Neuroactive steroids alphaxalone and CDNC24 are effective hypnotics and potentiators of GABA


Journal

British journal of anaesthesia
ISSN: 1471-6771
Titre abrégé: Br J Anaesth
Pays: England
ID NLM: 0372541

Informations de publication

Date de publication:
05 2020
Historique:
received: 10 06 2019
revised: 01 01 2020
accepted: 20 01 2020
pubmed: 11 3 2020
medline: 10 5 2020
entrez: 11 3 2020
Statut: ppublish

Résumé

The most currently used general anaesthetics are potent potentiators of γ-aminobutyric acid A (GABA The neurotoxic potential of CDNC24 was examined vis-à-vis propofol (2,6-diisopropylphenol) and alphaxalone (5α-pregnan-3α-ol-11,20-dione) at the peak of rat synaptogenesis. In addition to the morphological neurotoxicity studies of the subiculum and medial prefrontal cortex (mPFC), we assessed the extra-, pre-, and postsynaptic effects of these agents on GABAergic neurotransmission in acute subicular slices from rat pups. CDNC24, like alphaxalone and propofol, caused dose-dependent hypnosis in vivo, with a higher therapeutic index. CDNC24 and alphaxalone, unlike propofol, did not cause developmental neuroapoptosis in the subiculum and mPFC. Propofol potentiated post- and extrasynaptic GABA The lack of neurotoxicity of CDNC24 and alphaxalone may be at least partly related to suppression of presynaptic GABA release in the developing brain.

Sections du résumé

BACKGROUND
The most currently used general anaesthetics are potent potentiators of γ-aminobutyric acid A (GABA
METHODS
The neurotoxic potential of CDNC24 was examined vis-à-vis propofol (2,6-diisopropylphenol) and alphaxalone (5α-pregnan-3α-ol-11,20-dione) at the peak of rat synaptogenesis. In addition to the morphological neurotoxicity studies of the subiculum and medial prefrontal cortex (mPFC), we assessed the extra-, pre-, and postsynaptic effects of these agents on GABAergic neurotransmission in acute subicular slices from rat pups.
RESULTS
CDNC24, like alphaxalone and propofol, caused dose-dependent hypnosis in vivo, with a higher therapeutic index. CDNC24 and alphaxalone, unlike propofol, did not cause developmental neuroapoptosis in the subiculum and mPFC. Propofol potentiated post- and extrasynaptic GABA
CONCLUSIONS
The lack of neurotoxicity of CDNC24 and alphaxalone may be at least partly related to suppression of presynaptic GABA release in the developing brain.

Identifiants

pubmed: 32151384
pii: S0007-0912(20)30060-X
doi: 10.1016/j.bja.2020.01.013
pmc: PMC7222221
pii:
doi:

Substances chimiques

CDNC24 steroid 0
GABA-A Receptor Agonists 0
Hypnotics and Sedatives 0
Pregnanediones 0
Receptors, GABA-A 0
Steroids 0
alphaxalone BD07M97B2A
Propofol YI7VU623SF

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

603-613

Subventions

Organisme : NIGMS NIH HHS
ID : R01 GM123746
Pays : United States
Organisme : NICHD NIH HHS
ID : R21 HD080281
Pays : United States
Organisme : NICHD NIH HHS
ID : R01 HD044517
Pays : United States
Organisme : NIGMS NIH HHS
ID : R01 GM118197
Pays : United States

Informations de copyright

Copyright © 2020 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved.

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Auteurs

Vesna Tesic (V)

Department of Anesthesiology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.

Srdjan M Joksimovic (SM)

Department of Anesthesiology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.

Nidia Quillinan (N)

Department of Anesthesiology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA; Neuroscience Graduate Program, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.

Kathiresan Krishnan (K)

Department of Developmental Biology, Washington University School of Medicine, St Louis, MO, USA.

Douglas F Covey (DF)

Department of Developmental Biology, Washington University School of Medicine, St Louis, MO, USA; Taylor Family Institute for Innovative Psychiatric Research, Washington University School of Medicine, St Louis, MO, USA.

Slobodan M Todorovic (SM)

Department of Anesthesiology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA; Neuroscience Graduate Program, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.

Vesna Jevtovic-Todorovic (V)

Department of Anesthesiology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA. Electronic address: vesna.jevtovic-todorovic@ucdenver.edu.

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Classifications MeSH