Вестник анестезиологии и реаниматологии (Nov 2017)

THE CHANGES OF THE ELECTROPHYSIOLOGICAL PROPERTIES OF NEURONS BY THE ACTION OF SEVOFLURANE AND THEIR ROLE IN THE MECHANISMS OF PRECONDITIONING AND CYTOPROTECTION

  • A. I. Vislobokov,
  • Yu. S. Polushin,
  • A. Yu. Polushin,
  • V. V. Alferova

DOI
https://doi.org/10.21292/2078-5658-2015-12-3-19-28
Journal volume & issue
Vol. 12, no. 3
pp. 19 – 28

Abstract

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The changes of the intracellular potentials by the action of sevoflurane were studied for the diagnostic intact neurons of the isolated cerebrospinal axis of the Planorbarius corneus using intracellular electrodes. There observed a two-phase reaction of the neurons de- and hyperpolarization. The sevoflurane concentration of 2 mM depolarized the neurons (to 5 mV), the depolarization was interchanged with the mild hyperpolarization (at 2-5 mV). The impulse activity rate (IA) increased under depolarization, while decreased under hyperpolarization, the parameters of the action potentials (AP) changed slightly. The inversive hyperpolarization occurred for 5-10 minutes upon the anesthetic elimination. There occurred the short-term and inversive depolarization of the neurons at the sevoflurane concentration of 5 mM to 9,4 ± 2,2% of the reference, while the IA rate increased, the amplitude of the action potentials decreased with their duration increase, and sometimes the AP generation was completely abrogated. On action of sevoflurane concentration of 5 mM there developed the inversive hyperpolarization of the neurons to 18,1 ± 16,9% of the reference, that lasted 15-20 minutes thereafter. The repeated neuron exposure with the same anesthetic is always reproduced followed by the florid hyperpolarization. The modulation of the electrical activity with sevoflurane (the hyperpolarization of the neurons and the decrease/termination of AP generation that evidenced the "improvement" of their functional status) may be the basis for the preconditioning, neuro- and cardioprotection.

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