Our long-term goals are to understand the mechanisms of action of general anesthetics on synaptic transmission. Understanding the mechanisms of both the therapeutic and undesired effects of existing general anesthetics will facilitate safe and appropriate clinical use while enabling rational development of more specific agents with reduced side-effects. Our hypothesis is that general anesthetics affect neurotransmitter release by agent-specific and transmitter-specific presynaptic mechanisms. The major goals will be accomplished by combining neurochemical and novel neurophysiological approaches outlined in the following proposed Specific Aims: 1) Determine the mechanisms by which volatile anesthetics inhibit transmitter release by characterizing both membrane delimited (e.g. ion channel or receptor mediated) and intracellular (e.g. involving fusion/exocytosis machinery) mechanisms of presynaptic general anesthetic effects. The involvement of presynaptic voltage-gated ion channels, ligand-gated ion channels, and vesicle fusion proteins as targets for anesthetics will be assessed. 2) Determine the electrophysiological effects of general anesthetics on presynaptic ion channels using whole-terminal patch clamp recording techniques of isolated rat neurohypophysial nerve terminals. 3) Elucidate transmitter-specific and brain region-specific effects of anesthetics on neurotransmitter release. Neurochemical techniques will be used to determine whether inhibition of glutamate release by general anesthetics in rat cortical nerve terminals can be generalized to other CNS regions and to other transmitter classes. The proposed experiments employ nerve terminals isolated form various regions of the rat CNS to study presynaptic anesthetic effects in a subcellular fraction that is free of intercellular interactions and amenable to pharmacological and electrophysiological analysis. Methods to be used include neurochemical analysis of the effects of representative intravenous and volatile anesthetics on spontaneous and evoked release of endogenous and radiolabeled transmitters and electrophysiological recordings of presynaptic ion channels in isolated nerve terminals. Elucidation of the presynaptic effects of general anesthetics and their mechanisms is essential to understanding the molecular and cellular actions of this clinically important class of drugs on neuronal function.

Agency
National Institute of Health (NIH)
Institute
National Institute of General Medical Sciences (NIGMS)
Type
Research Project (R01)
Project #
2R01GM058055-05
Application #
6548769
Study Section
Surgery, Anesthesiology and Trauma Study Section (SAT)
Program Officer
Cole, Alison E
Project Start
1998-08-01
Project End
2006-07-31
Budget Start
2002-08-01
Budget End
2003-07-31
Support Year
5
Fiscal Year
2002
Total Cost
$384,025
Indirect Cost
Name
Weill Medical College of Cornell University
Department
Anesthesiology
Type
Schools of Medicine
DUNS #
201373169
City
New York
State
NY
Country
United States
Zip Code
10065
Herold, Karl F; Sanford, R Lea; Lee, William et al. (2017) Clinical concentrations of chemically diverse general anesthetics minimally affect lipid bilayer properties. Proc Natl Acad Sci U S A 114:3109-3114
Sand, Rheanna M; Gingrich, Kevin J; Macharadze, Tamar et al. (2017) Isoflurane modulates activation and inactivation gating of the prokaryotic Na+ channel NaChBac. J Gen Physiol 149:623-638
Johnson, Kenneth W; Herold, Karl F; Milner, Teresa A et al. (2017) Sodium channel subtypes are differentially localized to pre- and post-synaptic sites in rat hippocampus. J Comp Neurol 525:3563-3578
Herold, Karl F; Andersen, Olaf S; Hemmings Jr, Hugh C (2017) Divergent effects of anesthetics on lipid bilayer properties and sodium channel function. Eur Biophys J 46:617-626
Hara, Masato; Zhou, Zhen-Yu; Hemmings Jr, Hugh C (2016) ?2-Adrenergic Receptor and Isoflurane Modulation of Presynaptic Ca2+ Influx and Exocytosis in Hippocampal Neurons. Anesthesiology 125:535-46
Purtell, K; Gingrich, K J; Ouyang, W et al. (2015) Activity-dependent depression of neuronal sodium channels by the general anaesthetic isoflurane. Br J Anaesth 115:112-21
Baumgart, Joel P; Zhou, Zhen-Yu; Hara, Masato et al. (2015) Isoflurane inhibits synaptic vesicle exocytosis through reduced Ca2+ influx, not Ca2+-exocytosis coupling. Proc Natl Acad Sci U S A 112:11959-64
Huang, Victoria; Hemmings Jr, Hugh C; Crews, David (2014) Sociosexual investigation in sexually experienced, hormonally manipulated male leopard geckos: relation with phosphorylated DARPP-32 in dopaminergic pathways. J Exp Zool A Ecol Genet Physiol 321:595-602
Herold, Karl F; Sanford, R Lea; Lee, William et al. (2014) Volatile anesthetics inhibit sodium channels without altering bulk lipid bilayer properties. J Gen Physiol 144:545-60
Ingólfsson, Helgi I; Thakur, Pratima; Herold, Karl F et al. (2014) Phytochemicals perturb membranes and promiscuously alter protein function. ACS Chem Biol 9:1788-98

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