Lecker I, Yin Y, Wang DS, Orser BA. (2013) Br J Anaesth. Suppl 1:i73-81.
BACKGROUND: Animal studies have shown that memory deficits in the early post-anaesthetic period can be prevented by pre-treatment with an inverse agonist that preferentially inhibits α5 subunit-containing γ-aminobutyric acid type A (α5GABAA) receptors. The goal of this in vitro study was to determine whether inverse agonists that inhibit α5GABAA receptors reduce anaesthetic potentiation of GABAA receptor activity.
METHODS: Cultures of hippocampal neurones were prepared from Swiss white mice, wild-type mice (genetic background C57BL/6J and Sv129Ev) and α5GABAA receptor null mutant (Gabra5-/-) mice. Whole-cell voltage clamp techniques were used to study the effects of the α5GABAA receptor-preferring inverse agonists L-655,708 and MRK-016 on anaesthetic potentiation of GABA-evoked currents.
RESULTS: L-655,708 (50 nM) reduced sevoflurane potentiation of GABA-evoked current in wild-type neurones but not Gabra5-/- neurones, and produced a rightward shift in the sevoflurane concentration-response plot [sevoflurane EC50: 1.9±0.1 mM; sevoflurane+L-655,708 EC50: 2.4±0.2 mM, P<0.05]. Similarly, L-655,708 (50 nM) reduced isoflurane potentiation of GABA-evoked current [isoflurane: 4.0±0.6 pA/pF; isoflurane+L-655,708: 3.1±0.5 pA/pF, P<0.01]. MRK-016 also reduced sevoflurane and isoflurane enhancement of GABA-evoked current [sevoflurane: 1.5±0.1 pA/pF; sevoflurane+MRK-016 (10 nM): 1.2±0.1 pA/pF, P<0.05; isoflurane: 3.5±0.3 pA/pF; isoflurane+MRK-016 (1 nM): 2.9±0.2 pA/pF, P<0.05].
CONCLUSIONS: L-655,708 and MRK-016 reduced the potentiation by inhaled anaesthetics of GABAA receptor activated by a low concentration of GABA. Future studies are required to determine whether this effect contributes to the memory preserving properties of inverse agonists after anaesthesia.
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