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Anesth Analg 2007;104:1422-1429
© 2007 International Anesthesia Research Society
doi: 10.1213/01.ane.0000261519.04083.3e


ANESTHETIC PHARMACOLOGY

Increased {gamma}-Aminobutyric Acid Levels in Mouse Brain Induce Loss of Righting Reflex, but Not Immobility, in Response to Noxious Stimulation

Sohtaro Katayama, DDS, PhD*, Masahiro Irifune, DDS, PhD*, Nobuhito Kikuchi, DDS, PhD*, Tohru Takarada, DDS, PhD*, Yoshitaka Shimizu, DDS*, Chie Endo, DDS*, Takashi Takata, DDS, PhD{dagger}, Toshihiro Dohi, PhD{ddagger}, Tomoaki Sato, DDS, PhD§, and Michio Kawahara, MD, PhD*

From the *Department of Dental Anesthesiology, Division of Clinical Medical Science, Programs for Applied Biomedicine, {dagger}Department of Oral Maxillofacial Pathobiology, Division of Frontier Medical Science, and {ddagger}Department of Dental Pharmacology, Division of Integrated Medical Science, Programs for Biomedical Research, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan; and §Department of Applied Pharmacology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.

Address correspondence and reprint requests to Masahiro Irifune, DDS, PhD, Department of Dental Anesthesiology, Division of Clinical Medical Science, Programs for Applied Biomedicine, Graduate School of Biomedical Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8553, Japan. Address e-mail to mirifun{at}hiroshima-u.ac.jp.

BACKGROUND: The general anesthetic state comprises behavioral and perceptual components, including amnesia, unconsciousness, and immobility. {gamma}-Aminobutyric acidergic (GABAergic) inhibitory neurotransmission is an important target for anesthetic action at the in vitro cellular level. In vivo, however, the functional relevance of enhancing GABAergic neurotransmission in mediating essential components of the general anesthetic state is unknown. Gabaculine is a GABA-transaminase inhibitor that inhibits degradation of released GABA, and consequently increases endogenous GABA in the central nervous system. Here, we examined, behaviorally, the ability of increased GABA levels to produce components of the general anesthetic state.

METHODS: All drugs were administered systemically in adult male ddY mice. To assess the general anesthetic components, two end-points were used. One was loss of righting reflex (LORR; as a measure of unconsciousness); the other was loss of movement in response to tail-clamp stimulation (as a measure of immobility).

RESULTS: Gabaculine induced LORR in a dose-dependent fashion with a 50% effective dose of 100 (75–134; 95% confidence limits) mg/kg. The behavioral and microdialysis studies revealed that the endogenous GABA-induced LORR occurred in a brain concentration-dependent manner. However, even larger doses of gabaculine (285–400 mg/kg) produced no loss of tail-clamp response. In contrast, all the tested volatile anesthetics concentration-dependently abolished both righting and tail-clamp response, supporting the evidence that volatile anesthetics act on a variety of molecular targets.

CONCLUSIONS: These findings indicate that LORR is associated with enhanced GABAergic neurotransmission, but that immobility in response to noxious stimulation is not, suggesting that LORR and immobility are mediated through different neuronal pathways and/or regions in the central nervous system.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2007 by the International Anesthesia Research Society.