Ac. Hall et al., INSENSITIVITY OF P-TYPE CALCIUM CHANNELS TO INHALATIONAL AND INTRAVENOUS GENERAL-ANESTHETICS, Anesthesiology, 81(1), 1994, pp. 117-123
Background: Voltage-gated Ca2+ channels long have been considered plau
sible targets for general anesthetics. Previous anesthetic studies hav
e focused on L-, T-, or N-type channels, but there have been no studie
s on channels identified as P-type. Since P-type channels may be the m
ost important voltage-gated Ca2+ channels involved in synaptic transmi
ssion in mammalian brain, it is important to establish their sensitivi
ty to clinically relevant concentrations of general anesthetics. Metho
ds: Acutely dissociated cerebellar Purkinje neurons were obtained from
7-14-day-old Sprague-Dawley rats. P-type currents were measured using
the whole-cell version of the patch-clamp technique, with Ba2+ as the
current carrier. General anesthetics were applied to the neurons in a
queous solution at room temperature (20-23 degrees C). Results: P-type
Ca2+ channels were found to be very insensitive to a variety of gener
al anesthetics and ethanol. Inhibitions of less than 10% were produced
by 0.35 mM halothane, 0.35 mM isoflurane, 32 mu M thiopental, 50 mu M
pentobarbital, 2 mu M propofol, and 200 mM ethanol. Substantial anest
hetic inhibition was found only at free aqueous concentrations much gr
eater than those that are clinically relevant. For halothane, the dose
-response curve showed an IC50 concentration of 1.17 +/- 0.02 mM and a
Hill coefficient of 2.02 +/- 0.04 (mean +/- SEM). Conclusions: The re
latively small inhibitions of P-type Ca2+ channels produced by volatil
e and intravenous anesthetics at their free aqueous EC(50) concentrati
ons for general anesthesia in mammals suggest that these channels do n
ot play a major role in the induction of general anesthesia.