Elsevier

Brain Research

Volume 784, Issues 1–2, 16 February 1998, Pages 179-187
Brain Research

Research report
Modulatory and direct effects of propofol on recombinant GABAA receptors expressed in Xenopus oocytes: Influence of α- and γ2-subunits

https://doi.org/10.1016/S0006-8993(97)01334-6Get rights and content

Abstract

Propofol (2,6-diisopropylphenol) is an intravenous general anaesthetic which can directly activate and positively modulate the GABAA receptor. The effects of propofol on human recombinant GABAA receptors were studied in Xenopus oocytes expressing either α1β2, α1β2γ2L, or α2β2γ2L receptor isoforms. In all receptor isoforms tested, propofol was able to potentiate the GABA-activated currents in a concentration-dependent manner. Although propofol potentiated both α1β2 and α1β2γ2L receptor isoforms with equal affinity, the efficacy of propofol potentiation was markedly greater in the α1β2 receptor isoform. In contrast, potentiation of the α2β2γ2L receptor isoform by propofol occurred with higher affinity and lower efficacy than in the α1β2γ2L receptor isoform. Propofol directly activated all three receptor isoforms in a concentration dependent manner. Addition of the γ2L subunit subtype to the α1β2 receptor isoform decreased receptor sensitivity to direct activation by propofol. Replacement of the α1-subunit subtype with the α2-subunit subtype increased receptor sensitivity to propofol's direct effects. These results suggest that the α-and γ2L-subunit subtypes each have the ability to influence both the direct and modulatory actions of propofol on GABAA receptor function.

Introduction

The GABAA receptor is an important target involved in inhibitory neurotransmission within the central nervous system (CNS). Many anaesthetic agents dramatically alter GABAA receptor function either by enhancing GABA-mediated activation of the receptor or by directly activating the receptor in the absence of GABA 4, 11, 16, 17, 34, 44. These actions are thought to play a major role in the mechanism of general anaesthesia.

Within the GABAA receptor class, there exists a great deal of receptor heterogeneity, as different protein subunits (α1–6, β1–3, γ1–3, δ, ε) can assemble in various combinations to form different receptor isoforms. In addition, GABAA receptor subunit subtypes are unevenly distributed in brain regions and cell types throughout the CNS 6, 9, 10, 13, 21, 22, 25, 26, 32, 48. Receptor heterogeneity has been shown to exist in vivo as well as in vitro, with the α1β2γ2 and α2β2/3γ2 receptor isoforms being the two most common subunit combinations found in vivo [for review see Ref. [28]]. The effects of anaesthetic agents such as barbiturates and neurosteroids are influenced by the subunit composition of the GABAA receptor 5, 14, 35, 37, 43. Differential effects of anaesthetic agents on different GABAA receptor isoforms may explain the unique pharmacological properties of different anaesthetics. Moreover, differences in subunit dependence for anaesthetic modulation of receptor function may also help to elucidate the sites and/or mechanisms by which these drugs act on the GABAA receptor.

Propofol is a relatively new general anaesthetic which is structurally unrelated to other known anaesthetics. Due to its favourable clinical properties, propofol has become one of the most popular anaesthetics in use today 3, 12, 23, 24, 40. Although the ability of propofol to act at the GABAA receptor is well-established, the influence of subunit composition on propofol action is not very well understood. The β-subunit appears to contribute to the direct actions of propofol 5, 35. Recently, work from this laboratory showed that the presence or absence of the γ2-subunit significantly influenced both the potency and efficacy of propofol to potentiate GABAA receptor activation in receptor isoforms composed of α2β2 and α2β2γ2L subunit combinations [33]. The purpose of this study, therefore, was to further examine the effects of α- and γ2-subunit subtypes on the modulatory and direct effects of propofol on the GABAA receptor.

Section snippets

Preparation of oocytes

Female Xenopuslaevis frogs (Xenopus, Ann Arbor, MI) were anaesthetized in 0.2% 3-aminobenzoic acid ethyl ester (Sigma Chemical, St. Louis, MO) dissolved in ice cold water. A small incision was made in the lower abdomen and one to two lobes of ovary were removed. From these ovarian pieces, stage V and VI oocytes were isolated, rinsed and stored in a physiological buffer solution containing (in mM): 88 NaCl, 2 KCl, 1 CaCl2, 1 MgCl2, 2.4 NaHCO3, 5 HEPES, 2 sodium pyruvate, 0.5 theophylline,

Xenopus oocytes express functional GABAA receptors

Oocytes injected with combinations of RNA encoding GABAA receptor subunits were voltage-clamped at −60 mV. Perfusion of these oocytes with GABA produced inward currents which increased in amplitude as the GABA concentration increased. Uninjected oocytes did not respond to GABA. In other control experiments, GABA was applied to oocytes expressing α1β2 and α1β2γ2L receptor isoforms in the presence of Zn2+. Application of GABA in the presence of 10 μM Zn2+ reduced the GABA response by greater than

Discussion

Propofol belongs to a group of anaesthetic, anxiolytic, and sedative–hypnotic agents which have a profound effect on GABAA receptor function. Similar to benzodiazepines, barbiturates, alcohols, and the anaesthetic class of steroids, propofol can enhance GABA-mediated activation of the GABAA receptor 2, 15, 30, 34. In addition to allosteric modulation of GABAA receptor activation, general anaesthetics such as barbiturates, steroids, and propofol share the ability to directly activate the GABAA

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