Hypothesis: Volatile anesthetics produce immobility by acting on two sites approximately five carbon atoms apart
Hypothesis: Volatile anesthetics produce immobility by acting on two sites approximately five carbon atoms apart
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DOI:
10.1097/00000539-199906000-00036
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发表时间:
1999-06-01
影响因子:
5.7
通讯作者:
Trudell, JR
中科院分区:
文献类型:
--
作者:
Eger, EI;Halsey, MJ;Trudell, JR
All series of Volatile and gaseous compounds contain members that can produce anesthesia, as defined by the minimum alveolar anesthetic concentration (MAC) required to produce immobility in response to a noxious stimulus. For unhalogenated n-alkanes, cycloalkanes, aromatic compounds, and n-alkanols, potency (1 MAC) increases by two-to threefold with each carbon addition in the series (e.g., ethanol is twice as potent as methanol). Total fluorination (perfluorination) of n-alkanes essentially eliminates anesthetic potency: only CF, is anesthetic (MAC = 66.5 atm), which indicates that fluorine atoms do not directly influence sites of anesthetic action. Fluorine may enhance the anesthetic action of other moieties, such as the hydrogen atom in CHF3 (MAC = 1.60 atm), but, consistent with the notion that the fluorine atoms do not directly influence sites of anesthetic action, adding -(CF2)(n) moieties does not further increase potency (e.g., CHF2-CF3 MAC = 1.51 atm). Similarly, adding -(CF2)(n) moieties to perfluorinated alkanols (CH2OH-[CF2](n)F) does not increase potency. However, adding a second terminal hydrogen atom (e.g., CHF2-CHF2 or CH2OH-CHF2) produces series in which the addition of each -CF2- "spacer" in the middle of the molecule increases potency two- to threefold, as in each unhalogenated series. This parallel stops at four or five carbon atom chain lengths. Further increases in chain length (i.e., to CHF2[CF2](4)CHF2 or CHF2[CF2](5)CH2OH) decrease or abolish potency (i.e., a discontinuity arises). This leads to our hypothesis that the anesthetic moieties (-CHF2 and -CH2OH) interact with two distinct, spatially separate, sites. Both sites must be influenced concurrently to produce a maximal anesthetic (immobility) effect. We propose that the maximal potency (i.e., for CHF2[CF2](2)CHF2 and CHF2[CF2](3)CH2OH) results when the spacing between the anesthetic moieties most closely matches the distance between the two sites of action. This reasoning suggests that a distance equivalent to a four or five carbon atom chain, approximately 5 Angstrom, separates the two sites. Implications: Volatile anesthetics may produce immobility by a concurrent action on two sites five carbon atom lengths apart.