Understanding anesthesia: making genetic sense of the absence of senses
Abstract
The discovery of the phenomenon of anesthesia over 150 years ago was a watershed event that revolutionized the practice of medicine. Despite their annual use in millions of patients, the mechanism by which volatile anesthetics produce reversible loss of consciousness remains a mystery. The inherent problems in studying loss of consciousness in humans are legion. However, multiple model organisms are currently being exploited to apply the powerful tools of modern molecular genetics to this question. Mutants in yeast, nematodes, fruit flies and mice have been produced that display abnormalities in their response to volatile anesthetics. Each organism possesses unique advantages and difficulties as a model system, and each reveals different molecules that control its response to anesthetics. Nonetheless, the accumulating body of genetic evidence points to multiple targets for volatile anesthetics. Not only will understanding how volatile anesthetics work yield better and safer anesthetics, but, in addition, these remarkable compounds may ultimately serve as probes to understand the nature of consciousness itself.
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No single gene mutation completely removes volatile anesthetic responsiveness.
“no single gene mutation fully ablates volatile anesthetic responsiveness.”
From The Biology of General Anesthesia from Paramecium to Primate (2019) · cites this paper as [12]
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The Biology of General Anesthesia from Paramecium to Primate
Kelz, M. B., & Mashour, G. A. (2019) · Current Biology · doi:10.1016/j.cub.2019.09.071 · Cited by 151 · see citing works
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“there is little agreement as to how this phenomenon occurs [1–3].”
BackgroundMitochondrial complex I function modulates volatile anesthetic sensitivity in C. elegans
Falk, M. J., Kayser, E.-B., Morgan, P. G., & Sedensky, M. M. (2006) · Current Biology · doi:10.1016/j.cub.2006.06.072 · Cited by 69 · see citing works
- Authors
- Humphrey, J. A.
- Affiliations
- University Hospitals of Cleveland (US)
- Corresponding author
- Humphrey, J. A.
- Venue
- Human Molecular Genetics
- Publisher
- Oxford University Press (OUP)
- Published
- 2002-05-15
- Volume
- 11
- Issue
- 10
- Pages
- 1241-1249
- ISSN
- 0964-6906 (ISSN-L)
- 1460-2083
- OpenAlex
- W2149655090
- Cited by
- 34
- References
- 68
- Citations by year
- 2024: 1 · 2022: 1 · 2021: 1 · 2019: 2 · 2018: 2 · 2016: 1 · 2015: 2 · 2014: 3 · 2013: 1 · 2012: 3
- FWCI
- 0.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Human Molecular Genetics (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of General Medical Sciences (GM45402, GM58881, R01GM045402, R01GM058881)
- 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 › Neurobiology and Insect Physiology Research
- Keywords
- anesthesia, volatile anesthetics, loss of consciousness, anesthetic targets, consciousness, anesthetic mechanisms
- MeSH terms
- Anesthesia, Anesthetics, Animals, Drosophila melanogaster, Humans, Saccharomyces cerevisiae, Caenorhabditis elegans, Mice
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