Inhibitory effects of four inhaled anesthetics on canine tracheal smooth muscle contraction and intracellular Ca2+ concentration

Anesth Analg. 1993 Jul;77(1):67-72. doi: 10.1213/00000539-199307000-00013.

Abstract

To clarify the mechanisms by which inhaled anesthetics directly inhibit tracheal smooth muscle contraction, we investigated the effects of these anesthetics on muscle tension and intracellular Ca2+ concentration ([Ca2+]i). Tension was measured using an isometric transducer, and [Ca2+]i was measured using Fura-2, an indicator of [Ca2+]i. Addition of 1 microM carbachol increased muscle tension and [Ca2+]i. All inhaled anesthetics significantly decreased both muscle tension and [Ca2+]i in the following order of inhibitory potency: halothane >> isoflurane > enflurane >> sevoflurane. In the presence of 10 microM verapamil, carbachol moderately increased muscle tension, but induced a transient increase of [Ca2+]i followed by a substantial reduction. Inhaled anesthetics in the presence of both carbachol and verapamil significantly decreased muscle tension without decreasing [Ca2+]i. Potency for suppression of tension under these conditions, which appeared to be independent of [Ca2+]i, was in the order: halothane >> enflurane > or = isoflurane >> sevoflurane. The best correlation we found with a measured reduction of muscle tension independent of [Ca2+]i was with oil/gas partition coefficients (r = -0.88, P < 0.001). In conclusion, inhaled anesthetics inhibit tracheal smooth muscle contraction by at least two mechanisms: 1) reduction of [Ca2+]i and 2) suppression of contractility, independent of [Ca2+]i. The close correlation between the muscle inhibition independent of [Ca2+]i and the oil/gas partition coefficients suggests that one of the major sites of action of inhaled anesthetics is membrane phospholipids.

Publication types

  • Comparative Study

MeSH terms

  • Anesthetics / pharmacology*
  • Animals
  • Calcium / metabolism*
  • Carbachol / pharmacology
  • Dogs
  • Drug Interactions
  • Enflurane / pharmacology*
  • Ethers / pharmacology*
  • Halothane / pharmacology*
  • Isoflurane / pharmacology*
  • Methyl Ethers*
  • Muscle Contraction / drug effects*
  • Muscle, Smooth / drug effects
  • Sevoflurane
  • Trachea / drug effects*
  • Verapamil / pharmacology

Substances

  • Anesthetics
  • Ethers
  • Methyl Ethers
  • Sevoflurane
  • Carbachol
  • Enflurane
  • Verapamil
  • Isoflurane
  • Calcium
  • Halothane