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Do general anaesthetics act by competitive binding to specific receptors?
Abstract
Most proteins are insensitive to the presence of anaesthetics at concentrations which induce general anaesthesia, while some are inhibited by certain agents but not others. Here we show that, over a 100,000-fold range of potencies, the activity of a pure soluble protein (firefly luciferase) can be inhibited by 50% at anaesthetic concentrations which are essentially identical to those which anaesthetize animals. This identity holds for inhalational agents (such as halothane, methoxyflurane and chloroform), aliphatic and aromatic alcohols, ketones, ethers and alkanes. This finding is all the more striking in view of the fact that the inhibition is shown to be competitive in nature, with anaesthetic molecules competing with substrate (luciferin) molecules for binding to the protein. We show that the anaesthetic-binding site can accommodate only one large, but more than one small, anaesthetic molecule. The obvious mechanism suggested by our results is that general anaesthetics, despite their chemical and structural diversity, act by competing with endogenous ligands for binding to specific receptors.
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“together with the discovery of stereoselective optical isomers of anesthetics with identical lipid solubility but reduced potency, called into question the non-specific lipid theory of anesthetic action [32].”
From The Biology of General Anesthesia from Paramecium to Primate (2019) · cites this paper as [32]
In the citing paper
“Subsequent recognition that distinct anesthetic drugs could similarly inhibit the protein firefly luciferase over an identical six-order of magnitude range in a cell-free environment”
From The Biology of General Anesthesia from Paramecium to Primate (2019) · cites this paper as [32]
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A hypothetical model on the mechanism of anesthesia
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Melnikov, I., Orekhov, P. S., Rulev, M., Kovalev, K., Astashkin, R., Bratanov, D., Ryzhykau, Y. L., Balandin, T. G., Bukhdruker, S. S., Okhrimenko, I. S., et al. (2022) · Communications Biology · doi:10.1038/s42003-022-03233-y · Cited by 13
Lou, X., Zhu, A., Luo, Q., Zhang, Y., & Long, F. (2017) · Analytical Methods · doi:10.1039/c6ay03373c · Cited by 12
Role of Voltage-Gated Sodium Channels in the Mechanism of Ether-Induced Unconsciousness
Denomme, N., Hull, J. M., & Mashour, G. A. (2019) · Pharmacological Reviews · doi:10.1124/pr.118.016592 · Cited by 13
“Nicholas Franks and William Lieb demonstrated that anesthetics could act in a lipid-free environment, which brought lipid fluidization into question as the mechanism of anesthetic action (Franks and Lieb, 1981, 1982, 1984),.”
BackgroundFolding of bundles of α-helices in solution, membranes, and adsorbed overlayers
Zhdanov, V. P., & Kasemo, B. (2001) · Proteins Structure Function and Bioinformatics · doi:10.1002/1097-0134(20010301)42:4 · Cited by 28
Metadata
- Authors
- Franks, N. P., & Lieb, W. R.
- Affiliations
- Imperial College London (GB)
- King's College London (GB)
- ORCID
- Franks, N. P.
- Venue
- Nature
- Published
- 1984-08
- Volume
- 310
- Issue
- 5978
- Pages
- 599-601
- ISSN
- 0028-0836 (ISSN-L)
- 1476-4687
- OpenAlex
- W2028401432
- Cited by
- 572
- References
- 24
- Citations by year
- 2026: 6 · 2025: 11 · 2024: 8 · 2023: 8 · 2022: 9 · 2021: 9 · 2020: 11 · 2019: 12 · 2018: 7 · 2017: 15 · 2016: 12 · 2015: 16 · 2014: 20 · 2013: 21 · 2012: 22
- FWCI
- 24.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Anesthesia and Sedative Agents
- Life Sciences › Neuroscience › Developmental Neuroscience › Anesthesia and Neurotoxicity Research
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Keywords
- general anesthetics, competitive binding, firefly luciferase, protein inhibition, competitive inhibition, inhalational anesthetics, halothane, methoxyflurane, chloroform
- MeSH terms
- Hexanols, Anesthesia, General, Anesthetics, Animals, Coleoptera, Binding Sites, Binding, Competitive, Fatty Alcohols, Halothane, Kinetics, Luciferases, Molecular Conformation, Protein Binding, Protein Conformation
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