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

Speigel, Iris A; Patel, Kishan; Hemmings, Hugh C · Br J Anaesth · 2022

basic_science · Level V

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Abstract

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. We used the genetically encoded fluorescent Ca<sup>2+</sup> 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<sup>+</sup>, SST<sup>+</sup>, and VIP<sup>+</sup>, respectively) GABAergic interneurones. Isoflurane and sevoflurane depressed activity-driven presynaptic Ca<sup>2+</sup> transients in a neurone-type-specific manner, with greater potency for inhibition of glutamate and SST<sup>+</sup> compared with PV<sup>+</sup> and VIP<sup>+</sup> 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 Ca<sup>2+</sup> entry in PV<sup>+</sup> interneurones but only at a supraclinical concentration (3 μM). Anaesthetic-agent-selective effects on presynaptic Ca<sup>2+</sup> 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 Ca<sup>2+</sup>, which are similar between isoflurane and sevoflurane.

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