The aim of the present study was to examine the effects of ketamine, a dissociative anesthetics, on secretion of catecholamines (CA) secretion evoked by cholinergic stimulation from the perfused model of the isolated rat adrenal gland, and to establish its mechanism of action, and to compare ketamine effect with that of thiopental sodium, which is one of intravenous barbiturate anesthetics. Ketamine (30~300microM), perfused into an adrenal vein for 60 min, dose- and time-dependently inhibited the CA secretory responses evoked by ACh (5.32 mM), high K(+) (a direct membrane-depolarizer, 56 mM), DMPP (a selective neuronal nicotinic NN receptor agonist, 100microM) and McN-A-343 (a selective muscarinic M1 receptor agonist, 100microM). Also, in the presence of ketamine (100microM), the CA secretory responses evoked by veratridine (a voltage-dependent Na(+) channel activator, 100microM), Bay-K-8644 (an L-type dihydropyridine Ca(2+) channel activator, 10microM), and cyclopiazonic acid (a cytoplasmic Ca(2+)-ATPase inhibitor, 10microM) were significantly reduced, respectively. Interestingly, thiopental sodium (100microM) also caused the inhibitory effects on the CA secretory responses evoked by ACh, high K(+) , DMPP, McN-A-343, veratridine, Bay-K-8644, and cyclopiazonic acid. Collectively, these experimental results demonstrate that ketamine inhibits the CA secretion evoked by stimulation of cholinergic (both nicotinic and muscarinic) receptors and the membrane depolarization from the isolated perfused rat adrenal gland. It seems likely that the inhibitory effect of ketamine is mediated by blocking the influx of both Ca(2+) and Na(+) through voltage-dependent Ca(2+) and Na(+) channels into the rat adrenal medullary chromaffin cells as well as by inhibiting Ca(2+) release from the cytoplasmic calcium store, which are relevant to the blockade of cholinergic receptors. It is also thought that, on the basis of concentrations, ketamine causes similar inhibitory effect with thiopental in the CA secretion from the perfused rat adrenal medulla.
Keywords: Adrenal medulla; Catecholamine secretion; Cholinergic receptors; Ketamine; thiopental.