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Department of Anesthesiology, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo, Hokkaido 060-0061, Japan
Address correspondence and reprint requests to Yurie Tohdoh, MD, Department of Anesthesiology, Sapporo Medical University, School of Medicine, South 1, West 16, Sapporo, Hokkaido 060-0061, Japan. Address e-mail to yurie-toudou{at}ghs.hospital.hokkaido.east.ntt.co.jp
| Abstract |
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-aminobutyric acid (GABA) A receptor antagonist. The results indicate that adenosine neuromodulation through A1 receptors and other undefined mechanisms, which are independent from GABAergic mechanisms, are involved in pentobarbital-induced depression of excitatory synaptic transmission.
Implications: Adenosine neuromodulation contributes to mechanisms of pentobarbital-induced excitatory postsynaptic potentials depression.
| Introduction |
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-aminobutyric acid (GABA)-ergic synaptic transmission (1). Inhibitory postsynaptic potentials, mediated by GABAA receptors, are facilitated by pentobarbital (2) and other barbiturates. In addition to this mechanism, pentobarbital depresses excitatory postsynaptic potentials (EPSPs) (3), but the mechanism of EPSP depression is not clear. However, it has been reported that pentobarbital inhibits adenosine uptake (4). Adenosine uptake inhibition (5) results in accumulation of extracellular endogenously released adenosine, which stimulates subtypes of adenosine receptors. Stimulation of the adenosine A1 receptor induces adenylate cyclase inhibition (6) and phospholipase C activation (7). Conversely, A2 receptor stimulation elicits adenylate cyclase activation (6). The balance of A1 and A2 receptor stimulation regulates adenylate cyclase activity in the adenosine neuromodulatory system (6), which modulates synaptic transmission in the central nervous system. Adenosine accumulation reduces adenylate cyclase activity through A1 receptors, thereby reducing transmitter release (6,810) and depressing postsynaptic excitability (8,10,11). We have reported that dipyridamole, a standard adenosine uptake inhibitor, and midazolam, a benzodiazepine that may also depress adenosine uptake, depressed field EPSPs (fEPSPs) in the CA1 region of rat hippocampal slices (12,13). From these findings, we suspected that the pentobarbital-induced adenosine uptake inhibition might also activate the adenosine neuromodulatory system and then depress excitatory synaptic transmission.
We evaluated the contribution of adenosine neuromodulation to the pentobarbital-induced depression of excitatory synaptic transmission. We investigated the effects of adenosine receptor antagonists on pentobarbital-induced fEPSP depression in rat hippocampal slices.
| Methods |
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Wistar rats, 5 wk old and weighing 100140g, were anesthetized with isoflurane and decapitated. The brain was rapidly removed from each rat, and from each hemisphere four or five transverse hippocampal slices (400-µm thick) were prepared with a vibratome (Leica VT 1000S; Leica, Nusslcoch, Germany) in artificial cerebrospinal fluid (ACSF) oxygenated with 95%O2-5%CO2 gas at 23°C. Slices were then incubated for at least one hour in oxygenated ACSF at room temperature. The slices were placed in a submerged recording chamber (volume of 2 mL) and constantly superfused (3 mL/min) with oxygenated ACSF at 28.0 ± 0.3°C. The composition of the ACSF was as follows (in mM): NaCl, 123.4; KCl, 4.5; CaCl2, 2.5; MgCl2, 1.2; NaHCO3, 25.0; NaH2PO4, 1.2; and glucose, 10. During oxygenation of the ACSF, the pH value was 7.40 ± 0.05.
The fEPSPs, elicited by orthodromic electrical stimulation on CA1-Schaffer collateral (inframaximal square pulse: duration, 0.1 ms; intensity, 0.020.10 mA; frequency, 0.05 Hz) with bipolar tungsten microelectrodes (Microprobe; Protomoc, MD), were recorded by using extracellular tungsten microelectrodes (Microprobe; resistance, 0.91.0 M
) placed in the CA1-stratum radiatum. The intensity of the stimulation was regulated so as not to elicit action potential-induced upward waves on the fEPSPs. Signals from the microelectrodes were amplified (1000 times) and filtered (bandpass, 0.013 kHz) with a DAM80 AC differential amplifier (WPI, Sarasota, FL). As an index of synaptic strength, the fEPSP amplitudes (Figure 1a), averaged in groups of three, were analyzed online by using a computer program (MacLab; AD Instruments, Castle Hill, NSW, Australia).
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The amplitude of the fEPSP was expressed as mean ± SE (n = 67). Statistical analysis was performed by using the paired Students t-tests, one- or two-way repeated measures analysis of variance (ANOVA), or one-way factorial measures ANOVA when appropriate. Data were considered to be statistically significant when P < 0.05.
| Results |
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30 min from the start of stimulation at 0.05 Hz. The stabilization of the fEPSP amplitude was confirmed when the variability of the amplitude was within the range of 7% of the mean value for a period of
15 min. Continuous application of 100 µM pentobarbital transiently depressed the fEPSPs (P < 0.01); i.e., pentobarbital initially reduced the fEPSP amplitude to 58.9 ± 3.1% of control at 8 min after its application (P < 0.01), then the reduced amplitude gradually recovered to 77.3 ± 4.3% of control within 16 min. The partially recovered amplitude remained stable at that level (n = 7, Figure 1B and 2). At more than 100 µM, pentobarbital further transiently and dose-dependently decreased the fEPSP amplitude. Pentobarbital (200 and 500 µM) decreased the amplitude to 40.1 ± 2.5% and 18.7 ± 2.1% of control at 8 min (P < 0.01 each), that recovered to 56.4 ± 3.9% and 29.3 ± 3.3% of control within 16 min, respectively, and thereafter remained stable (n = 6 each). However, at 50 µM, pentobarbital conversely increased the fEPSP amplitude to 142.5 ± 7.9% of control within 12 min (n = 6, P < 0.01), and the increased amplitude thereafter remained stable.
The influence of GABAA receptor-mediated inhibitory synaptic transmission on pentobarbital-induced fEPSP depression was investigated. Application of 10 µM bicuculline had no significant effect on the fEPSP amplitude (98.6 ± 4.5% of control, n = 7). Pentobarbital (100 µM) transiently depressed (P < 0.01) fEPSPs in slices pretreated with 10 µM bicuculline in a manner similar to that with 100 µM pentobarbital alone (P > 0.05); i.e., pentobarbital initially reduced the fEPSP amplitude to 53.0 ± 9.8% of control at 8 min (P < 0.01), that recovered to 77.0 ± 5.9% of control within 16 min and thereafter remained stable (n = 6, Figure 2).
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There were no significant differences in the absolute values of the fEPSP amplitudes before drug application among the above-described five experimental groups: 0.29 ± 0.03mV (pentobarbital alone, n = 7), 0.25 ± 0.04mV (bicuculline and pentobarbital, n = 6), 0.32 ± 0.04mV (aminophylline and pentobarbital, n = 6), 0.27 ± 0.04 mV (DPCPX and pentobarbital, n = 7), and 0.30 ± 0.5mV (DMPX and pentobarbital, n = 6).
| Discussion |
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Continuous application of 100 µM pentobarbital, which was the smaller limit of the range of concentrations that could induce fEPSP depression in the hippocampus (3), transiently, but not continuously, depressed fEPSPs. This result demonstrated that pentobarbital transiently depresses glutamatergic EPSPs, which are generated on dendrites of CA1-pyramidal cells. Pretreatment with bicuculline did not significantly influence pentobarbita l-induced fEPSP depression. Furthermore, bicuculline did not affect fEPSPs, as was reported previously (12,13). These results indicate that pentobarbital has a mechanism to transiently depress glutamatergic excitatory synaptic transmission, which is independent from its conventional GABAergic action. However, the details of the nonGABAergic mechanism of pentobarbital are not known.
Because pentobarbital inhibits adenosine uptake (4) and because transient fEPSP depression mediated by adenosine receptors and subsequent adenosine neuromodulatory system has been observed when adenosine uptake inhibitors have been used (12,13), we presumed that pentobarbital-induced adenosine uptake inhibition may be a possible mechanism of the pentobarbital-induced fEPSP depression.
Pentobarbital-induced fEPSP depression was partially antagonized by pretreatment with aminophylline and DPCPX; these suppressed the initial and transient parts of fEPSP depression, which peaked at 8 min and lasted until 16 min. However, pentobarbital-induced fEPSP depression was not influenced by pretreatment with DMPX. These results indicate that the initial transient part of fEPSP depression is mediated by A1 receptors, not by A2 receptors.
Furthermore, there were no significant differences in pentobarbital-induced fEPSP depressions at 16 min and at 20 min between the experimental groups. These results indicate that the effect of pentobarbital is because of at least two individual mechanisms; i.e., 1) an A1 receptor-dependent mechanism that elicits initial and transient fEPSP depression, and 2) adenosine receptor-independent mechanisms that produce subsequent continuous fEPSP depression. The initial part of the pentobarbital-induced fEPSP depression may be a result of the addition of these mechanisms.
The details of the adenosine-independent mechanism are unknown. Other effects of barbiturates, such as modulation of sodium channels (14), blockade of
-amino-3-hydroxy-5-methyl-4-isoxazole propionic acid-type glutamate receptors (15), depression of membrane depolarization (16), and modulation of other second messenger systems (17), are possible causes of the induction of adenosine-independent EPSP depression.
We have reported that adenosine uptake inhibition-induced transient fEPSP depression was mediated mainly by presynaptic adenosine neuromodulation through A1 receptors but was not mediated by postsynaptic adenosine neuromodulation (13). These findings suggest that the initial transient part of fEPSP depression induced by pentobarbital may also be mediated mainly by the presynaptic mechanism. Presynaptic A1 receptors are linked to deactivation of adenylate cyclase (8) and subsequent decrease in glutamate release (810) and spontaneous recovery of adenosine uptake inhibition-induced fEPSP depression requires protein kinase C activation (13). It is possible that the initial transient part of the pentobarbital-induced fEPSP depression may also be a result of such adenosine receptor-mediated presynaptic mechanisms.
The contribution of the adenosine receptor-mediated mechanism of pentobarbital to its clinical effect is unknown. However, it is possible that this mechanism influences the strength of the clinical effect of pentobarbital in the period immediately after its administration.
In summary, this study showed that both adenosine neuromodulation through A1 receptors and other unrevealed mechanisms, both of which are independent from GABAergic mechanisms, are involved in the pentobarbital-induced depression of excitatory synaptic transmission.
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