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Anesth Analg 2004;98:1017-1023
© 2004 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000107960.89818.35


ANESTHETIC PHARMACOLOGY

The Effects of Propofol on Hypothalamic Paraventricular Nucleus Neurons in the Rat

Tetsuro Shirasaka*, Yasuhiro Yoshimura*, De-Lai Qiu{dagger}, and Mayumi Takasaki*

Departments of *Anesthesiology and {dagger}Physiology, Miyazaki Medical College, Kiyotake, Japan

Address correspondence and reprint requests to Tetsuro Shirasaka, Department of Anesthesiology, Miyazaki Medical College, 5200 Kihara, Kiyotake, Miyazaki 889–1692, Japan. Address e-mail to shirasak{at}med.miyazaki-u.ac.jp

The mechanism of hypotension induced by anesthetics is not completely understood. Because no electrophysiologic examination of the effects of propofol on the central nervous system has shown its involvement in the control of sympathetic and cardiovascular functions, we investigated the actions of propofol on rat hypothalamic paraventricular nucleus (PVN) neurons using the whole-cell mode of the patch-clamp technique in rat hypothalamic PVN slice preparations. Propofol induced Cl- currents at concentrations of 10-5 and 10-4 M, which were sensitive to picrotoxin and, to a lesser extent, to strychnine. Propofol (10-6 M) enhanced {gamma}-aminobutyric acidA (GABAA; 10-6 M)-induced current synergistically. Moreover, propofol (10-5 and 10-4 M) significantly increased the decay time of evoked-inhibitory postsynaptic currents, which suggests a postsynaptic modulation of GABAA receptors. In addition, propofol (10-5, 10-4, and 2 x 10-4 M) reversibly inhibited voltage-gated Ca2+ currents. Taken together, these results suggest that propofol enhancement of GABAA-receptor mediated currents and inhibition of voltage-gated Ca2+ currents at the central level, which is involved in the control of cardiovascular and sympathetic functions may be, at least in part, involved in general anesthetic-induced cardiovascular and sympathetic depression.

IMPLICATIONS: We investigated the actions of propofol on the rat hypothalamic paraventricular nucleus neurons, which are involved in the control of cardiovascular and sympathetic functions. The results suggest that propofol enhancement of gamma-aminobutyric acidA-receptor mediated currents and inhibition of voltage-gated Ca2+ currents at the central level may be, at least in part, involved in general anesthetic-induced cardiovascular and sympathetic depression.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2004 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2004 by the International Anesthesia Research Society.