1. Role of Voltage-Gated Sodium Channels in the Mechanism of Ether-Induced Unconsciousness
- Author
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Nicholas Denomme, Jacob M. Hull, and George A. Mashour
- Subjects
inorganic chemicals ,0301 basic medicine ,General anesthetics ,Ether ,Unconsciousness ,Voltage-Gated Sodium Channels ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,medicine ,Animals ,Humans ,Hypnotics and Sedatives ,Pharmacology ,Hydrocarbons, Halogenated ,Chemistry ,Sodium channel ,030104 developmental biology ,Anesthetic ,Biophysics ,Molecular Medicine ,medicine.symptom ,030217 neurology & neurosurgery ,Ethers ,medicine.drug - Abstract
Despite continuous clinical use for more than 170 years, the mechanism of general anesthetics has not been completely characterized. In this review, we focus on the role of voltage-gated sodium channels in the sedative-hypnotic actions of halogenated ethers, describing the history of anesthetic mechanisms research, the basic neurobiology and pharmacology of voltage-gated sodium channels, and the evidence for a mechanistic interaction between halogenated ethers and sodium channels in the induction of unconsciousness. We conclude with a more integrative perspective of how voltage-gated sodium channels might provide a critical link between molecular actions of the halogenated ethers and the more distributed network-level effects associated with the anesthetized state across species.
- Published
- 2019
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