Isoflurane Potentiation of GABAA Receptors Is Reduced but Not Eliminated by the β3(N265M) Mutation

Int J Mol Sci. 2020 Dec 15;21(24):9534. doi: 10.3390/ijms21249534.

Abstract

Background: Mice carrying the GABAA receptor β3(N265M) point mutation, which renders receptors incorporating β3-subunits insensitive to many general anesthetics, have been used experimentally to link modulation of different receptor subtypes to distinct behavioral endpoints. Remarkably, however, the effect of the mutation on the susceptibility to modulation by isoflurane (a standard reference agent for inhalational vapors) has never been tested directly. Therefore, we compared the modulation by isoflurane of expressed α5β3(N265M)γ2L receptors with their wild type counterparts. Methods: Using whole-cell electrophysiological recording and rapid solution exchange techniques, we tested the effects of isoflurane at concentrations ranging from 80 μM to 320 μM on currents activated by 1 μM GABA. We measured drug modulation of wild-type α5β3γ2L GABAA receptors and their counterparts harboring the β3(N265M) mutation. Results: Currents elicited by GABA were enhanced two- to four-fold by isoflurane, in a concentration-dependent manner. Under the same conditions, receptors incorporating the β3(N265M) mutation were enhanced by approximately 1.5- to two-fold; i.e., modulation by isoflurane was attenuated by approximately one-half. Direct activation by isoflurane was also present in mutant receptors but also attenuated. Conclusions: In contrast to the complete insensitivity of β3(N265M) mutant receptors to etomidate and propofol, the mutation has only a partial effect on receptor modulation by isoflurane. Therefore, the persistence of isoflurane effects in mutant mice does not exclude a possible contribution of β3-GABAA receptors.

Keywords: GABA; amnesia; anesthetic action; general anesthesia; intravenous anesthetics; unconsciousness; volatile anesthetics.

MeSH terms

  • Anesthetics, Inhalation / pharmacology*
  • Animals
  • Etomidate / pharmacology
  • HEK293 Cells
  • Humans
  • Isoflurane / pharmacology*
  • Mice, Transgenic
  • Patch-Clamp Techniques
  • Point Mutation
  • Propofol / pharmacology
  • Receptors, GABA-A / genetics*
  • Receptors, GABA-A / metabolism*
  • Receptors, GABA-A / physiology
  • Recombinant Proteins
  • gamma-Aminobutyric Acid / pharmacology*

Substances

  • Anesthetics, Inhalation
  • Receptors, GABA-A
  • Recombinant Proteins
  • gamma-Aminobutyric Acid
  • Isoflurane
  • Propofol
  • Etomidate