Ph. Tonner et al., ALTERATIONS OF INOSITOL POLYPHOSPHATES IN SKELETAL-MUSCLE DURING PORCINE MALIGNANT HYPERTHERMIA, British Journal of Anaesthesia, 75(4), 1995, pp. 467-471
Malignant hyperthermia (MH) may result from increased intracellular ca
lcium concentrations. Increased 1,4,5-IP3 concentrations could mediate
this increase in Ca2+. In this study we measured inositol polyphospha
tes in selectively bred MH susceptible (MHS) and MH non-susceptible (M
HN) swine. MH crisis was induced by halothane challenge, and dantrolen
e was administered in order to measure inositol polyphosphates after M
H reversal. Muscle biopsies of skeletal muscles of the hind limbs were
obtained in random order and inositol polyphosphates determined by hi
gh pressure liquid chromatography using a metal dye detection method.
Inositol polyphosphates were determined in three groups: (1) MHS vs MH
N basal, (2) during MH crisis induced by halothane and (3) following t
reatment with dantrolene after halothane challenge. Clinical variables
(P (v) over bar O-2, P (v) over bar CO2, PE'(CO2) and pH) indicated t
hat MH was readily induced in MHS swine. Basal concentrations of all i
nositol polyphosphates were higher in MHS swine compared with MHN swin
e. After halothane challenge, 1,3,4-IP3, 1,3,4,6-IP4 and 1,3,4,5-IP4 c
oncentrations increased in MHS animals compared with the respective ba
seline values, whereas no changes in MHN animals could be detected. Da
ntrolene administration decreased inositol polyphosphate concentration
s in MHS swine. MHN swine showed no changes in inositol polyphosphates
after dantrolene. These findings indicate that inositol polyphosphate
s may be involved in metabolic changes after triggering and treatment
of MH.