Yu. Adachi et al., Halothane potentiates the effect of methamphetamine and nomifensine on extracellular dopamine levels in rat striatum: a microdialysis study, BR J ANAEST, 86(6), 2001, pp. 837-845
Citations number
49
Categorie Soggetti
Aneshtesia & Intensive Care","Medical Research Diagnosis & Treatment
Brain microdialysis was used to study the in vivo release and metabolism of
dopamine (DA) in the rat. striatum during halothane anaesthesia. Concentra
tions were measured in microdialysates collected every 20 min and applied d
irectly to an on-line high-performance liquid chromatograph. Halothane was
administered at concentrations of 0.5, 1.0, 1.5 and 2.0%. In another series
of experiments, rats were treated intraperitoneally or locally with metham
phetamine, a drug of abuse, or with nomifensine, a dopamine uptake blocker
and antidepressant, in combination with 0.5 or 1.5% halothane. Halothane an
aesthesia did not affect the dialysate (extracellular) concentration of DA
at 2.0%. By contrast, the concentrations of DA metabolites [3-methoxytyrami
ne (3-MT), 3,4-dihydroxyphenylacetic acid (DOPAC) and homovanillic acid (HV
A)] increased during inhaled halothane anaesthesia in a dose-dependent mann
er and recovered after anaesthesia. Halothane potentiated the ability of me
thamphetamine to increase the extracellular concentration of DA when admini
stered systemically, whereas only a small increase in DA accumulation was s
een when methamphetamine was administered locally via the perfusate. Simila
rly, the increase in extracellular DA was accentuated by systemic nomifensi
ne during halothane anaesthesia, but no obvious enhancement was observed wh
en it was applied locally. It has been shown that the neurotoxic effect of
methamphetamine is mediated by the suboxidation of DA released from the cyt
oplasm into the extracellular space and transformed into highly reactive fr
ee radicals. On the basis of our results, it is suggested that care should
be exercised when halothane anaesthesia is used in patients abusing phenyle
thylamines (amphetamines) or being treated with DA uptake blockers (nomifen
sine).