[Orexinergic neurons and noradrenergic awakening system in general anesthesia]. 2007

Kazuyoshi Hirota
Department of Anesthesiology, University of Hirosaki School of Medicine, Hirosaki 036-8562.

The sleep-wake cycle is regulated by interaction between monoaminergic, cholinergic and GABAergic neuronal activities. Monoaminergic neurons including noradrenergic (locus coeruleus: LC), histaminergic (tuberomammillary nucleus) and serotonergic (raphe nuclei) neurons projected diffusely to the cerebrocortex, thalamus and brainstem are known as the center of sleep regulation. Interestingly, although the cell bodies displaying prepro-orexin (prepro-OX) immunoreactivity are limited to the hypothalamus, OXergic neurons densely project to LC, tuberomammillary nucleus and raphe nuclei. These evidences suggest a link between monoaminergic and OXergic neurons. We found that OXA and B evoke norepinephrine release from rat cerebrocortical slices but histamine and serotonin releases are not evoked. All noradrenergic projections to cerebrocortex originate from the LC. Thus, the main link between OXergic and monoaminergic neurons may be noradrenergic in the cerebral cortex. Therefore, we have studied OXergic-noradrenergic neurons and anesthesia. We found that OXs reduced anesthesia time, which was reversed by SB334867 (OX1-receptor antagonist). However, as alpha2-receptor ligands did not affect OXs-norepinephrine release from cerebrocortical slices, alpha2-receptors may not be involved in OXergic-noradrenergic neurons in the cerebral cortex. Bicuculline (GABAA-receptor antagonist) could not reverse inhibitory effects of barbiturates on OXs-norepinephrine release but significantly reversed these effects on K+-evoked release. Moreover, muscimol (GABAA-receptor agonist) did not inhibit the OX-norepinephrine release but inhibited the K+-evoked release. Therefore, GABAA-receptor may also not be involved.

UI MeSH Term Description Entries
D009474 Neurons The basic cellular units of nervous tissue. Each neuron consists of a body, an axon, and dendrites. Their purpose is to receive, conduct, and transmit impulses in the NERVOUS SYSTEM. Nerve Cells,Cell, Nerve,Cells, Nerve,Nerve Cell,Neuron
D009479 Neuropeptides Peptides released by NEURONS as intercellular messengers. Many neuropeptides are also hormones released by non-neuronal cells. Neuropeptide
D009638 Norepinephrine Precursor of epinephrine that is secreted by the ADRENAL MEDULLA and is a widespread central and autonomic neurotransmitter. Norepinephrine is the principal transmitter of most postganglionic sympathetic fibers, and of the diffuse projection system in the brain that arises from the LOCUS CERULEUS. It is also found in plants and is used pharmacologically as a sympathomimetic. Levarterenol,Levonorepinephrine,Noradrenaline,Arterenol,Levonor,Levophed,Levophed Bitartrate,Noradrenaline Bitartrate,Noradrénaline tartrate renaudin,Norepinephrin d-Tartrate (1:1),Norepinephrine Bitartrate,Norepinephrine Hydrochloride,Norepinephrine Hydrochloride, (+)-Isomer,Norepinephrine Hydrochloride, (+,-)-Isomer,Norepinephrine d-Tartrate (1:1),Norepinephrine l-Tartrate (1:1),Norepinephrine l-Tartrate (1:1), (+,-)-Isomer,Norepinephrine l-Tartrate (1:1), Monohydrate,Norepinephrine l-Tartrate (1:1), Monohydrate, (+)-Isomer,Norepinephrine l-Tartrate (1:2),Norepinephrine l-Tartrate, (+)-Isomer,Norepinephrine, (+)-Isomer,Norepinephrine, (+,-)-Isomer
D002540 Cerebral Cortex The thin layer of GRAY MATTER on the surface of the CEREBRAL HEMISPHERES that develops from the TELENCEPHALON and folds into gyri and sulci. It reaches its highest development in humans and is responsible for intellectual faculties and higher mental functions. Allocortex,Archipallium,Cortex Cerebri,Cortical Plate,Paleocortex,Periallocortex,Allocortices,Archipalliums,Cerebral Cortices,Cortex Cerebrus,Cortex, Cerebral,Cortical Plates,Paleocortices,Periallocortices,Plate, Cortical
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000068797 Orexins Neuropeptide hormones that play a role in regulating a variety of behavioral and physiological processes in response to motivational stimuli. Hypocretin,Orexin,Hypocretin-1,Hypocretin-2,Hypocretins,Orexin-A,Orexin-B,Hypocretin 1,Hypocretin 2,Orexin A,Orexin B
D000762 Anesthesia Recovery Period The period of emergence from general anesthesia, where different elements of consciousness return at different rates. Recovery Period, Anesthesia,Anesthesia Recovery Periods,Period, Anesthesia Recovery,Periods, Anesthesia Recovery,Recovery Periods, Anesthesia
D000768 Anesthesia, General Procedure in which patients are induced into an unconscious state through use of various medications so that they do not feel pain during surgery. Anesthesias, General,General Anesthesia,General Anesthesias
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D013997 Time Factors Elements of limited time intervals, contributing to particular results or situations. Time Series,Factor, Time,Time Factor

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