M. Schlame et Hc. Hemmings, INHIBITION BY VOLATILE ANESTHETICS OF ENDOGENOUS GLUTAMATE RELEASE FROM SYNAPTOSOMES BY A PRESYNAPTIC MECHANISM, Anesthesiology, 82(6), 1995, pp. 1406-1416
Background: Synaptic transmission is more sensitive than axonal conduc
tion to the effects of general anesthetics. Previous studies of the sy
naptic effects of general anesthetics have focused on postsynaptic sit
es of action. We now provide direct biochemical evidence for a presyna
ptic effect of volatile anesthetics on neurotransmitter release. Metho
ds: Rat cerebrocortical synaptosomes (isolated presynaptic nerve termi
nals) were used to determine the effects of general anesthetics on the
release of endogenous L-glutamate, the major fast excitatory neurotra
nsmitter. nasal and evoked (by 4-aminopyridine, veratridine, increased
KCl, or ionomycin) glutamate release were measured by continuous enzy
me-coupled fluorometry. Results: Clinical concentrations of volatile h
alogenated anesthetics, but not of pentobarbital, inhibited 4-aminopyr
idine-evoked Ca2+-dependent glutamate release. Halothane also Inhibite
d veratridine-evoked glutamate release but not basal, KCl-evoked, or i
onomycin-evoked glutamate release. Halothane inhibited both the 4-amin
opyridine-evoked and the KCl-evoked increase in free intrasynaptosomal
[Ca2+]. Conclusions. Inhibition of glutamate release from presynaptic
nerve terminals is a potential mechanism of volatile anesthetic actio
n. Comparison of the sensitivity of glutamate release evoked by secret
ogogues that act at various steps in the neurotransmitter release proc
ess suggests that halothane does not affect Ca2+-secretion coupling or
vesicle exocytosis but inhibits glutamate release at a step proximal
to Ca2+ influx, perhaps by blocking presynaptic Na+ channels. Synaptos
omal glutamate release evoked by 4-aminopyridine should provide a usef
ul system for further characterization of the presynaptic effects of a
nesthetics.