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Vol. 59, Issue 4, 732-743, April 2001
Department of Molecular Pharmacology and Biological Chemistry,
Northwestern University Medical School, Chicago, Illinois
Inhalational general anesthetics have recently been shown to inhibit
neuronal nicotinic acetylcholine (ACh) receptors (nnAChRs) expressed in
Xenopus laevis oocytes and in molluscan neurons. However, drug actions on these systems are not necessarily the same as
those seen on native mammalian neurons. Thus, we analyzed the detailed
mechanisms of action of halothane on nnAChRs using rat cortical neurons
in long-term primary culture. Currents induced by applications of ACh
via a U-tube system were recorded by the whole-cell, patch-clamp
technique. ACh evoked two types of currents,
-bungarotoxin-sensitive, fast desensitizing (
7-type) currents and
-bungarotoxin-insensitive, slowly desensitizing (
4
2-type) currents. Halothane suppressed
4
2-type currents more than
7-type currents with IC50 values of 105 and 552 µM,
respectively. Halothane shifted the ACh dose-response curve for the
4
2-type currents in the direction of lower ACh concentrations and
slowed its apparent rate of desensitization. The rate of recovery after
washout from halothane block was much faster than the rate of recovery
from ACh desensitization. Thus, the halothane block was not caused by
receptor desensitization. Chlorisondamine, an irreversible open channel
blocker for nnAChRs, caused a time-dependent block that was attenuated
by halothane. These results could be accounted for by kinetic
simulation based on a model in which halothane causes flickering block
of open channels, as seen in muscle nAChRs. Halothane block of nnAChRs
is deemed to play an important role in anesthesia via a direct action
on the receptor and an indirect action to suppress transmitter release.
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