sensitive to low (amnestic) concentrations of anesthetics. Because 5 and ß3 subunits influence performance in hippocampus-dependent learning tasks in the presence and absence of general anesthetics, and the experimental inhaled drug 1,2-dichlorohexafluorocyclobutane (F6) impairs hippocampus-dependent learning, we hypothesized that F6 would modulate receptors that incorporate 5 and ß3 subunits. We hypothesized further that the ß3(N265M) mutation, which controls receptor modulation by general anesthetics, would similarly influence modulation by F6. METHODS: Using whole-cell electrophysiologic recording techniques, we tested the effects of F6 at concentrations ranging from 4 to 16 µM on receptors expressed in human embryonic kidney 293 cells. We measured drug modulation of wild-type 5ß3 and 5ß3γ2L GABAARs and receptors harboring the ß3(N265M) mutation. We also tested the effects of F6 on 1ß2γ2L receptors, which were reported previously to be insensitive to this drug when expressed in Xenopus oocytes. RESULTS: F6 enhanced the responses of wild-type 5ß3γ2L but not 1ß2γ2L receptors to low concentrations of GABA in a concentration-dependent manner. Receptors that incorporated the mutant ß3(N265M) subunit were insensitive to F6. When applied together with a high concentration of GABA, F6 blocked currents through 5ß3 but not 5ß3γ2L receptors. F6 did not alter deactivation of 5ß3γ2L receptors after brief high- concentration pulses of GABA. CONCLUSIONS: The nonimmobilizer F6 modulates GABAARs in a manner that depends on subunit composition and mode of receptor activation by GABA, supporting a possible role for 5-containing receptors in suppression of learning and memory by F6. Furthermore, common structural requirements indicate that similar molecular mechanisms may be responsible for the enhancing effects of F6 and conventional general anesthetics. |
| File Format | HTM / HTML |
| ISSN | 00032999 |
| e-ISSN | 15267598 |
| DOI | 10.1213/ANE.0000000000000423 |
| Journal | Anesthesia & Analgesia |
| Issue Number | 6 |
| Volume Number | 119 |
| Language | English |
| Publisher | Lippincott Williams & Wilkins |
| Publisher Date | 2014-12-01 |
| Publisher Place | United States |
| Access Restriction | Open |
| Subject Keyword | Discipline Anesthesiology Anesthetics Pharmacology Chlorofluorocarbons Cyclobutanes Gaba Modulators Mutation Receptors, Gaba-a Drug Effects Genetics Gamma-aminobutyric Acid Dose-response Relationship, Drug Hek293 Cells Kinetics Membrane Potentials Metabolism Research Support, N.i.h., Extramural Research Support, Non-u.s. Gov't |
| Content Type | Text |
| Resource Type | Article |
| Subject | Anesthesiology and Pain Medicine |
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