On the importance of volatile agents devoid of anesthetic action.
On the importance of volatile agents devoid of anesthetic action.
复制标题
关于没有麻醉作用的挥发性药物的重要性。
DOI:
10.1213/00000539-199412000-00001
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发表时间:
1994
影响因子:
5.7
通讯作者:
K. Miller
中科院分区:
文献类型:
--
作者:
D. Raines;K. Miller
n this issue, researchers at the University of California report that certain volatile and gaseous comI pounds predicted by the Meyer-Overton lipid solubility rule to be general anesthetics actually have no anesthetic action at all (1). In this editorial, we will place this finding in the context of more traditional studies of lipid-soluble compounds that are not anesthetics and discuss the role that nonanesthetic agents may play in defining relevant sites of anesthetic action. In many homologous series of anesthetics, higher members lack anesthetic activity even though they are highly lipid soluble (2-4). The anesthetic potency of lower homologues increases logarithmically with the addition of successive methylene groups up to a point. Beyond that point, the addition of methylene groups leads to a complete loss of anesthetic activity even at the highest attainable concentrations. This behavior has been termed ”anesthetic cutoff.” (See the sidebar on page 1032.) More broadly, cutoff can be defined as the absence of activity of higher members of a homologous series. The normal alcohols comprise the best studied homologous series of anesthetics. In this series, anesthetic cutoff is observed between dodecanol and tridecanol; anesthetic potency increases from methanol through dodecanol; however, tridecanol and higher homologues are completely devoid of anesthetic activity (2). The point at which cutoff occurs and, indeed, the way in which cutoff is approached provide clues about both the molecular pharmacology of the unknown site of action and the mechanism of action. However, before considering how useful this information can be, it is necessary to confront certain experimental difficulties. The definition of cutoff, to have any useful meaning, must imply that the system is at equilibrium. For example, if a compound’s uptake and distribution to
影响因子:
5.7
作者:
Koblin,DD;Chortkoff,BS;Laster,MJ;Eger2nd,EI;Halsey,MJ;Ionescu,P
通讯作者:
Ionescu,P