Assessing anesthetic activity through modulation of the membrane dipole potential
File(s)
Author(s)
Type
Journal Article
Abstract
There is great individual variation in response to general anesthetics (GAs) leading to difficulties in optimal dosing and sometimes even accidental awareness during general anesthesia (AAGA). AAGA is a rare, but potentially devastating, complication affecting between 0.1% and 2% of patients undergoing surgery. The development of novel personalized screening techniques to accurately predict a patient’s response to GAs and the risk of AAGA remains an unmet clinical need. In the present study, we demonstrate the principle of using a fluorescent reporter of the membrane dipole potential, di-8-ANEPPs, as a novel method to monitor anesthetic activity using a well-described inducer/noninducer pair. The membrane dipole potential has previously been suggested to contribute a novel mechanism of anesthetic action. We show that the fluorescence ratio of di-8-ANEPPs changed in response to physiological concentrations of the anesthetic, 1-chloro-1,2,2-trifluorocyclobutane (F3), but not the structurally similar noninducer, 1,2-dichlorohexafluorocyclobutane (F6), to artificial membranes and in vitro retinal cell systems. Modulation of the membrane dipole provides an explanation to overcome the limitations associated with the alternative membrane-mediated mechanisms of GA action. Furthermore, by combining this technique with noninvasive retinal imaging technologies, we propose that this technique could provide a novel and noninvasive technique to monitor GA susceptibility and identify patients at risk of AAGA.
Date Issued
2017-10-01
Date Acceptance
2017-08-09
Citation
Journal of Lipid Research, 2017, 58 (10), pp.1962-1976
ISSN
0022-2275
Publisher
American Society for Biochemistry and Molecular Biology
Start Page
1962
End Page
1976
Journal / Book Title
Journal of Lipid Research
Volume
58
Issue
10
Copyright Statement
© 2017 by the American Society for Biochemistry and Molecular Biology, Inc. Published under a Creative Commons CC-BY license (https://creativecommons.org/licenses/by/4.0/).
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000412167600004&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Subjects
Science & Technology
Life Sciences & Biomedicine
Biochemistry & Molecular Biology
cholesterol
diagnostic tools
eye
lipid rafts
model membranes
accidental awareness during general anesthesia
retina
di-8-ANEPPs
fluorescence spectroscopy
MEYER-OVERTON HYPOTHESIS
RETINAL GANGLION-CELLS
LONG-CHAIN ALCOHOLS
AUDIT PROJECT NAP5
GENERAL-ANESTHESIA
ACCIDENTAL AWARENESS
IN-VIVO
PHOSPHOLIPID-MEMBRANES
INHALED ANESTHETICS
RECEPTOR FUNCTION
Publication Status
Published
Date Publish Online
2017-08-17