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Vol. 297, Issue 3, 981-990, June 2001
Department of Anesthesiology, University of Virginia Health Science
Systems, Charlottesville, Virginia
Since volatile anesthetics inhibited high voltage-gated calcium
channels and G-protein-coupled M1 muscarinic signaling,
their effects upon M1 receptor-induced modulation of L-type
(
1C) calcium channel was investigated. Voltage-clamped
Ba2+ currents (IBa) were
measured in Xenopus oocytes coexpressed with L-type
channels and M1 muscarinic receptors. M1
receptor agonist, acetyl-
-methylcholine (MCh) inhibited the peak and
late components of IBa in a dose-dependent
manner. Analysis of IBa after the treatment with MCh or volatile anesthetics revealed that the inactivating component, its time constant, and the noninactivating current were all
decreased by these agents. MCh-induced inhibition followed a second
messenger pathway that included G-proteins, phospholipase C,
inositol-1,4,5-trisphosphate, and intracellular calcium
[Ca2+]i. Although halothane or isoflurane
inhibited IBa, their effect was not mediated
through these intracellular second messengers. By using volatile
anesthetics and MCh sequentially, and in various combinations, the
susceptibility of L-type currents and their modulation by
M1 receptors to volatile anesthetics were investigated. When MCh and volatile anesthetics were administered together
simultaneously, a pronounced inhibition that was approximately equal to
the sum of their individual effects was seen. Halothane or isoflurane further inhibited the IBa when either
volatile anesthetic was administered following the inhibition produced
by prior administration of MCh. However, when MCh was administered
following either volatile anesthetic, its effect was significantly
reduced. Thus, whereas volatile anesthetics appear to directly inhibit
L-type channels, they also interfere with channel modulation by
G-protein-coupled receptors, which may have functional implications for
both neuronal and cardiovascular tissues.
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