Mol Med Rep:新生小鼠反复吸入七氟醚抑制浦肯野细胞的信息传递并且通过GABAA受体的ε(艾普西龙)亚基减缓运动神经发育

2017-12-09 李伟超 “罂粟花”微信号

尽管全身麻醉对小脑信息传递和运动功能的影响尚不清楚,但是全身麻醉还是广泛应用于小儿外科手术。

背景与目的:尽管全身麻醉对小脑信息传递和运动功能的影响尚不清楚,但是全身麻醉还是广泛应用于小儿外科手术。

方法:在最新的实验中,新生小鼠反复吸入七氟烷,检测七氟醚对浦肯野细胞(PCs)的电生理改变和运动功能的发育的影响,还做了七氟烷影响敲除了γ-氨基丁酸A受体ε(GABA A-Rε)亚基的小鼠小脑功能机制的研究。

结果:在新生小鼠中,感觉刺激诱发的PCs场电位反应和运动功能指标均明显受到七氟烷的抑制,抑制程度与麻醉重复次数呈正相关。另外,七氟烷以剂量依赖方式增加PCs的GABAA-R ε亚基,在GABAA-Rε亚基敲除的小鼠中,七氟烷对PCs的场电位反应和运动功能的抑制作用减轻。GABAA-Rε亚基被七氟醚激活,导致小脑皮层感觉信息传递受阻,PCs场电位反应和小脑运动功能发育减缓。

结论:本研究为七氟醚在临床麻醉中的安全使用提供了实验依据,提示GABAA-Rε亚单位拮抗剂可考虑与全身麻醉联合应用,预防反复吸入七氟醚在临床上的不良反应。

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    2017-12-11 neurowu
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