Evidence map›Paper›PMID 18156888›Full record

ArticleAnesthesiology2008

Photo-activated azi-etomidate, a general anesthetic photolabel, irreversibly enhances gating and desensitization of gamma-aminobutyric acid type A receptors.

Huijun Zhong, Dirk Rüsch, Stuart A Forman

Abstract readComparative Study
In one paragraph

Article in Anesthesiology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
0.6field-weighted citation impact, top 39% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 24 citations in OpenAlex.

  1. Review
  2. GABAFrontiers in aging neuroscience · 2021
    Article
  3. Comparison of αβδ and αβγ GABAPharmacological research · 2018
    Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Photo-antagonism of the GABAA receptor.Nature communications · 2014
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Mutations in the GABAA receptor that mimic the allosteric ligand etomidate.Methods in molecular biology (Clifton, N.J.) · 2012
    Article
  16. Review
  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

Huijun ZhongDepartment of Anesthesia & Critical Care, Massachusetts General Hospital, Boston, Massachusetts 02114, USA.
Dirk Rüsch
Stuart A Forman
Massachusetts General Hospital · USPhilipps University of Marburg · DE

Funding

Synthetic Chemistry CoreP01GM058448 · NIGMS · MASSACHUSETTS GENERAL HOSPITAL · PI MILLER, KEITH W · 1999 to 2018
$33.6M
Volatile Anesthesia and the GABAA Receptor Gamma SubunitR01GM066724 · NIGMS · MASSACHUSETTS GENERAL HOSPITAL · PI FORMAN, STUART A · 2003 to 2009
$1.9M
NIGMS NIH HHS P01 GM058448NIGMS NIH HHS P01GM58448NIGMS NIH HHS R01 GM066724NIGMS NIH HHS R01GM66724
6 · The paper itself

Abstract

backgroundThe general anesthetic etomidate acts via gamma-aminobutyric acid type A (GABA(A)) receptors, enhancing activation at low GABA and prolonging deactivation. Azi-etomidate is a photo-reactive etomidate derivative with similar pharmacological actions, which has been used to identify putative binding sites. The authors examine the irreversible effects of azi-etomidate photo-modification on functional GABA(A) receptors in cell membranes.

methodsGABA(A) receptors (alpha1beta2gamma2L) were expressed in both Xenopus oocytes and human embryonic kidney cells exposed to 365 nm light-activated azi-etomidate with or without GABA, then extensively washed. Receptor-mediated chloride currents were measured using voltage clamp electrophysiology to assess the ratio of peak responses at 10 microm and 1 mm GABA (I10/I1000) and deactivation time course.

resultsAfter azi-etomidate photo-modification, I10/I1000 ratios were persistently enhanced and deactivation was prolonged, mimicking reversible azi-etomidate actions. Azi-etomidate and ultraviolet light were required to produce irreversible receptor modulation. Adding GABA during photo-modification greatly enhanced irreversible modulation. Azi-etomidate modification also dose-dependently reduced maximal GABA-activated currents, consistent with accumulation of permanently desensitized receptors. Excess etomidate during azi-etomidate photo-modification competitively reduced permanent desensitization. Persistent channel modulation was blocked by 320-fold excess etomidate but enhanced when 32-fold excess etomidate was present.

conclusionsAzi-etomidate efficiently photo-modifies etomidate sites on GABA(A) receptors in intact cells, producing persistent functional changes that mimic its reversible effects. The results demonstrate sequential modification at more than one etomidate site per receptor. The sites display reciprocal positive cooperativity. In combination with focal photo-activation, azi-etomidate may prove useful for studies of anesthetic actions in neural circuits.

Indexed as

Anesthetics, GeneralPhotic StimulationAnimalsCell LineEtomidateFemaleHumansIon Channel GatingPhotoaffinity LabelsReceptors, GABA-AXenopus laevisAnesthetics, GeneralazietomidateEtomidatePhotoaffinity LabelsReceptors, GABA-A

Identifiers

PMID18156888
PMCPMC2564603
OpenAlexW2094391165

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.