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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Hambrecht-Wiedbusch, Viviane S. Mitchell, Melinda F. Firn, Kelsie A. Baghdoyan, Helen A. Lydic, Ralph |
| Description | Author Affiliation: Hambrecht-Wiedbusch VS ( From the Department of Anesthesiology, University of Michigan, Ann Arbor, Michigan.) |
| Abstract | BACKGROUND: Agonist binding at the benzodiazepine site of γ-aminobutric acid type A receptors diminishes anxiety and insomnia by actions in the amygdala. The neurochemical effects of benzodiazepine site agonists remain incompletely understood. Cholinergic neurotransmission modulates amygdala function, and this study tested the hypothesis that benzodiazepine site agonists alter acetylcholine (ACh) release in the amygdala. METHODS: Microdialysis and high-performance liquid chromatography quantified ACh release in the amygdala of Sprague-Dawley rats (n = 33). ACh was measured before and after IV administration (3 mg/kg) of midazolam or eszopiclone, with and without anesthesia. ACh in isoflurane-anesthetized rats during dialysis with Ringer's solution (control) was compared with ACh release during dialysis with Ringer's solution containing (100 µM) midazolam, diazepam, eszopiclone, or zolpidem. RESULTS: In unanesthetized rats, ACh in the amygdala was decreased by IV midazolam (-51.1%; P = 0.0029; 95% confidence interval [CI], -73.0% to -29.2%) and eszopiclone (-39.6%; P = 0.0222; 95% CI, -69.8% to -9.3%). In anesthetized rats, ACh in the amygdala was decreased by IV administration of midazolam (-46.2%; P = 0.0041; 95% CI, -67.9% to -24.5%) and eszopiclone (-34.0%; P = 0.0009; 95% CI, -44.7% to -23.3%), and increased by amygdala delivery of diazepam (43.2%; P = 0.0434; 95% CI, 2.1% to 84.3%) and eszopiclone (222.2%; P = 0.0159; 95% CI, 68.5% to 375.8%). CONCLUSIONS: ACh release in the amygdala was decreased by IV delivery of midazolam and eszopiclone. Dialysis delivery directly into the amygdala caused either increased (eszopiclone and diazepam) or likely no significant change (midazolam and zolpidem) in ACh release. These contrasting effects of delivery route on ACh release support the interpretation that systemically administered midazolam and eszopiclone decrease ACh release in the amygdala by acting on neuronal systems outside the amygdala. |
| File Format | HTM / HTML |
| ISSN | 00032999 |
| e-ISSN | 15267598 |
| DOI | 10.1213/ANE.0000000000000201 |
| Journal | Anesthesia & Analgesia |
| Issue Number | 6 |
| Volume Number | 118 |
| Language | English |
| Publisher | Lippincott Williams & Wilkins |
| Publisher Date | 2014-06-01 |
| Publisher Place | United States |
| Access Restriction | Open |
| Subject Keyword | Discipline Anesthesiology Acetylcholine Metabolism Amygdala Gaba Agonists Pharmacology Receptors, Gaba-a Drug Effects Anesthesia, Inhalation Anesthetics, Inhalation Animals Azabicyclo Compounds Chromatography, High Pressure Liquid Diazepam Eszopiclone Administration & Dosage Injections, Intravenous Isoflurane Microdialysis Midazolam Piperazines Pyridines Rats, Sprague-dawley 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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