Cited by 17Anesthesia and Sedative AgentsIon channel regulation and functionAnesthesia and Neurotoxicity Research

Reduced Nav1.6 sodium channel activity in mice increases in vivo sensitivity to volatile anesthetics

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Pal, Dinesh, Jones, Julie M., Wisidagamage, Stella, Meisler, Miriam H., Mashour, George A.·2015·PLOS ONE

Abstract

Nav1.6 is a major voltage-gated sodium channel in the central and peripheral nervous systems. Within neurons, the channel protein is concentrated at the axon initial segment and nodes of Ranvier, where it functions in initiation and propagation of action potentials. We examined the role of Nav1.6 in general anesthesia using two mouse mutants with reduced activity of Nav1.6, Scn8amedJ/medJ and Scn8a9J/9J. The mice were exposed to the general anesthetics isoflurane and sevoflurane in step-wise increments; the concentration required to produce loss of righting reflex, a surrogate for anesthetic-induced unconsciousness in rodents, was determined. Mice homozygous for these mutations exhibited increased sensitivity to both isoflurane and sevoflurane. The increased sensitivity was observed during induction of unconsciousness but not during the recovery phase, suggesting that the effect is not attributable to compromised systemic physiology. Electroencephalographic theta power during baseline waking was lower in mutants, suggesting decreased arousal and reduced neuronal excitability. This is the first report linking reduced activity of a specific voltage-gated sodium channel to increased sensitivity to general anesthetics in vivo.

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  • Mice with targeted knockdown of Nav1.6 show marked hypersensitivity to induction of isoflurane and sevoflurane anesthesia compared with wild-type siblings.

    “mice with targeted knockdown of Nav1.6—the most abundant channel subtype in the CNS—exhibited a marked hypersensitivity to induction of both isoflurane and sevoflurane anesthesia when compared with their wild-type siblings [73].”

    From The Biology of General Anesthesia from Paramecium to Primate (2019) · cites this paper as [73]

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Authors
Pal, D., Jones, J. M., Wisidagamage, S., Meisler, M. H., & Mashour, G. A.
Affiliations
University of Michigan (US)
Corresponding author
Mashour, George A.
Venue
PLOS ONE
Published
2015-08-07
Volume
10
Issue
8
Pages
e0134960
ISSN
1932-6203 (ISSN-L)
OpenAlex
W1925159137
Cited by
17
References
52
Citations by year
2025: 1 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 3 · 2020: 1 · 2019: 4 · 2018: 1 · 2017: 3
FWCI
1.74
Type
journal article
Language
en
Open access
Locations
  • PLoS ONE (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • University of Michigan
  • National Institutes of Health (NIH-R01)
  • National Institute of General Medical Sciences (R01GM098578)
  • National Institute of Neurological Disorders and Stroke (R01_NS34509, R01NS034509)
Topics
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Anesthesia and Sedative Agents
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Ion channel regulation and function
  • Life Sciences › Neuroscience › Developmental Neuroscience › Anesthesia and Neurotoxicity Research
Keywords
Nav1.6, voltage-gated sodium channels, general anesthesia, volatile anesthetics, isoflurane, sevoflurane, anesthetic sensitivity, loss of righting reflex, loss of consciousness, arousal, neuronal excitability, mouse model
MeSH terms
Sevoflurane, Anesthesia, Anesthesia Recovery Period, Anesthetics, Animals, Electroencephalography, Isoflurane, Methyl Ethers, Mice, Inbred BALB C, Mice, Inbred C57BL, Mutation, Theta Rhythm, Volatilization, Wakefulness, NAV1.6 Voltage-Gated Sodium Channel

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