BJA Advance Access originally published online on June 20, 2009
British Journal of Anaesthesia 2009 103(2):244-254; doi:10.1093/bja/aep107
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Dexmedetomidine, an
2-adrenergic agonist, inhibits neuronal delayed-rectifier potassium current and sodium current
1 Institute of Basic Medical Sciences
2 Department of Physiology, National Cheng Kung University Medical College, No. 1, University Road, Tainan 70101, Taiwan, Republic of China
3 Department of Anesthesiology, Buddhist Dalin Tzu Chi General Hospital, Chiayi County, Taiwan, Republic of China
* Corresponding author. E-mail: snwu{at}mail.ncku.edu.tw
Background: Dexmedetomidine (DEX), a selective agonist of
2-adrenergic receptors, is recognized to facilitate analgesia and anaesthesia in humans. Despite the potential for wide use, its effects on ion currents and membrane potential in neurones remain largely unclear.
Methods: We investigated the effects of DEX on ion channels in NG108-15 neuronal cells differentiated with dibutyryl cyclic AMP and in cultured cerebellar neurones.
Results: DEX suppressed the amplitude of delayed rectifier K+ current [IK(DR)] in a concentration-dependent manner with an IC50 value of 4.6 µM in NG108-15 cells. No change in the steady-state inactivation of IK(DR) was evident in the presence of DEX. A minimal binding scheme was also used to evaluate DEX-induced block of IK(DR). Inhibition of IK(DR) by DEX was still observed in cells preincubated with yohimbine (10 µM) or efaroxan (10 µM). DEX depressed the peak amplitude of Na+ current (INa), whereas it had minimal effect on L-type Ca2+ current. Under current-clamp configuration, DEX increased the duration of action potentials (APs). IK(DR) and INa in response to AP waveforms were more sensitive to block by DEX than those elicited during rectangular pulses. In isolated cerebellar granule cells, DEX also effectively suppressed IK(DR).
Conclusions: The effects of DEX are not limited to its interactions with
2-adrenergic receptors. Inhibitory effects on IK(DR) and INa constitute one of the underlying mechanisms through which DEX and its structurally related compounds might affect neuronal activity in vivo.
Keywords: ions, ion channels, pharmacology; ions, ion channels, voltage-gated; model, neuroblastoma cells; pharmacology, dexmedetomidine