British Journal of Anaesthesia, Vol 75, Issue 3 326-329, Copyright © 1995 by The Board of Management and Trustees of the British Journal of Anaesthesia
H. F. Galley, L. R. Nelson and N. R. Webster
Nitric oxide (NO) inhibitors reduce the threshold for anaesthesia. We have
investigated the action of anaesthetic agents on human nitric oxide
synthase (NOS) activity. Thiopentone reduced mean NOS activity to 36.6 (SD
8.9) % of control at 100 mumol litre-1 (P < 0.001) and 50.9 (20.3) % at
1 mmol litre-1 (P < 0.05). Ketamine showed similar effects, with
activity reduced to 67.0 (17.6) % (P < 0.05) and 57.7 (8.5) % (P <
0.001) at 100 mumol litre-1 and 1 mmol litre-1, respectively. Etomidate 100
mumol litre-1 did not significantly alter activity (88.2 (8.1) %) but 1
mmol litre-1 did (60.6 (10.4) %, P < 0.005). Halothane also caused a
significant decrease in NOS activity at all concentrations. This effect was
specific as other enzymes were unaffected. We conclude that anaesthetic
agents have a profound effect on NOS activity and as inhibition of NO
release augments anaesthesia, we suggest that this may play a role in the
mechanism of anaesthesia in humans.
LABORATORY INVESTIGATIONS
Anaesthetic agents decrease the activity of nitric oxide synthase from human polymorphonuclear leucocytes
Clinical Oxidant Research Group, St James's University Hospital, Leeds, UK
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