麻醉剂和麻剂在肌肉尼古丁受体上的结构相互作用
Umang Goswami1, Md Mahfuzur Rahman1,2, Jinfeng Teng3
1Department of Neuroscience and O'Donnell Brain Institute, University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA.
Nature communications
|June 1, 2023
概括
一般麻醉剂和神经肌肉阻断剂通过影响尼古丁受体,在手术期间稳定患者. 这项研究揭示了它们的结构机制,澄清了埃托米达,顺和罗库如何与这些关键通道相互作用.
科学领域:
- 神经科学是一个神经科学.
- 药理学 药理学是指药理学的学科.
- 结构生物学 结构生物学
背景情况:
- 一般麻醉剂和神经肌肉阻断剂对于手术过程至关重要,诱导无意识和肌肉放松.
- 它们的联合使用依赖于调节神经元刺激性,特别是通过与尼古丁乙胆受体等离子通道的相互作用.
- 这些相互作用背后的精确结构机制,特别是麻醉剂如何影响刺激受体,仍然不完全理解.
研究的目的:
- 阐明一种常见的麻醉剂 (埃托米达) 和两个神经肌肉阻断剂 (苏西尼尔胆和罗库) 与肌肉类型的尼古丁受体相互作用的直接结构机制.
- 为在麻醉和手术期间观察到的这些药物的临床作用提供分子基础.
主要方法:
- 采用直接结构方法来研究埃托米达,基尼尔胆和罗库对肌肉类型尼古丁受体的结合部位和构造效应.
- 采用技术来确定这些药物如何稳定受体通道的不同状态.
主要成果:
- 麻醉剂埃托米达在跨膜域内在一个内亚单元部位结合,诱导一种无敏化的,非导电状态.
- 神经肌肉阻断剂基尼尔胆与神经递质部位结合,也稳定了无敏化通道状态.
- 神经肌肉阻断剂罗库与神经递质部位结合,但保持受体处于休息状态,非导电状态.
结论:
- 这项研究揭示了埃托米达,顺胆和罗库如何与肌肉类型尼古丁受体相互作用的独特结构机制.
- 这些发现澄清了全身麻醉剂如何调节刺激性尼古丁受体,并合理化了麻醉剂和神经肌肉阻断剂之间的临床相互作用.
相关概念视频
Nondepolarizing (Competitive) Neuromuscular Blockers: Mechanism of Action
1.9K
Nondepolarizing neuromuscular blockers induce paralysis by competitively blocking nicotinic acetylcholine receptors at the muscle end plate. Examples include pancuronium, mivacurium, vecuronium, and rocuronium. These quaternary ammonium derivatives are administered intravenously, are poorly absorbed, and are excreted via the kidneys.
Competitive antagonists prevent acetylcholine from binding to its receptor, inhibiting membrane depolarization. Without conformational changes or intrinsic...
Competitive antagonists prevent acetylcholine from binding to its receptor, inhibiting membrane depolarization. Without conformational changes or intrinsic...
1.9K
Nondepolarizing (Competitive) Neuromuscular Blockers: Pharmacological Actions
463
Nondepolarizing neuromuscular blockers prevent the membrane depolarization of muscle cells and inhibit muscle contraction. These are usually administered with anesthetics to achieve complete muscle relaxation. Upon administration, these drugs first block the small, rapidly contracting muscles of the face and hands, followed by the larger muscles of the trunk and the intercostal muscles. The diaphragm is the last muscle to be affected.
Although all competitive neuromuscular blockers are designed...
Although all competitive neuromuscular blockers are designed...
463
Depolarizing Blockers: Mechanism of Action
1.7K
Depolarizing blockers act on skeletal muscle fibers' membranes and induce their depolarization. Most depolarizing blockers have two quaternary N+ atoms that bind the nicotinic acetylcholine receptors and cause neuromuscular blockade within minutes.
Succinylcholine is the most commonly used depolarizing blocker. Chemically, it constitutes two molecules of acetylcholine joined together by an acetate methyl group. They act on the receptors in the same way as acetylcholine. Because...
Succinylcholine is the most commonly used depolarizing blocker. Chemically, it constitutes two molecules of acetylcholine joined together by an acetate methyl group. They act on the receptors in the same way as acetylcholine. Because...
1.7K
Classification of Skeletal Muscle Relaxants
2.5K
Skeletal muscle relaxants are a group of drugs that can reduce muscle stiffness and induce temporary paralysis to relieve pain. These agents can act centrally to reduce muscle tone or spasms in painful conditions such as multiple sclerosis (MS), amyotrophic lateral sclerosis (ALS), or spinal injuries; they are called antispasmodics or spasmolytics.
Peripherally acting skeletal muscle relaxants interfere with the neurotransmission at the neuromuscular end plate to induce paralysis during...
Peripherally acting skeletal muscle relaxants interfere with the neurotransmission at the neuromuscular end plate to induce paralysis during...
2.5K
Skeletal Muscle Relaxants: Therapeutic Uses
524
Skeletal muscle relaxants are used to relax muscle tone and alleviate painful muscle contractions. However, the choice of skeletal muscle relaxants depends on the duration of the surgical procedure in order to minimize potential side effects. Skeletal muscle relaxants like neuromuscular blocking agents [NMBAs] are commonly employed as adjuvants alongside general anesthetics in clinical settings. NMBAs are also used to maintain controlled ventilation during surgery of the larynx or pharynx...
524
Neuromuscular Junction And Blockade
3.2K
The site of chemical communication between a motor neuron and a muscle fiber is called the neuromuscular junction (NMJ). The end of the motor neuron at the NMJ divides into a cluster of synaptic end bulbs. The cytoplasm of these bulbs consists of synaptic vesicles enclosing acetylcholine molecules, the principal neurotransmitter released at the NMJ. The region opposite the synaptic bulb that ends in the muscle fiber is called the motor end plate, which has acetylcholine receptors. Within the...
3.2K


