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The Journal of Neuroscience, February 1, 2000, 20(3):899-907
Effects of Halothane on GABAA Receptor Kinetics:
Evidence for Slowed Agonist Unbinding
Xiaoshen
Li1 and
Robert
A.
Pearce2
Departments of 1 Zoology and
2 Anesthesiology and Anatomy, University of
Wisconsin-Madison, Madison, Wisconsin 53706
 |
ABSTRACT |
Many anesthetics, including the volatile agent halothane, prolong
the decay of GABAA receptor-mediated IPSCs at central
synapses. This effect is thought to be a major factor in the production of anesthesia. A variety of different kinetic mechanisms have been
proposed for several intravenous agents, but for volatile agents the
kinetic mechanisms underlying this change remain unknown. To address
this question, we used rapid solution exchange techniques to apply GABA
to recombinant GABAA receptors
(
1
2
2s) expressed in
HEK 293 cells, in the absence and presence of halothane. To differentiate between different microscopic kinetic steps that may be
altered by the anesthetic, we studied a variety of measures, including
peak concentration-response characteristics, macroscopic desensitization, recovery from desensitization, maximal current activation rates, and responses to the low-affinity agonist taurine. Experimentally observed alterations were compared with predictions based on a kinetic scheme that incorporated two agonist binding steps,
and open and desensitized states. We found that, in addition to slowing
deactivation after a brief pulse of GABA, halothane increased agonist
sensitivity and slowed recovery from desensitization but did not alter
macroscopic desensitization or maximal activation rate and only
slightly slowed rapid deactivation after taurine application. This
pattern of responses was found to be consistent with a reduction in the
microscopic agonist unbinding rate
(koff) but not with changes in
channel gating steps, such as the channel opening rate (
), closing
rate (
), or microscopic desensitization. We conclude that halothane
slows IPSC decay by slowing dissociation of agonist from the receptor.
Key words:
GABA; halothane; taurine; synaptic inhibition; anesthetics; receptor kinetics
 |
INTRODUCTION |
The activity of ligand-gated ion
channels can be described in kinetic terms by defining transition rates
between individual metastable states of the receptor. Drug action can
then be viewed as altering the transition rates between these states,
under the assumption that drug binding does not introduce new
transitions to the kinetic scheme. Using this approach to study
pharmacological modulation of the GABAA receptor,
it has been proposed that barbiturates alter transition rates between
agonist-bound closed states (Macdonald et al., 1989a
; Macdonald and
Olsen, 1994
), neurosteroids decrease the exit rate from the
desensitized state of the receptor (Zhu and Vicini, 1997
), and
benzodiazepines increase the agonist binding rate (Rogers et al., 1994
)
or decrease agonist unbinding rate and accelerate desensitization
(Mellor and Randall, 1997
). In addition, it has been proposed that
dephosphorylation of the GABAA receptor reduces
the agonist unbinding rate, slowing deactivation and prolonging
inhibitory currents (Jones and Westbrook, 1997
).
The volatile anesthetic halothane prolongs GABAA
receptor-mediated IPSCs (Gage and Robertson, 1985
; Mody et al.,
1991
; Jones and Harrison, 1993
; Pearce, 1996
), as do a great number of
intravenous and other volatile anesthetic agents (Zimmerman et al.,
1994
). It is becoming widely accepted that this effect contributes
importantly to the production of "anesthesia" (Tanelian et al.,
1993
; Franks and Lieb, 1994
).
To identify the kinetic steps that are altered by halothane, we
compared experimental observations of channel macroscopic currents in
response to agonist application with the predicted effects of changes
in individual kinetic steps. Simulations were based on a kinetic scheme
developed previously using macroscopic receptor properties and single
channel opening characteristics (Jones and Westbrook, 1995
). According
to this model, the current deactivation rate is determined by the
forward and backward rates of several transitions, including the
channel closing rate (
) and opening rate (
), the entry and exit
rates from desensitization (d and r), and the
agonist unbinding rate (koff). Unlike
the mechanisms proposed for barbiturates, benzodiazepines, or
neurosteroids, our results indicate that halothane slows the agonist
unbinding rate (koff), resulting in an
increased sensitivity to GABA and prolonged current deactivation.
 |
MATERIALS AND METHODS |
Transient expression in HEK 293 cells. HEK 293 cells
(CRL 1573; American Type Culture Collection, Manassas, VA) were
maintained in standard culture conditions (37°C, 5%
CO2). The culture medium consisted of minimal
essential medium with Earle's salts (Life Technologies, Grand Island,
NY) containing 10% fetal bovine serum (Hyclone Laboratories, New
Brunswick, NJ). Cells were plated on 12 mm circle cover glass (Fisher
Scientific, Pittsburgh, PA) in 60 mm culture dishes 24 hr before
transfection. Rat GABAA receptor subunit
1,
2,
2s, and CD8 cDNAs were subcloned into the
multiple cloning site of a mammalian expression vector (pCEP4;
Invitrogen, Carlsbad, CA) for transient transfection of HEK 293 cells.
Cells were cotransfected at 10-20% confluence with
pCEP-
1, pCEP-
2, pCEP-
2s, and pCEP-CD8 at 1:1:1:1 ratio (0.3 µg/subunit) using polyamine reagent Trans-LT2 (PanVera, Madison, WI).
Electrophysiological recordings. Recordings were performed
at room temperature on the stage of an inverted Nikon (Tokyo, Japan) microscope with Hoffman optics, 24-48 hr after transfection. A bead
immunolabeling technique using the cytokine receptor CD8 was used to
identify cells transiently transfected (Jurman et al., 1994
). Before
recording, antibody-coated beads (Dynal M-450 CD8; Dynal Inc., Lake
Success, NY) were added into the culture dish at 1:1000 dilution. After
5 min incubation, the coverslip was transferred to the recording
chamber. Cells decorated with beads, indicating a high level of
exogenous protein expression, were chosen for study. Whole-cell
recordings were performed using only the smallest individual cells to
maximize mechanical stability and minimize solution exchange times.
After obtaining stable whole-cell access, negative holding pressure was
sometimes applied to aid mechanical stability (analogous to the
"nucleated patch" recording configuration) (Puia et al., 1994
;
Berger et al., 1998
), and the cell was lifted from the coverslip and
positioned in front of the application device (see below).
Recording electrodes were fabricated from KG-33 glass (Garner Glass
Company, Claremont, CA) using a multistage puller (Flaming-Brown model
P-87; Sutter Instruments, Novato, CA), and coated with Sylgard (Dow
Corning Company, Midland, MI) to reduce electrode capacitance. The tips
were not routinely fire-polished. Open tip electrode resistance was
typically 2-4 M
when filled with standard recording solution. All
recordings were obtained at a holding potential of
40 mV using a
low-noise patch amplifier (Axopatch 200A; Axon Instruments, Foster
City, CA). Access resistance, typically 4-10 M
, was compensated
70-80% using amplifier circuitry. Access resistance and capacitance
were monitored throughout the course of the experiments using amplifier
circuitry, and the recordings were terminated if these became unstable.
Data were low-pass filtered at 2-5 kHz using amplifier circuitry,
sampled at 5-20 kHz (5 kHz filter and 10 kHz sampling for most
experiments) and stored on-line using pClamp 6 software (Axon
Instruments).
Rapid solution exchange technique. Solutions were applied to
whole cells using a two-barrel "theta" application pipette
(fashioned from Thin Theta; Sutter Instruments) connected to a
piezoelectric stacked translator (model P-245.50; Physik Instrumente,
Costa Mesa, CA). Using gravity feed, solutions flowing through the
application pipette could be exchanged in ~10 sec using a series of
low volume, zero unswept volume, manually controlled Teflon valves
(model 1126; Omnifit Limited, Cambridge, UK). The voltage input to the high-voltage amplifier (model P-270; Physik Instrumente) used to drive
the stacked translator was filtered (30-200 Hz) using an eight-pole
Bessel filter (model 902LPF; Frequency Devices, Haverhill, MA) to
reduce oscillations arising from rapid acceleration of the pipette.
Whole cells were lifted above the glass coverslip and positioned
near the interface between flowing solutions, ~100 µm from the end
of the application pipette. The solution exchange time was estimated in
a separate series of experiments by observing the change in endogenous
voltage-activated potassium current in response to an altered ionic
driving force. The exchange speed could be controlled by increasing the
height of the solution reservoirs. There was a trade-off, however, in
that faster exchanges arising from greater solution velocity led to
mechanically less stable recordings. For whole-cell recordings,
reservoirs were typically adjusted to yield open tip exchange times of
~500 µsec, which was found to produce an acceptably stable
configuration. This resulted in whole-cell exchange times of ~2 msec
when small cells were chosen (Li et al., 1999
).
Solutions and drugs. The recording chamber was perfused
continuously with HEPES-buffered saline containing (in
mM): NaCl 135, KCl 5.4, MgCl2 1.0, CaCl2 1.8, and
HEPES 5.0, pH 7.2. This standard saline was also used as the
"control" solution in the rapid application pipette. Recording
pipettes were filled with (in mM): CsCl 140, Na-HEPES 10, EGTA 10, and MgATP 1, pH 7.3. GABA was prepared as a 1 or
10 mM stock solution in standard saline and
diluted to achieve the desired concentration. For low-affinity agonist
experiments, 20 mM taurine was used in place of
GABA. With higher taurine concentrations, recordings were not stable,
possibly because of high solution viscosity.
For anesthetic application, solution reservoirs were bubbled
continuously using a calibrated vaporizer with halothane 0.8% (Halocarbon Laboratories, River Edge, NJ), which preliminary
experiments indicated produces a near-maximal effect on deactivation
kinetics. The gas phase concentration was monitored throughout the
experiment using a gas monitor (Multigas Monitor 602; Criticare
Systems, Waukesha, WI). This gas phase concentration corresponds to a
liquid phase concentration of 0.43 mM, or 1.6 minimum
alveolar concentration (Franks and Lieb, 1993
). The perfusion
system was constructed of Teflon and glass to prevent the loss of the anesthetic.
All chemicals were obtained from Sigma (St. Louis, MO). Distilled water
was used for preparation of all solutions
Data analysis. Current deactivation was fit by exponential
functions, beginning shortly after the peak of the response, using a
Levenberg-Marquardt algorithm (Origin 5.0; Microcal Software, Northampton, MA). During the fitting process, the goodness of fit was
evaluated by the
2 value, and adequacy
of fit to biexponential function was judged by eye. Although the
majority were well fitted by biexponential functions, some responses
had one or more than two components. To permit comparisons
incorporating all responses, an overall decay time constant
"
decay " was calculated by dividing the
integral of each response by its peak amplitude. For
multiple-exponential deactivation, this measure is equivalent to
deriving a "weighted time constant"
(
iAi/
Ai)
and, for monoexponential deactivation, is simply the decay time
constant itself.
To evaluate the concentration response characteristics of different
preparations, peak currents during prolonged application of GABA
(100-400 msec) were plotted as a function of agonist concentration. Peak current amplitude was normalized to the response at a saturating agonist concentration (1-10 mM) and fitted to the Hill
equation:
where EC50 is the concentration that
yields a half-maximal response, and n is the Hill
coefficient. Because the sensitivity to GABA was variable even under
control conditions, to compare the effects of halothane in different
preparations, GABA concentration was normalized to
EC50 (control).
To test the effect of halothane on the high concentration on-rate
asymptote (Maconochie et al., 1994
), the current activation phase was
fitted by single exponential functions beginning at the completion of
the initial sigmoidal onset phase (typically 10-20% of the peak
current). Recovery from desensitization was assessed using a
paired-pulse protocol (Jones and Westbrook, 1995
; Zhu and Vicini,
1997
). The percent recovery, defined as [(peak2
onset2)/(peak1
onset2)] × 100, was plotted as a function of interpulse interval and fitted to a biexponential function.
Origin (Microcal Software), Statmost (Datamost, Salt Lake City, UT),
and Excel (Microsoft, Seattle, WA) software were used for data display
and analysis. Unless indicated otherwise, paired Student's
t test was used for statistical comparisons. Significance was assessed as p < 0.05. Values are presented as
mean ± SE.
Kinetic modeling. To determine how altering an individual
kinetic transition rate by anesthetic (for example, channel opening rate or agonist unbinding rate) would be expected to change the response to agonist, simulations of channel activity were performed based on a modified kinetic scheme proposed previously for the GABAA receptor (Jones and Westbrook, 1995
). For
these simulations, a series of ordinary differential equations was
solved numerically using an adaptive step size, fifth-order Cash-Karp
Runga Kutta algorithm with error checking (Press, 1992
). Solution
accuracy was checked by varying the error criterion and by comparing
with known closed form solutions for simpler equation sets. The
computer program used for these simulations was written in Visual
C2+ (Microsoft) and implemented on a
Pentium microprocessor-based system (Dell Computer Corporation, Round
Rock, TX). A graphical interface (Microcal Origin) was used to
visualize and analyze the results.
For most simulations, the monoliganded
O1 and
D1 states were omitted from the
kinetic scheme, because they contribute little to responses using a
high concentration of agonist. For a number of conditions, including
brief and long pulses, and low and high agonist concentrations,
simulations incorporating these states confirmed that conclusions were
not affected by their presence or absence. For simulations of taurine
responses, contributions from the monoliganded states were found to be
significant, so were included in the simulations presented.
Parameters used for these simulations were adapted from rates that were
published previously, modified based on the baseline kinetic
characteristics of the expressed receptors used in the current study.
The opening rate (
2) was set to 1.8 msec
1 based on the high concentration asymptote,
and the closing rate (
2) to 0.2 msec
1 to yield a peak open probability of ~0.7 (Mody et
al., 1994
) and appropriately rapid deactivation using the low-affinity
agonist taurine. The time course and extent of macroscopic
desensitization were somewhat variable in our experiments. So that
predicted effects of altered desensitization would be most apparent,
for the majority of simulations, microscopic rates of desensitization
(d2 = 0.2 msec
1) and
recovery (r2 = 0.02 msec
1) were set to approximate the fastest rates and
greatest extent of the rapid phase of desensitization that we observed.
For simulations of paired-pulse experiments,
d2 was set to 0.4 msec
1
and r2 to 0.1 msec
1.
These rates produced a smaller extent of macroscopic desensitization under control conditions, which more closely matched the
desensitization characteristics for this group of recordings (85.3 ± 3.3% at 100 msec) and more closely resembled the extent and time
course of paired-pulse depression that we observed experimentally in
this group.
The slow phase of desensitization and recovery were not measured or
estimated independently, but the rates proposed previously (Jones and
Westbrook, 1995
) were used to test the influence of the
O1 and
D1 states (
1 = 1.111 msec
1;
1 = 0.2 msec
1; r1 = 0.00013 msec
1; d1 = 0.013 msec
1). The agonist unbinding rate
(koff) was set to 0.15 msec
1 to match deactivation kinetics in response to brief
agonist application, and the agonist binding rate
(kon) was set to 0.006 µM
1 msec
1
to yield an appropriate
EC50 for peak responses to different agonist
concentrations. Using these rates, the model predicted biexponential
decay kinetics [
fast = 20.6 msec (73%);
slow = 101.2 msec,
decay (weighted time constant) = 42.4 msec), as demonstrated previously (Jones and Westbrook, 1995
).
For the low-affinity agonist taurine,
kon was adjusted to 0.0001 µM
1msec
1 (60 times
slower than GABA), and koff was 9 msec
1 (60 times faster than GABA). This resulted in an
agonist sensitivity for simulated taurine responses 3600 times smaller
than that for GABA, consistent with our experimental observations
(estimated taurine EC50 of ~30
mM; data not shown). Rates of channel opening (
) and closing (
), and entry (d) and exit
(r) from desensitization, were the same for simulations of
taurine and GABA responses (Lester and Jahr, 1992
; Jones et al.,
1998
).
 |
RESULTS |
Application of a brief pulse of GABA (1 mM, 1-4 msec)
elicited currents with kinetics that closely resemble
GABAA receptor-mediated IPSCs (Jones and
Westbrook, 1995
; Tia et al., 1996
). Similar to its effect on synaptic
transmission, halothane (0.43 mM) significantly prolonged
current deactivation (Fig. 1). Although
in the majority of preparations the decay was best fit by a
biexponential function, a significant proportion had only a single
exponential component or more than two. To permit incorporation of all
responses for comparisons, we used a measure of decay equivalent to the
weighted time constant of all components (see Materials and Methods).
This overall time constant of decay (
decay)
was increased 2.5-fold, from 39.7 ± 6.2 to 97.8 ± 14.9 msec
in the presence of halothane (paired t test;
p < 0.05; n = 16). Despite a reduction
in peak current amplitude by 21.6 ± 3.2%, the total charge
transfer was increased to 196 ± 13% of control
(p < 0.001; n = 16).

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Figure 1.
Effect of halothane on deactivation.
A, Response to a brief pulse of GABA (1 mM,
5 msec). Halothane (0.43 mM) slowed deactivation and
reduced the peak response. Both effects were reversed after washout of
anesthetic. Top trace shows the junction current
recorded at the end of the experiment. B, Currents were
normalized to peak amplitude for comparison of the time course of
deactivation. C, Graphical summary of the effect on the
weighted decay time constant. **p < 0.01;
n = 16; paired t test.
|
|
The change in deactivation kinetics was accompanied by an increase in
the sensitivity to GABA (control EC50 of
18.1 ± 5.2 µM; halothane EC50
of 7.9 ± 2.9 µM; p < 0.05; paired
t test; n = 3), without a change in the Hill
coefficient (control, n = 2.15 ± 0.11; halothane,
n = 2.22 ± 0.18; p > 0.10;
paired t test; n = 3) (Fig.
2). Neither Hill coefficient was
significantly different than 2 (z test; p > 0.10),
consistent with the presence of two agonist binding sites on the
receptor. As noted above for brief pulses of GABA, there was a
reduction in the peak current at high agonist concentrations. This
effect is thought to be caused by a superimposed blocking action
produced by a mechanism distinct from that which slows deactivation
(Banks and Pearce, 1999
). There was some variability in
EC50 between cells, even under control conditions, so to illustrate relative changes in affinity for different
cells, current amplitudes were normalized to the peak response to 1 mM GABA for each cell and plotted versus the
normalized agonist concentration (Fig. 2). On average, halothane
reduced EC50 to 40% of its control value.

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Figure 2.
Effect of halothane on the GABA
concentration-response relationship. Peak currents, normalized to the
10 mM peak response, are plotted as a function of GABA
concentration, normalized to EC50
(Control). Data are from three different cells,
represented by different symbols. Open
symbols, control; filled symbols, halothane.
Insets show responses of one cell to 10 µM, 30 µM, 100 µM, 1 mM, and 10 mM GABA. Calibration: 200 msec, 500 pA. Solid lines are best fits of normalized data to the
Hill equation [control, EC50 (normalized) of 1.0;
n = 2.23; halothane, EC50 (normalized)
of 0.40; n = 2.34].
|
|
Possible kinetic alterations caused by halothane
There are several possible kinetic alterations that could lead to
a slowing of current deactivation. In terms of the simplified Jones-Westbrook scheme (Jones and Westbrook, 1995
), these
include (1) a decrease in the channel closing rate (
), (2) an
increase in the channel opening rate (
), (3) a decrease in the
agonist unbinding rate (koff), (4) an
increase in the rate of entry into desensitization (d), and
(5) a decrease in the exit rate from desensitization (r).
Because changes in d and r would not allow an
increase in the total charge transfer or an increase in the peak
response to a low concentration of agonist, we have considered further
only the first three mechanisms.
To test the expected effects of postulated changes induced by
halothane, we altered the kinetic rates of agonist unbinding, channel
closing, or channel opening in a series of computer simulations. Threefold changes in any of the three transition rates
2,
2, or
koff, led to approximately threefold
slowing of the current deactivation rate (Fig.
3A), and between twofold and
threefold increases in GABA sensitivity (Fig. 3B). For
changes in
2 and
2,
there was little change in the slope of the concentration-peak response relationship, but for decreased
koff, simulations predicted a slight
reduction in the Hill coefficient.

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Figure 3.
Computer simulations with altered
kinetic parameters. U0, Unbound (resting)
state; B1, monoliganded state;
B2, double liganded state;
D2, desensitized state;
O2, open conducting state; see Materials and
Methods for kinetic rate constants used for simulations.
A, Effects on deactivation after a brief pulse of GABA
(1 mM, 1 msec). Control, decay
(area/peak) = 44.3 msec; 1/3 koff
decay = 118 msec; 1/3 decay = 116 msec; 3
decay, 103 msec. B, Effects on
agonist sensitivity. Control, EC50 of 16.3 µM; n = 1.13; 1/3
koff, EC50 of 7.7 µM; n = 0.89; 1/3 ,
EC50 of 6.2 µM; n = 1.36; 3 , EC50 of 7.7 µM;
n = 1.25.
|
|
Because threefold changes in each of these parameters produced
approximately the same changes in deactivation and sensitivity that we
observed with halothane, in further simulations we used these altered
rates with a variety of experimental protocols that were designed to
distinguish between the three different postulated mechanisms.
Macroscopic desensitization: a test for alteration of liganded
state transitions
Rapid macroscopic desensitization at high agonist concentration
depends on the microscopic transition rates between multiple liganded
states, including open, closed, and desensitized states, but not on
binding or unbinding (Jones and Westbrook, 1995
). Therefore, drug-induced alteration of any of the liganded state transition rates
should alter macroscopic desensitization.
To determine whether halothane alters macroscopic desensitization,
pulses of 1 mM GABA were applied for 100 msec in the
absence or presence of halothane. The desensitization rate and extent were found to be quite variable between cells. However, individual cell
responses were consistent from one application to the next, and
halothane did not alter desensitization (Fig.
4A). For 100 msec
pulses, the ratio of the current amplitude at the end of GABA
application to the peak amplitude was 78.2 ± 4.4% under control conditions and 74.8 ± 4.8% in the presence of halothane
(n = 8; p > 0.1; paired t
test).

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Figure 4.
Effect of halothane on macroscopic
desensitization: response to a high-agonist concentration.
A, Response of two cells (i,
ii) with different desensitization kinetics, during
application of a high concentration of GABA (1 mM, 100 msec). Currents have been normalized to the peak of the response.
Halothane slowed deactivation after agonist removal but did not alter
desensitization. B, Computer simulations of
desensitization. Although altering the closing rate ( ), opening rate
( ), or microscopic unbinding rate
(koff) all slowed deactivation, only
the change in koff did not alter
desensitization.
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|
Computer simulations of desensitizing responses using altered
transition rates showed that decreasing the agonist unbinding rate
(koff) did not change the
desensitization rate but that altering either the channel closing rate
(
2) or opening rate (
2) reduced the extent of desensitization
(Fig. 4B). As also observed experimentally, after
removal of agonist, current deactivation is seen to be slowed by all
three manipulations. Thus, the (lack of) effect of halothane on
macroscopic desensitization indicates that halothane does not alter
transitions between liganded states but is consistent with a reduction
in agonist unbinding rate (koff).
Macroscopic desensitization: influence of
agonist concentration
In contrast to our finding that desensitization is not altered by
volatile agents, it has been reported that volatile agents enhance
macroscopic desensitization and increase the peak amplitude of current
(Yeh et al., 1991
; Wu et al., 1996
). We also observed that halothane
increased current amplitude, but only at low agonist concentrations
(Figs. 2, 5A). In addition, we
observed that, at intermediate concentrations of agonist, halothane
increased the extent of macroscopic desensitization (Figs. 2,
insets, 30 µM traces,
5B). Thus, the pattern of alterations depended on the concentration of agonist that was applied.

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Figure 5.
Effect of halothane on macroscopic
desensitization: influence of agonist concentration. Left
panels, Experimental data. Right panels,
Computer simulations. GABA was applied at low (3 µM, 500 msec) (A), intermediate (10 µM, 300 msec) (B), and high (1 mM, 100 msec)
(C) concentrations. Data are from three
separate experiments. For the 1 mM data, responses have
been normalized (traces reproduced from Fig.
4Aii). Calibration:
Ai, 100 pA, 200 msec; Aii,
0.1, 200 msec; Bi, 500 pA, 200 msec;
Bii, 0.1, 200 msec; Ci, 200 msec,
Cii, 200 msec.
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Computer simulations using different concentrations of agonist showed
that reduction of koff produced
agonist concentration-dependent effects similar in several respects to
experimental observations (Fig. 5). At low agonist concentration,
current was increased without producing apparent desensitization (Fig.
5A), at a higher concentration, peak current amplitude was
increased and macroscopic desensitization was more pronounced (Fig.
5B), and at very high agonist concentrations, there was no
change in macroscopic desensitization (Fig. 5C). Thus, the
concentration-dependent pattern of changes seen with halothane is
consistent with a slowing of the microscopic agonist unbinding rate.
Maximal current activation rate: a direct test for alteration of
the opening rate
Unlike macroscopic desensitization, the maximal current activation
rate is dominated by a single transition, the channel opening rate
(
). (Maconochie et al., 1994
; Maconochie and Steinbach, 1998
).
Because this rate is rapid compared with other transitions, at high
enough GABA concentrations it becomes the rate-limiting step for
current activation.
To directly determine whether halothane alters the channel opening
rate, we applied GABA at concentrations up to 10 mM in the
absence and presence of halothane (Fig.
6). As observed previously (Maconochie et
al., 1994
), the current activation rate (1/
), which was obtained by
fitting the rising phase of the current to a monoexponential function,
reached a plateau at ~10 mM GABA (Fig.
6A, inset). This rate was not altered
significantly by halothane (Fig. 6B) (control,
2.02 ± 0.05 msec
1; halothane, 2.19 ± 0.08 msec
1; n = 4; p > 0.05;
paired t test). The concentration at which activation was
half-maximal was also unchanged (control, 307.2 ± 32.6 µM; halothane, 255.6 ± 43.8 µM; n = 4; p > 0.05; paired t test).

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Figure 6.
Effect of halothane on the activation
rate. A, Current rising phase, normalized to the peak
amplitude, in response to a step application of GABA. Solid
lines are best fits of monoexponential functions to the rising
phase. Inset shows responses to the highest
concentrations (100 µM to 10 mM) on an
expanded time scale. B, Activation rate (1/ ) as a
function of agonist concentration, under control conditions
(filled symbols) and in the presence of halothane
(open symbols). Solid lines are best fits
of the data to a logistic equation (see Results for values).
n = 4 for all points. C, Computer
simulations of activation rate. Increasing the opening rate ( ) led
to a large increase in the maximal activation rate and an increase in
the concentration required for half-maximal activation. Other changes
had much smaller effects.
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Computer simulations confirmed the expected dominant influence of
channel opening rate on the maximal current activation rate (Fig.
6C). Altering the microscopic unbinding rate
(koff) or the channel closing rate
(
) had little effect, but increasing the opening rate (
)
predicted a nearly threefold increase in maximal activation rate
(control, 2.28 msec
1; 1/3
koff, 2.31 msec
1; 1/3
, 2.07 msec
1; 3
, 5.97 msec
1). In
addition, the concentration for half-maximal activation was predicted
to increase nearly threefold with a change in
but not
koff or
(control, 260.9 µM; 1/3 koff,
253.9 µM;1/3
, 252.1 µM; 3
, 714.9 µM).
Thus, consistent with the conclusion from experiments on
desensitization, these results indicate that halothane does not alter
the channel opening rate.
Low-affinity agonist responses: a test for alteration of the
closing rate
It has been proposed that agonists of different affinity have
different receptor binding and unbinding rates
(koff and
kon) but that receptor gating
transitions induced by agonist binding are the same (Lester and Jahr,
1992
). Recent experiments with the GABAA receptor
using a variety of agonists have been consistent with this hypothesis
(Jones et al., 1998
). For very low-affinity agonists, such as taurine
and
-alanine, the unbinding rate is fast enough that the channel
closing rate (
) becomes the rate-limiting step for deactivation,
which is extremely rapid after agonist withdrawal (Zhu and Vicini,
1997
; Jones et al., 1998
).
We took advantage of the very rapid unbinding kinetics of taurine to
test whether halothane alters the channel closing rate
by measuring
the current deactivation rate after a 500 msec application of 20 mM taurine in the absence and presence of halothane (Fig.
7). Halothane caused rapid deactivation
to be slowed, but only slightly (Fig. 7Aii,
inset) (
decay control, 5.95 ± 0.62 msec; halothane, 8.25 ± 0.93 msec; n = 8;
p < 0.05; paired t test). This fractional
change in deactivation rate with taurine was substantially smaller than
the effect on deactivation after removal of GABA (Fig. 7Bii)
(1 mM GABA:
halothane/
control,
2.64 ± 0.29; n = 16; 20 mM
taurine,
halothane/
control,
1.38 ± 0.06; n = 8; p < 0.01;
unpaired t test). Halothane also caused the peak current and
the extent of macroscopic desensitization during the taurine application to be increased.

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Figure 7.
Effect of halothane on the response to the
low-affinity agonist taurine (20 mM). A,
Halothane increased peak amplitude and accentuated desensitization
(i). Currents normalized to the beginning of
deactivation (ii) show little effect on deactivation,
which was extremely rapid compared with deactivation from GABA.
Inset shows the deactivation phase on an expanded time
scale. B, Graphical summary of effect of halothane on
deactivation (i) and normalized to control
(ii). Halothane produced a significantly smaller
increase in the deactivation time constant after taurine application
(**p < 0.01; n = 16 for GABA;
n = 8 for taurine). C, Computer
simulation of the response to taurine. i, Reduction in
koff increased peak current amplitude and
accentuated desensitization. ii, Responses normalized to
the amplitude at the beginning of deactivation show that there was
little effect on the rapid deactivation.
|
|
Computer simulations confirmed the expected dominance of the closing
rate
on deactivation with taurine. Altering either
or
koff produced little change in
deactivation rate, but a threefold change in
resulted in
approximately threefold slower deactivation (
decay control, 5.73 msec; 1/3
koff, 7.16 msec; 1/3
, 15.93 msec;
3
, 6.72 msec). Decreasing the unbinding rate
(koff) also predicted an increase in
the peak current amplitude and an increase in the extent of
desensitization (Fig. 7C), similar to the observed effect of
halothane. Thus, like results with macroscopic desensitization, these
results indicate that halothane does not alter closing rate
but are
consistent with a reduction in the agonist microscopic unbinding rate
koff.
Recovery rate from desensitization: a process sensitive to
agonist unbinding
The recent recognition of the role of desensitization in
prolonging deactivation (Jones and Westbrook, 1995
) led to the
hypothesis that neurosteroids, which have anesthetic properties and
slow deactivation, might do so by slowing recovery from the
desensitized state. To assess this possibility, previous investigators
performed paired-pulse experiments and found that recovery from
desensitization was delayed by these agents (Zhu and Vicini, 1997
),
thus supporting this hypothesis.
We considered whether volatile agents might also prolong deactivation
by slowing recovery from desensitization. Experiments using a
paired-pulse protocol showed that, like neurosteroids, halothane
also enhanced depression and slowed the recovery of the second response
(Fig. 8A). An initial
rapid phase of recovery was followed by a second extremely slow phase
that extended over many seconds. Only the faster component was resolved
over the time scale of the experiments. This component was fit by a
monoexponential function. The degree of depression and time constant of
recovery were both increased by halothane [control
, 35.6 ± 3.7 msec (17.5 ± 4.3%); halothane
, 68.3 ± 5.7 msec
(52.0 ± 7.6%); n = 5; p < 0.05 for both; paired t test].

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Figure 8.
Effect of halothane on paired-pulse depression.
A, Brief pulses of GABA (1 mM, 5 msec) were
applied with variable interpulse intervals. Percent recovery,
[(peak2 onset2)/(peak1 onset2)] × 100, is plotted as a function of
interpulse interval and fitted to a monoexponential function. Halothane
depressed the amplitude of the second response and delayed its recovery
(n = 5). Inset shows an example from
an individual experiment. B, Computer simulations of
paired-pulse depression. Reduction of the agonist unbinding rate led to
more pronounced depression and slowed recovery, but alteration of
opening and closing rates had little or opposite effects. For these
simulations, d2 = 0.4 msec 1, r2 = 0.1 msec 1, to more closely match observed rates of
desensitization and recovery. Using the rates used for other
simulations (d2 = 0.2 msec 1, r2 = 0.02 msec 1), the results were qualitatively the same, with
increases in both the amplitude and time constant of recovery (control
recovery, 99.0 msec; 40.0%; 1/3
koff recovery, 172.3 msec;
64.0%).
|
|
These results thus appear to support the hypothesis that halothane
slows recovery from desensitization. However, slowing the recovery rate
from desensitization is inconsistent with the increase in net current
and with the increase in the amplitude of low concentration responses
(Figs. 2, 5A,B). To test whether
changes in the agonist unbinding rate
koff, the channel closing rate
, or
the channel opening rate
would be predicted to alter paired
application responses, we simulated paired application protocols with
altered rates. We found that changes in
and
did not lead to a
slowing of recovery but that slowing the unbinding rate
koff did indeed predict delayed
recovery of the second response (Fig. 8B). The changes in the degree of depression and time constant of recovery [control
recovery, 34.2 msec (25.5%); 1/3
koff
recovery, 58.4 msec, (48.1%)] were similar
to the changes that were observed experimentally. This modeling result
thus demonstrates that recovery from paired-pulse depression is
sensitive not only to entry into and exit from desensitization but also
is influenced by microscopic rates of agonist unbinding and channel
gating. Again, the pattern of changes observed is consistent with
slowing of the agonist unbinding rate by halothane.
 |
DISCUSSION |
The experimental results and modeling predictions presented above
lead us to conclude that halothane slows deactivation (and thus
prolongs IPSCs) by reducing the microscopic agonist unbinding rate
(koff). Several experimental findings
provided direct evidence against anesthetic-induced alteration of
"gating properties" (by which we mean transitions to and from both
open and desensitized states), including a lack of effect of halothane
on macroscopic desensitization (Fig. 4) and on maximal activation rate
(Fig. 6), and a relatively small effect on deactivation after
channel activation by the low-potency agonist taurine (Fig. 7).
Interpretation of these results is relatively model-independent and
indicates that halothane does not strongly affect microscopic gating
transition rates. Because deactivation depends on agonist unbinding, as
well as gating, these results thus suggest that
koff is reduced.
Modeling predictions, which were based on a scheme proposed by Jones
and Westbrook (1995
, 1997
), confirmed that a reduction in
koff would be expected to produce many
of the additional anesthetic actions that we observed, including slowed
deactivation and an increase in agonist sensitivity (Fig. 3), agonist
concentration-dependent effects on macroscopic desensitization (Fig.
5), and slowed recovery from paired-pulse depression (Fig. 8). Although
these model predictions may in fact depend to some degree on the
structure and/or details of the model used, the striking similarities
between several types of experiments and simulations, together with the
evidence against altered gating transitions, provide strong support for
the conclusion that halothane reduces the microscopic agonist unbinding rate.
Model characteristics and comparisons with
experimental results
Although many predictions of the model we have used are
qualitatively similar to our experimental findings, there are also some
differences. Macroscopic desensitization has multiple components (Fig.
4A) (Celentano and Wong, 1994
), although for
saturating agonist concentrations, our model predicts only a single
exponential component (Fig. 4B). Inclusion of the
monoliganded slow desensitized state does not alter this prediction,
and we did not test the effects of more extended model structures with
multiple double-liganded desensitized states. However, only entry into
and exit from the fast desensitized state, which is included in our
model, is thought to contribute to deactivation kinetics using the
brief agonist pulses that we have used (Jones and Westbrook, 1995
). It
is possible that inclusion of additional slow desensitized states would
more accurately predict recovery from paired-pulse depression,
including the slow ("steady-state") component (Fig. 8), which was
not reproduced in our simulations. Also, the Hill coefficients that we
measured (Fig. 2), which were somewhat larger than typically reported
for these receptors, are larger than that predicted by the model, and a
change in koff leads to a prediction
of a reduced Hill coefficient (Fig. 3). Because of the technical
difficulty of performing these experiments attributable to effects of
run-down and multiple solution exchanges, and variability between
preparations, it is possible that we did not detect a true decrease in
the Hill coefficient. Alternatively, a more complete model
incorporating additional desensitized, open, or bound closed states may
lead to more accurate predictions.
The model parameters that we have used were modified from those
proposed by Jones and Westbrook (1995)
to more accurately reflect the macroscopic channel characteristics of the expressed receptors that we have used. Despite the use of expressed receptors, which might be expected to produce relatively homogeneous receptor kinetics from a defined subunit composition, we found that there remained substantial variability between preparations (Fig. 4, compare Ai, Aii). Rather than deriving a single
set of optimized parameters from a kinetically homogenous or an
"average" channel population, we instead relied on the patterns and
relative degree of changes predicted by the model to interpret our
experimental results. Although this approach may be in some ways less
rigorous than establishing an "optimum" parameter set, it has the
advantage that the predicted changes are robust and do not depend
critically on a particular set of rates.
One further possible limitation to our model is the lack of an explicit
blocked state of the receptor to account for the reduction in current
amplitude that was seen (Fig. 1), because a decrease in current
amplitude is not predicted by a reduction in
koff. It must be considered whether
such a blocked state may produce or contribute to the slowing of
channel deactivation, as was observed for local anesthetic block of the
nicotinic acetylcholine receptor (nAChR) (Neher and Steinbach, 1978
).
If open channel block is the sole action, there will not be an increase
in the net current that passes through the receptor, contrary to our
observations. Also, there should be no saturation of the blocking
action if it occurs by a pore-blocking mechanism, contrary to
observations of volatile agent block of synaptic
GABAA receptor responses (Antkowiak and Heck,
1997
; Banks and Pearce, 1999
). It would be possible to implement a
blocked state in a parallel reaction scheme, as proposed for the nAChR
(Raines and Zachariah, 1999
). In this case, if the blocking-unblocking
rates are identical between states, this addition will impart no
alteration in kinetic properties, and our use of normalized currents is
appropriate. Except for the unlikely possibility that state-dependent
block exactly counterbalances a time-dependent enhancement, the lack of
an effect of halothane on normalized currents (Fig. 4) supports this approach.
Comparison with single channel studies
Using single channel recordings of GABAA
receptors from cultured dorsal root ganglion neurons, Yeh et al. (1991)
found that channel conductance was not altered by halothane but that
burst duration was significantly increased, without a change in closed times within the burst. Two components of the open time distribution were resolved, and halothane did not alter the open durations per se
but increased the relative proportion of the longer open times, leading
to an increase in the mean open duration. Halothane also decreased the
interburst interval.
Analysis of these results, based on a model that is similar in
structure to the Jones-Westbrook model we have used (Macdonald et al.,
1989b
), suggested a number of possible anesthetic actions: (1)
halothane may slow the microscopic agonist unbinding rate, or (2)
increase the microscopic agonist binding rate; 3) halothane may alter
gating transition rates, to favor entry into the longer duration open
state (although it is possible that this effect may be secondary to a
slowing of agonist unbinding rate); and (4) the increase in burst
duration may result from a decrease in agonist unbinding rate or a
decrease in the entry rate into desensitization. Based on these single
channel results, it was not possible to distinguish between these
possibilities. Our present results support the first possibility and
suggest that the observed alterations in burst duration, mean open
duration, and interburst interval are secondary to a reduction in the
microscopic agonist unbinding rate.
Effects of other anesthetic agents
Given the similarities in actions produced by neurosteroids and
halothane, together with the unexpected modeling result that showed
that reduction in agonist unbinding rate may slow recovery from
paired-pulse depression (Fig. 8B), it is possible
that neurosteroids also reduce the agonist unbinding rate. There are
also similarities between the single channel findings with halothane
and with barbiturates, which were found to alter the relative
proportions of long versus short openings, and to increase burst
duration (Macdonald et al., 1989a
; Yeh et al., 1991
). These
similarities again suggest a common mechanism of action. Although there
is evidence that benzodiazepines increase the microscopic agonist
binding rate (Twyman et al., 1989
; Lavoie and Twyman, 1996
) and alter
channel conductance (Eghbali et al., 1997
), it has also been proposed
that benzodiazepines slow IPSC decay, at least in part by reducing the
agonist dissociation rate (Mellor and Randall, 1997
).
The kinetic mechanisms of action of other agents, such as
etomidate, propofol, and other volatile anesthetics, remain unknown. It
is possible that some or all of these agents also will be found to
reduce the agonist unbinding rate. Determination of their effects on
desensitization, paired-pulse depression, and other characteristics that we have measured will indicate whether reduced agonist unbinding is a common feature of different agents. If so, a structural basis for
understanding how a variety of drugs with widely varying molecular structures modulate the GABAA receptor to slow
deactivation may be pursued by focusing on changes in conformational
states associated with agonist unbinding.
 |
FOOTNOTES |
Received Sept. 9, 1999; revised Nov. 3, 1999; accepted Nov. 3, 1999.
This work was supported by National Institutes of Health Grant GM55719
(to R.A.P.) and the Department of Anesthesiology, University of
Wisconsin-Madison. We thank Dr. Cynthia Czajkowski for assistance with
cell culture and receptor expression and Dr. Matthew Banks for critical
reading of this manuscript.
Correspondence should be addressed to Dr. Robert A. Pearce, Betty J. Bamforth Research Professor of Anesthesiology, Room 43, Bardeen
Laboratories, 1300 University Avenue, Madison, WI 53706. E-mail:
rapearce{at}facstaff.wisc.edu.
 |
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