Abstract:Inhaled anesthetics are thought to alter the conformational states of Cys-loop ligand-gated ion channels (LGICs) by binding within discrete cavities that are lined by portions of four α-helical transmembrane domains. Because Cys-loop LGICs are complex molecules that are notoriously difficult to express and purify, scaled-down models have been used to better understand the basic molecular mechanisms of anesthetic action. In this study, stopped-flow fluorescence spectroscopy was used to define the kinetics with… Show more
“…It has been shown that bound volatile general anesthetics alter both local protein dynamics and global protein stability [65][66][67][68]. Both Ab40 and Ab42 peptides have two a-helices (a-helix-I (residues 15-23), a-helix-II (residues 32-36)) connected by a more flexible kink region.…”
Alzheimer's disease (AD) is a significant contributor to cognitive decline and is responsible for about half of the cases of dementia in later life. Although exact etiology of AD is not known, however, many risk factors for AD are identified. Anesthesia for elderly patients is considered as a risk factor in AD as they frequently experience deterioration in cognitive function with long exposure to anesthetics during surgery. Inhaled anesthetic agents remain the mainstay for patients undergoing major surgical operations. This study using multidimensional NMR spectroscopy provides the first direct evidence in vitro that inhaled anesthetic, halothane specifically interacts with Abeta40 and Abeta42 peptide. Halothane induces structural alternation of Abeta peptide from soluble monomeric alpha-helical form to oligomeric beta-sheet conformation, which may hasten the onset of AD. Abeta42 is more prone to oligomerization compared to Abeta40 in the presence of halothane. The molecular mechanism of halothane induced structural alternation of Abeta peptide is discussed.
“…It has been shown that bound volatile general anesthetics alter both local protein dynamics and global protein stability [65][66][67][68]. Both Ab40 and Ab42 peptides have two a-helices (a-helix-I (residues 15-23), a-helix-II (residues 32-36)) connected by a more flexible kink region.…”
Alzheimer's disease (AD) is a significant contributor to cognitive decline and is responsible for about half of the cases of dementia in later life. Although exact etiology of AD is not known, however, many risk factors for AD are identified. Anesthesia for elderly patients is considered as a risk factor in AD as they frequently experience deterioration in cognitive function with long exposure to anesthetics during surgery. Inhaled anesthetic agents remain the mainstay for patients undergoing major surgical operations. This study using multidimensional NMR spectroscopy provides the first direct evidence in vitro that inhaled anesthetic, halothane specifically interacts with Abeta40 and Abeta42 peptide. Halothane induces structural alternation of Abeta peptide from soluble monomeric alpha-helical form to oligomeric beta-sheet conformation, which may hasten the onset of AD. Abeta42 is more prone to oligomerization compared to Abeta40 in the presence of halothane. The molecular mechanism of halothane induced structural alternation of Abeta peptide is discussed.
“…Upon exposure to isoflurane, however, both Hsp22 and Hsp27 are upregulated, indicating endoplasmic reticulum involvement in handling the additional proteostatic stress. Wild-type flies experience mild proteostatic stress from both anesthetics, modestly upregulating Hsp27 , consistent with the known potential of volatile anesthetics to interact with hydrophobic compartments of native proteins, thereby modulating protein dynamics and stability and causing conformational changes 40–43 that are aggravated in abnormal proteins. 44 Differential upregulation of Hsp68 , a member of the large Hsp70 family, by isoflurane in ND23 60114 mutants is consistent with the notion that isoflurane’s interaction with the mutant ND23 protein results in more misfolding than sevoflurane’s.…”
Background
Carriers of mutations in the mitochondrial electron transport chain (mETC) are at increased risk of anesthetic-induced neurotoxicity. To investigate the neurotoxicity mechanism and to test preconditioning as a protective strategy, we used a Drosophila melanogaster model of Leigh syndrome. Model flies carried a mutation in ND23 (ND2360114) that encodes an mETC Complex I subunit. We investigated why ND2360114 mutants become susceptible to lethal, oxygen-modulated neurotoxicity within 24 h of exposure to isoflurane but not sevoflurane.
Methods
We used transcriptomics and qRT-PCR to identify genes that are differentially expressed in ND2360114 but not wild type fly heads at 30 min after exposure to high versus low toxicity conditions. We also subjected ND2360114 flies to diverse stressors prior to isoflurane exposure to test whether isoflurane toxicity could be diminished by preconditioning.
Results
The ND2360114 mutation had a greater effect on isoflurane- than sevoflurane-mediated changes in gene expression. Isoflurane and sevoflurane did not affect expression of heat shock protein (Hsp) genes (Hsp22, Hsp27, and Hsp68) in wild type flies, but isoflurane substantially increased expression of these genes in ND2360114 mutant flies. Furthermore, isoflurane and sevoflurane induced expression of oxidative (GstD1and GstD2) and xenobiotic (Cyp6a8 and Cyp6a14) stress genes to a similar extent in wild type flies, but the effect of isoflurane was largely reduced in ND2360114 flies. In addition, activating stress response pathways by preexposure to anesthetics, heat shock, hyperoxia, hypoxia, or oxidative stress did not suppress isoflurane-induced toxicity in ND2360114 mutant flies.
Conclusions
Mutation of an mETC Complex I subunit generates differential effects of isoflurane and sevoflurane on gene expression that may underlie their differential effects on neurotoxicity. Additionally, the mutation produces resistance to preconditioning by stresses that protect the brain in other contexts. Therefore, Complex I activity modifies molecular and physiological effects of anesthetics in an anesthetic-specific manner.
“…The intercalation and penetration of anesthetics such as short chain alcohols into the cell membrane is believed to affect key ion channels and/or neurotransmitter receptors either directly − and/or indirectly by altering physical properties of the membrane. − Although physiological levels of ethanol have relatively minor effects on lipid orientational order or dynamics, a transient interaction between ethanol and the glycerol lipid headgroup has been observed by NMR where the bound state lifetime is on the order of a few nanoseconds. , It is therefore tempting to hypothesize that passive diffusion of oxygen through the glycerol headgroup region of the bilayer serves as the rate-limiting step in overall trans-bilayer oxygen transport, and the addition of small amounts of permeabilizers such as DMSO or pentanol might alter lipid packing in this region and thus oxygen transport. This might in turn give rise to a multitude of downstream events associated with oxygen homeostasis.…”
Cellular respiration, mediated by the passive diffusion of oxygen across lipid membranes, is key to many basic cellular processes. In this work, we report the detailed distribution of oxygen across lipid bilayers and examine the thermodynamics of oxygen partitioning via NMR studies of lipids in a small unilamellar vesicle (SUV) morphology. Dissolved oxygen gives rise to paramagnetic chemical shift perturbations and relaxation rate enhancements, both of which report on local oxygen concentration. From SUVs containing the phospholipid sn-2-perdeuterio-1-myristelaidoyl, 2-myristoyl-sn-glycero-3-phosphocholine (MLMPC), an analogue of 1,2-dimyristoyl-sn-glycero-3-phosphocholine (DMPC), we deduced the complete trans-bilayer oxygen distribution by measuring (13)C paramagnetic chemical shifts perturbations for 18 different sites on MLMPC arising from oxygen at a partial pressure of 30 bar. The overall oxygen solubility at 45 °C spans a factor of 7 between the bulk water (23.7 mM) and the bilayer center (170 mM) and is lowest in the vicinity of the phosphocholine headgroup, suggesting that oxygen diffusion across the glycerol backbone should be the rate-limiting step in diffusion-mediated passive transport of oxygen across the lipid bilayer. Lowering of the temperature from 45 to 25 °C gave rise to a slight decrease of the oxygen solubility within the hydrocarbon interior of the membrane. An analysis of the temperature dependence of the oxygen solubility profile, as measured by (1)H paramagnetic relaxation rate enhancements, reveals that oxygen partitioning into the bilayer is entropically favored (ΔS° = 54 ± 3 J K(-1) mol(-1)) and must overcome an enthalpic barrier (ΔH° = 12.0 ± 0.9 kJ mol(-1)).
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