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Publication : Sedation and anesthesia mediated by distinct GABA(A) receptor isoforms.

First Author  Reynolds DS Year  2003
Journal  J Neurosci Volume  23
Issue  24 Pages  8608-17
PubMed ID  13679430 Mgi Jnum  J:85526
Mgi Id  MGI:2675561 Doi  10.1523/JNEUROSCI.23-24-08608.2003
Citation  Reynolds DS, et al. (2003) Sedation and anesthesia mediated by distinct GABA(A) receptor isoforms. J Neurosci 23(24):8608-17
abstractText  The specific mechanisms underlying general anesthesia are primarily unknown. The intravenous general anesthetic etomidate acts by potentiating GABA(A) receptors, with selectivity for beta2 and beta3 subunit-containing receptors determined by a single asparagine residue. We generated a genetically modified mouse containing an etomidate-insensitive beta2 subunit (beta2 N265S) to determine the role of beta2 and beta3 subunits in etomidate-induced anesthesia. Loss of pedal withdrawal reflex and burst suppression in the electroencephalogram were still observed in the mutant mouse, indicating that loss of consciousness can be mediated purely through beta3-containing receptors. The sedation produced by subanesthetic doses of etomidate and during recovery from anesthesia was present only in wild-type mice, indicating that the beta2 subunit mediates the sedative properties of anesthetics. These findings show that anesthesia and sedation are mediated by distinct GABA(A) receptor subtypes.
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