Thiopentone and propofol, but not methohexitone nor midazolam, inhibit neutrophil oxidative responses to the bacterial peptide FMLP

Eur J Anaesthesiol. 1996 Nov;13(6):582-8. doi: 10.1046/j.1365-2346.1996.d01-405.x.

Abstract

The effects of different anaesthetics on the neutrophil oxidative response in vitro are compared. Neutrophils were stimulated with small amounts of the bacterial peptide N-formyl-L-methionyl-L-leucyl-phenylalanine as a physiological, receptor-dependent stimulus. A new flow cytometry-based method capable of detecting the small amounts of H2O2 generated by neutrophils in a heterogeneous all-or-none response following submaximal stimulation with N-formyl-L-methionyl-L-leucyl-phenylalanine was used. Propofol and thiopentone suppressed the respiratory burst significantly (P < 0.05 and P < 0.01) in therapeutic concentrations, while midazolam and methohexitone inhibited significantly (P < 0.01) only at concentrations greater than the therapeutic range. Impairment of the neutrophil response was primarily because of a reduction in the number of neutrophils participating in the respiratory burst and not of a proportional decrease of the fluorescence of all neutrophils.

MeSH terms

  • Adult
  • Anesthetics, Intravenous / pharmacology*
  • Flow Cytometry
  • Humans
  • Hydrogen Peroxide / metabolism
  • In Vitro Techniques
  • Methohexital / pharmacology
  • Midazolam / pharmacology*
  • N-Formylmethionine Leucyl-Phenylalanine / pharmacology*
  • Neutrophils / drug effects
  • Neutrophils / metabolism*
  • Propofol / pharmacology
  • Respiratory Burst / drug effects*
  • Sodium Oxybate / pharmacology
  • Thiopental / pharmacology

Substances

  • Anesthetics, Intravenous
  • N-Formylmethionine Leucyl-Phenylalanine
  • Sodium Oxybate
  • Hydrogen Peroxide
  • Methohexital
  • Thiopental
  • Midazolam
  • Propofol