title: Isoflurane depresses windup of C fiber-evoked limb withdrawal with variable effects on nociceptive lumbar spinal neurons in rats.
abstract: Windup is a progressive increase in responses of nociceptive spinal cord neurons to repeated electrical C fiber stimulation. We hypothesized that isoflurane would depress windup at approximately the minimum alveolar anesthetic concentration (MAC) required to suppress purposeful movement in response to noxious stimulation. We recorded windup responses in single lumbar spinal neurons (n = 17) to a series of 15 repetitive electrical stimuli delivered at 1 Hz to the hindpaw at C fiber strength; hindpaw withdrawal force was simultaneously recorded. The total number of action potentials per 15 stimuli (mean +/- sem as a percentage of each neuron's maximal response) was 83% +/- 5%, 84% +/- 5%, 67% +/- 7%, and 57% +/- 8% at 0.7, 0.9, 1.1, and 1.4 MAC, respectively. The 0.9 and 1.1 MAC values differed significantly from each other, whereas the 0.7 and 0.9 MAC values differed from the 1.4 MAC value (P < 0.05). The reduced firing was attributed to a depression of the initial C fiber-evoked responses in most units, and a reduction in windup slope over the initial 5 stimuli in 6 units. Muscle force was 67%, 11%, and 4% of the 0.7 MAC value at 0.9, 1.1, and 1.4 MAC, respectively. Isoflurane depressed excitability and variably affected windup of lumbar spinal cord neurons, while uniformly depressing windup of limb withdrawals in a concentration-dependent manner.
authors.affiliation: *Department of Anesthesiology and Pain Medicine, and †Section of Neurobiology, Physiology, and Behavior, University of California, Davis; and ‡Department of Anesthesia and Perioperative Care, University of California, San Francisco, San Francisco, California.
authors.forename: Steven L
authors.initials: SL
authors.lastname: Jinks
authors.forename: Joseph F
authors.initials: JF
authors.lastname: Antognini
authors.forename: Robert C
authors.initials: RC
authors.lastname: Dutton
authors.forename: Earl
authors.initials: E
authors.lastname: Carstens
authors.forename: Edmond I
authors.initials: EI
authors.lastname: Eger
mesh_terms: D000200:Action Potentials / Q000187:drug effects; D018685:Anesthetics, Inhalation / Q000494:pharmacology*; D000818:Animals; D004558:Electric Stimulation; D004567:Electrodes, Implanted; D005552:Forelimb / Q000502:physiology*; D007530:Isoflurane / Q000494:pharmacology*; D008465:Mechanoreceptors / Q000187:drug effects / Q000502:physiology; D036421:Nerve Fibers, Unmyelinated / Q000187:drug effects* / Q000502:physiology; D009474:Neurons / Q000187:drug effects*; D009619:Nociceptors / Q000187:drug effects*; D010812:Physical Stimulation; D051381:Rats; D017207:Rats, Sprague-Dawley; D013116:Spinal Cord / Q000166:cytology* / Q000187:drug effects
chemical_list: D018685:Anesthetics, Inhalation; D007530:Isoflurane