British Journal of Anaesthesia, Vol 84, Issue 2 250-253, Copyright © 2000 by Oxford University Press
D Schulte, LF Callado, C Davidson, PE Phillips, N Roewer, J Schulte am Esch and JA Stamford
Although propofol (2,6-di-isopropylphenol) is a popular i.v. general
anaesthetic, it has been suggested to have abuse potential. As many drugs
of abuse act preferentially via release of dopamine in the limbic system,
we investigated the action of propofol on stimulated dopamine release in
the rat nucleus accumbens. Nucleus accumbens slices were superfused (1.6 ml
min-1) with artificial cerebrospinal fluid at 32 degrees C. Dopamine
release was evoked by electrical stimulation (10 pulses, 0.1 ms, 10 mA, 10
Hz, every 10 min) and monitored by fast cyclic voltammetry. Propofol 100
mumol litre-1 reduced stimulated dopamine release over the 2 h after
administration, relative to intralipid controls, to mean 30 (SEM 2)% (P
< 0.01). The dopamine D2 receptor antagonist metoclopramide 0.3 mumol
litre-1 increased dopamine release but did not block the effect of propofol
(38 (3)%). The selective GABAA antagonist bicuculline 24 mumol litre-1 also
failed to antagonize the action of propofol (45 (3)%). The NMDA receptor
antagonist dextromethorphan 10 mumol litre-1 decreased dopamine release to
57 (6)% (P < 0.01) but failed to block the inhibitory effect of propofol
(46 (6)%). Although propofol has been reported to bind to D2, GABAA and
NMDA receptors, failure of metoclopramide and bicuculline to block its
effects suggests that an agonist action at D2 or GABAA receptors does not
mediate the effects of propofol on dopamine release in the rat nucleus
accumbens. The lack of effect of dextromethorphan makes an NMDA receptor
antagonist action unlikely.
ARTICLES
Propofol decreases stimulated dopamine release in the rat nucleus accumbens by a mechanism independent of dopamine D2, GABAA and NMDA receptors
Department of Anaesthesiology, University Hospital Eppendorf, Hamburg, Germany.
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