Thermogenesis inhibition in brown adiocytes is a specific property of volatile anesthetics

被引:36
作者
Ohlson, KBE
Lindahl, SGE
Cannon, B
Nedergaard, J [1 ]
机构
[1] Stockholm Univ, Wenner Gren Inst, Arrhenius Lab F3, SE-10691 Stockholm, Sweden
[2] Univ Lund Hosp, Dept Anesthesiol & Intens Care, S-22185 Lund, Sweden
[3] Karolinska Hosp, S-10401 Stockholm, Sweden
关键词
D O I
10.1097/00000542-200302000-00025
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Background: This investigation examined the possibility that the inhibitory effect of halothane on nonshivering thermogenesis (heat production) in brown adipocytes is not a universal effect of all anesthetic agents but related to the type of anesthetic. Methods: Brown adipocytes from hamster were isolated with a collagenase digestion method and incubated with anesthetic agents. The rate of oxygen consumption was measured with an oxygen electrode. The effect of clinically relevant (and higher) doses of anesthetics of different classes on basal and norepinephrine-induced thermogenesis (oxygen consumption) was tested. Results: Two distinct groups of anesthetics could be distinguished: thermogenesis inhibitors and noninhibitors. Thermogenesis inhibitors include volatile anesthetics such as halothane (IC50, 1.1 mm), ether (IC50, 20 mm), and chloroform (IC50, 2.2 mm) (nominal concentrations), but also tribromoethanol (IC50, 0.6 mm), all inducing inhibition of norepinephrine-induced thermogenesis without affecting the EC50 for norepinephrine. Thermogenesis noninhibitors include the nonvolatile anesthetics pentobarbital, propofol, ketamine, and urethane, the inhalation anesthetic nitrous oxide, and, notably, also the volatile nonanesthetics (nonimmobilizers) 1,2-dichlorohexafluorocyclobutane and 2,3-dichlorooctafluorobutane; none of these compounds had any effect on norepinephrine-induced thermogenesis at any concentration tested. Conclusions. There are two distinct classes of anesthetics with regard to effects on thermogenesis, thermogenesis inhibitors and thermogenesis noninhibitors. The results are important for the interpretation of studies in thermal biology in general specifically, they indicate that conclusions concerning regulation of nonshivering thermogenesis during anesthesia depend on the type of anesthetic used. Of clinical importance is that the volatile anesthetics are inhibitory for nonshivering thermogenesis and thus for an alternative heat production when myorelaxants prevent shivering. As the distinction between thermogenesis inhibitors and thermogenesis noninhibitors corresponds to the distinction between volatile and nonvolatile anesthetics, it may be related to the mode of action of the volatile anesthetics.
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页码:437 / 448
页数:12
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