Distinct effects of volatile and intravenous anaesthetics on presynaptic calcium dynamics in mouse hippocampal GABAergic neurones

Br J Anaesth. 2022 Jun;128(6):1019-1028. doi: 10.1016/j.bja.2022.01.014. Epub 2022 Feb 11.

Abstract

Background: General anaesthetics have marked effects on synaptic transmission, but their neuronal and circuit-level effects remain unclear. The volatile anaesthetic isoflurane differentially inhibits synaptic vesicle exocytosis in specific neuronal subtypes, but whether other common anaesthetics also have neurone-subtype-specific actions is unknown.

Methods: We used the genetically encoded fluorescent Ca2+ sensor GCaMP6f to compare the pharmacological effects of isoflurane, sevoflurane, propofol, and ketamine on presynaptic excitability in hippocampal glutamatergic neurones and in hippocampal parvalbumin-, somatostatin-, and vasoactive intestinal peptide-expressing (PV+, SST+, and VIP+, respectively) GABAergic interneurones.

Results: Isoflurane and sevoflurane depressed activity-driven presynaptic Ca2+ transients in a neurone-type-specific manner, with greater potency for inhibition of glutamate and SST+ compared with PV+ and VIP+ neurone presynaptic activation. In contrast, clinical concentrations of propofol (1 μM) or ketamine (15 μM) had no significant effects on presynaptic activation. Propofol potentiated evoked Ca2+ entry in PV+ interneurones but only at a supraclinical concentration (3 μM).

Conclusions: Anaesthetic-agent-selective effects on presynaptic Ca2+ entry have functional implications for hippocampal circuit function during i.v. or volatile anaesthetic-mediated anaesthesia. Hippocampal interneurones have distinct subtype-specific sensitivities to volatile anaesthetic actions on presynaptic Ca2+, which are similar between isoflurane and sevoflurane.

Keywords: calcium; interneurone; isoflurane; ketamine; mechanisms of anaesthesia; presynaptic; propofol; sevoflurane.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Anesthetics, Inhalation* / pharmacology
  • Anesthetics, Intravenous / pharmacology
  • Animals
  • Calcium
  • GABAergic Neurons
  • Hippocampus
  • Humans
  • Isoflurane* / pharmacology
  • Ketamine* / pharmacology
  • Mice
  • Propofol* / pharmacology
  • Sevoflurane / pharmacology

Substances

  • Anesthetics, Inhalation
  • Anesthetics, Intravenous
  • Sevoflurane
  • Ketamine
  • Isoflurane
  • Calcium
  • Propofol