Nonimmobilizers and transitional compounds may produce convulsions by two mechanisms

被引:22
作者
Eger, EI
Koblin, DD
Sonner, J
Gong, D
Laster, MJ
Ionescu, P
Halsey, MJ
Hudlicky, T
机构
[1] Univ Calif San Francisco, Dept Anesthesia, San Francisco, CA 94143 USA
[2] Vet Adm Hosp, San Francisco, CA USA
[3] Nuffield Dept Anaesthet, Oxford, England
[4] Univ Florida, Dept Chem, Gainesville, FL 32611 USA
关键词
D O I
10.1097/00000539-199904000-00037
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Some inhaled compounds cause convulsions. To better appreciate the physical basis for this property, we correlated the partial pressures that produced convulsions in rats with the lipophilicity (nonpolarity) and hydrophilicity (polarity) of 45 compounds: 3 n-alkanes, 18 n-haloalkanes, 3 halogenated aromatic compounds, 3 cycloalkanes and 3 halocycloalkanes, 13 halogenated ei-hers, and 2 noble gases (He and Ne). Ln most cases, convulsions were quantified by averaging the alveolar partial pressures just below the pressures that caused and slightly higher pressures that did cause clonic convulsions (ED50). The ED50 did not correlate with hydrophilicity (the saline/gas partition coefficient), nor was there an obvious correlation with molecular structure. For 80% of compounds (36 of 45), the ED,, correlated closely (r(2) = 0.99) with lipophilicity (the olive oil/gas partition coefficient). Perhaps because they block the effect of GABA on GABA(A) receptors, five compounds were more potent than would be predicted from their lipophilicity. Conversely, four compounds may have been less potent than would be predicted because they (like conventional inhaled anesthetics) enhance the effect of GABA on GABA(A) receptors. Implications: Non-immobilizers and transitional compounds may produce convulsions by two mechanisms. One correlates with lipophilicity (nonpolarity), and the other correlates with an action on GABA(A) receptors.
引用
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页码:884 / 892
页数:9
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