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Vol. 60, Issue 3, 603-610, September 2001
Departments of Anesthesiology (S.M.T., V.J.-T.) and Psychiatry
(S.M.T., V.J.-T., S.M., C.F.Z.), Washington University School of
Medicine, St. Louis, Missouri; and Department of Pharmacology,
University of Virginia, Charlottesville, Virginia (E.P.-R.)
Although nitrous oxide (N2O; laughing gas) remains widely
used as an anesthetic and analgesic in clinical practice, its cellular mechanisms of action remain inadequately understood. In this report, we
examined the effects of N2O on voltage-gated
Ca2+ channels in acutely dissociated small sensory neurons
of adult rat. At subanesthetic concentrations, N2O blocks
low-voltage-activated, T-type Ca2+ currents (T currents),
but not high-voltage-activated (HVA) currents. This blockade of T
currents was concentration dependent, with an IC50 value of
45 ± 13%, maximal block of 38 ± 12%, and Hill coefficient
of 2.6 ± 1.0. No desensitization of the response or change in
current kinetics was observed during N2O application. The
magnitude of T current blockade by N2O does not seem to
reflect any use- or voltage-dependent properties. In addition, T
current blockade was not altered when intracellular GTP was replaced
with guanosine 5'-(
-thio)triphosphate or guanosine
5'-0-(2-thiodiphosphate) suggesting a lack of involvement of G-proteins
in the inhibition. N2O selectively blocked currents arising
from the Cav3.2 but not Cav3.1 recombinant
channels stably expressed in human embryonic kidney (HEK) cells in a
concentration-dependent manner with an apparent affinity and potency
similar to native dorsal root ganglion currents. Analogously, the block
of Cav3.2 T currents exhibited little voltage- or
use-dependence. These data indicate that N2O selectively
blocks T-type but not HVA Ca2+ currents in small sensory
neurons and Cav3.2 currents in HEK cells at subanesthetic
concentrations. Blockade of T currents may contribute to the anesthetic
and/or analgesic effects of N2O.
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