The skeletal muscle disorder malignant hyperthermia (MH) is associated with increased sensitivity of RYR1 to activation by volatile anaesthetics. Previous work suggests that the inhibitory effect of Mg2+ on SR Ca2+ release is impaired in MH-susceptible muscle (Laver et al. 1997). In the present study, we have investigated the effects of halothane on Ca2+ release from the SR induced by t-tubule depolarisation, in the presence of normal (1 mM) or reduced levels of cytosolic [Mg2+]. Rats (200-250 g) were humanely killed. Single extensor digitorium longus (EDL) muscle fibres were mechanically skinned under oil and then superperfused with solutions approximating to the intracellular milieu containing (mM): HDTA, 50; ATP, 8; Na+, 37; K+,126; phosphocreatine, 10; EGTA, 0.03; Hepes, 90; Ca2+, 0.0001; fluo-3, 0.002; pH 7.0, 22°C. Following skinning, the t-tubules reseal and repolarise, allowing the physiological depolarisation-induced Ca2+ release process to be initiated by field stimulation. Ca2+ release from the SR was measured using line-scan confocal microscopy to detect changes in fluo-3 fluorescence. A train of brief twitch responses was initiated by applying suprathreshold square-wave stimuli (70 V, 2 ms duration) at 2 second intervals, via platinum electrodes running parallel to the fibre. At 1 mM free Mg2+, 1 mM halothane induced a significant (17.4 ± 7 %, n=6, mean ± SE, p<0.05) increase in the time taken for the Ca2+ transient amplitude to decline by 75%. At 0.4 mM free [Mg2+], the effects of halothane were much more pronounced: Ca2+ transients failed to decline fully to baseline between stimuli and often exhibited a slow secondary Ca2+ release phase, consistent with regenerative Ca2+ -induced Ca2+ release (CICR). However, in the absence of depolarisation-induced Ca2+ release, perfusion with 1 mM halothane failed to induce Ca2+ release from the SR at either 1 mM or 0.4 mM free Mg2+. These results suggest that in MH, impaired Mg2+ inhibition of RYR1 may facilitate the action of halothane on the SR, such that the physiological Ca2+ release mechanism fails to terminate. These effects may be of particular importance when susceptibility to MH is combined with (i) hypomagnesemia or (ii) depolarising muscle relaxants.
University of Bristol (2005) J Physiol 567P, C50
Oral Communications: Effects of halothane on depolarisation-induced Ca2+ release from the sarcoplasmic reticulum in isolated rat skeletal muscle fibres
Steele, Derek; Duke, Adrian;
1. School of Biomedical Sciences, University of Leeds, Leeds, United Kingdom.
View other abstracts by:
Where applicable, experiments conform with Society ethical requirements.