Literature DB >> 14739809

Molecular mechanisms of the inhibitory effects of propofol and thiamylal on sarcolemmal adenosine triphosphate-sensitive potassium channels.

Takashi Kawano1, Shuzo Oshita, Akira Takahashi, Yasuo Tsutsumi, Yoshinobu Tomiyama, Hiroshi Kitahata, Yasuhiro Kuroda, Yutaka Nakaya.   

Abstract

BACKGROUND: Both propofol and thiamylal inhibit adenosine triphosphate-sensitive potassium (KATP) channels. In the current study, the authors investigated the effects of these anesthetics on the activity of recombinant sarcolemmal KATP channels encoded by inwardly rectifying potassium channel (Kir6.1 or Kir6.2) genes and sulfonylurea receptor (SUR1, SUR2A, or SUR2B) genes.
METHODS: The authors used inside-out patch clamp configurations to investigate the effects of propofol and thiamylal on the activity of recombinant KATP channels using COS-7 cells transfected with various types of KATP channel subunits.
RESULTS: Propofol inhibited the activities of the SUR1/Kir6.2 (EC50 = 77 microm), SUR2A/Kir6.2 (EC50 = 72 microm), and SUR2B/Kir6.2 (EC50 = 71 microm) channels but had no significant effects on the SUR2B/Kir6.1 channels. Propofol inhibited the truncated isoform of Kir6.2 (Kir6.2DeltaC36) channels (EC50 = 78 microm) that can form functional KATP channels in the absence of SUR molecules. Furthermore, the authors identified two distinct mutations R31E (arginine residue at position 31 to glutamic acid) and K185Q (lysine residue at position 185 to glutamine) of the Kir6.2DeltaC36 channel that significantly reduce the inhibition of propofol. In contrast, thiamylal inhibited the SUR1/Kir6.2 (EC50 = 541 microm), SUR2A/Kir6.2 (EC50 = 248 microm), SUR2B/Kir6.2 (EC50 = 183 microm), SUR2B/Kir6.1 (EC50 = 170 microm), and Kir6.2DeltaC36 channels (EC50 = 719 microm). None of the mutants significantly affects the sensitivity of thiamylal.
CONCLUSIONS: These results suggest that the major effects of both propofol and thiamylal on KATP channel activity are mediated via the Kir6.2 subunit. Site-directed mutagenesis study suggests that propofol and thiamylal may influence Kir6.2 activity by different molecular mechanisms; in thiamylal, the SUR subunit seems to modulate anesthetic sensitivity.

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Year:  2004        PMID: 14739809     DOI: 10.1097/00000542-200402000-00024

Source DB:  PubMed          Journal:  Anesthesiology        ISSN: 0003-3022            Impact factor:   7.892


  8 in total

1.  Functional roles of ATP-sensitive potassium channel as related to anesthesia.

Authors:  Takashi Kawano
Journal:  J Anesth       Date:  2011-11-19       Impact factor: 2.078

Review 2.  Propofol and arrhythmias: two sides of the coin.

Authors:  Qiang Liu; Ai-ling Kong; Rong Chen; Cheng Qian; Shao-wen Liu; Bao-gui Sun; Le-xin Wang; Long-sheng Song; Jiang Hong
Journal:  Acta Pharmacol Sin       Date:  2011-06       Impact factor: 6.150

3.  The effects of intravenous anesthetics on QT interval during anesthetic induction with sevoflurane.

Authors:  Yoshiaki Terao; Ushio Higashijima; Tomomi Toyoda; Taiga Ichinomiya; Makoto Fukusaki; Tetsuya Hara
Journal:  J Anesth       Date:  2016-09-21       Impact factor: 2.078

4.  Effects of intracellular MgADP and acidification on the inhibition of cardiac sarcolemmal ATP-sensitive potassium channels by propofol.

Authors:  Hirohide Yamada; Takashi Kawano; Katsuya Tanaka; Sonoko Yasui; Kazuaki Mawatari; Akira Takahashi; Yutaka Nakaya; Shuzo Oshita
Journal:  J Anesth       Date:  2007-11-01       Impact factor: 2.078

5.  Propofol-associated QTc prolongation.

Authors:  Michael J Scalese; Holly R Herring; R Chris Rathbun; Grant H Skrepnek; Toni L Ripley
Journal:  Ther Adv Drug Saf       Date:  2016-04-01

6.  Thiazolidinedione drugs block cardiac KATP channels and may increase propensity for ischaemic ventricular fibrillation in pigs.

Authors:  L Lu; M J Reiter; Y Xu; A Chicco; C R Greyson; G G Schwartz
Journal:  Diabetologia       Date:  2008-02-05       Impact factor: 10.122

7.  The effects of intravenous anesthetics on QT interval during anesthetic induction with desflurane.

Authors:  Shozo Tominaga; Yoshiaki Terao; Shigehiko Urabe; Maki Ono; Natsuko Oji; Makito Oji; Makoto Fukusaki; Tetsuya Hara
Journal:  JA Clin Rep       Date:  2018-07-30

8.  Propofol inhibits stromatoxin-1-sensitive voltage-dependent K+ channels in pancreatic β-cells and enhances insulin secretion.

Authors:  Munenori Kusunoki; Mikio Hayashi; Tomohiro Shoji; Takeo Uba; Hiromasa Tanaka; Chisato Sumi; Yoshiyuki Matsuo; Kiichi Hirota
Journal:  PeerJ       Date:  2019-12-02       Impact factor: 2.984

  8 in total

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