The broad, long-term objective of this proposal is to understand at a molecular level the mechanisms of action of general anesthetics on synaptic transmission in the central nervous system. Identification of the mechanisms involved in the therapeutic and toxic effects of existing anesthetic agents will facilitate the development of more specific agents with fewer adverse effects. The hypothesis to be evaluated is that general anesthetics affect transmitter release by agent- and transmitter-specific presynaptic mechanisms.
The Specific Aims are to 1) Determine the effects of general anesthetics on synaptosomal neurotransmitter release; 2) Determine the mechanisms of general anesthetic effects on neurotransmitter release; and 3) Investigate the effects of general anesthetics on neuronal Na+ channels (which mediate anesthetic inhibition of glutamate release). The experimental design is to identify the effects of general anesthetics on neurotransmitter release in a subcellular preparation (synaptosomes) that is free of cellular interactions and amenable to pharmacological analysis, and then to characterize the mechanism(s) of the anesthetic effects by analyzing associated changes in presynaptic ion channel function, intracellular ion concentrations, membrane potential, presynaptic receptor function and second messenger systems. The methods to be used include neurochemical analysis of anesthetic effects on spontaneous and evoked glutamate, gamma-aminobutyric acid, norepinephrine, dopamine and cholecystokinin-8 release from rat brain synaptosomes; spectrofluorimetric assays of synaptosomal Na+, Ca2+, and C1-concentrations, membrane potential and pH; pharmacologic analysis of the roles of specific ion channels and protein kinases in the effects of anesthetics on transmitter release; and patch-clamp recording of presynaptic Na+ currents in vesicles made by fusing synaptosomes. Determination of the presynaptic effects of general anesthetics on transmitter release, and the mechanisms of these effects, is essential in linking the molecular and cellular actions of anesthetics on neuronal function and thus in understanding the mechanisms of action of this clinically important, but poorly understood, class of drugs.

Agency
National Institute of Health (NIH)
Institute
National Institute of General Medical Sciences (NIGMS)
Type
Research Project (R01)
Project #
5R01GM058055-04
Application #
6386978
Study Section
Surgery, Anesthesiology and Trauma Study Section (SAT)
Program Officer
Cole, Alison E
Project Start
1998-08-01
Project End
2002-07-31
Budget Start
2001-08-01
Budget End
2002-07-31
Support Year
4
Fiscal Year
2001
Total Cost
$335,110
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
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
Platholi, Jimcy; Herold, Karl F; Hemmings Jr, Hugh C et al. (2014) Isoflurane reversibly destabilizes hippocampal dendritic spines by an actin-dependent mechanism. PLoS One 9:e102978

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