British Journal of Anaesthesia, Vol 75, Issue 3 339-343, Copyright © 1995 by The Board of Management and Trustees of the British Journal of Anaesthesia
M. Igarashi and H. Iwasaki
We have compared the neuromuscular blocking effects of tubocurarine at pre-
and postsynaptic sites in the lateral cricoarytenoid muscle (LCA) (one of
the adductor muscles of the vocal cords) and in the posterior
cricoarytenoid muscle (PCA) (sole abductor muscle of the vocal cords) of
the rat. Fine wire electrodes were inserted into both muscles and evoked
compound electromyographic (EMG) responses measured by supramaximal
stimulation of the recurrent laryngeal nerves. End-plate potentials (EPP),
mean quantal content and carbachol sensitivity to tubocurarine in both
muscles were measured using intracellular microelectrodes. Tubocurarine
produced a concentration-dependent reduction in the EMG responses, EPP
amplitude, mean quantal content and carbachol sensitivity. The LCA muscle
was more resistant to tubocurarine than the PCA muscle in EPP amplitude,
mean quantal content and carbachol sensitivity, suggesting unequal pre- and
postsynaptic sensitivity for inhibition of elicited acetylcholine release,
reduction in EPP amplitude and loss of evoked muscle action potentials.
Examination of muscle fibre composition demonstrated that the LCA muscle
contained a significantly higher fraction of slow twitch muscle fibres than
PCA muscle. However, the sizes of the fibres were similar in both muscles.
We conclude that the mechanism of unequal sensitivity to a non-depolarizing
neuromuscular blocker in the LCA and PCA muscles may be explained by
differential sensitivities at the pre- and postsynaptic sites of the
neuromuscular junction.
LABORATORY INVESTIGATIONS
Mechanism of the differential sensitivity in the rat adductor and abductor laryngeal muscles to a non-depolarizing neuromuscular blocker
Department of Anesthesiology, Sapporo Medical University School of Medicine, South-1, West-16, Chuoku, Sapporo 060, Japan
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