1. Neuroactive steroids alphaxalone and CDNC24 are effective hypnotics and potentiators of GABAA currents, but are not neurotoxic to the developing rat brain.
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Tesic, Vesna, Joksimovic, Srdjan M., Quillinan, Nidia, Krishnan, Kathiresan, Covey, Douglas F., Todorovic, Slobodan M., and Jevtovic-Todorovic, Vesna
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PREFRONTAL cortex , *HYPNOTICS , *RATS , *ANIMAL models in research , *GABA receptors , *BRAIN , *NEUROTOXICOLOGY , *FRONTAL lobe , *GABA agonists , *NEURAL transmission , *PROPOFOL , *SYNDROMES , *HIPPOCAMPUS (Brain) , *STEROIDS , *NERVOUS system , *CELL receptors , *APOPTOSIS , *DOSE-effect relationship in pharmacology , *QUESTIONNAIRES , *RESEARCH funding , *ANIMALS , *PATHOLOGY , *PHARMACODYNAMICS ,BRAIN metabolism - Abstract
Background: The most currently used general anaesthetics are potent potentiators of γ-aminobutyric acid A (GABAA) receptors and are invariably neurotoxic during the early stages of brain development in preclinical animal models. As causality between GABAA potentiation and anaesthetic-induced developmental neurotoxicity has not been established, the question remains whether GABAergic activity is crucial for promoting/enhancing neurotoxicity. Using the neurosteroid analogue, (3α,5α)-3-hydroxy-13,24-cyclo-18,21-dinorchol-22-en-24-ol (CDNC24), which potentiates recombinant GABAA receptors, we examined whether this potentiation is the driving force in inducing neurotoxicity during development.Methods: The neurotoxic potential of CDNC24 was examined vis-à-vis propofol (2,6-diisopropylphenol) and alphaxalone (5α-pregnan-3α-ol-11,20-dione) at the peak of rat synaptogenesis. In addition to the morphological neurotoxicity studies of the subiculum and medial prefrontal cortex (mPFC), we assessed the extra-, pre-, and postsynaptic effects of these agents on GABAergic neurotransmission in acute subicular slices from rat pups.Results: CDNC24, like alphaxalone and propofol, caused dose-dependent hypnosis in vivo, with a higher therapeutic index. CDNC24 and alphaxalone, unlike propofol, did not cause developmental neuroapoptosis in the subiculum and mPFC. Propofol potentiated post- and extrasynaptic GABAA currents as evidenced by increased spontaneous inhibitory postsynaptic current (sIPSC) decay time and prominent tonic currents, respectively. CDNC24 and alphaxalone had a similar postsynaptic effect, but also displayed a strong presynaptic effect as evidenced by decreased frequency of sIPSCs and induced moderate tonic currents.Conclusions: The lack of neurotoxicity of CDNC24 and alphaxalone may be at least partly related to suppression of presynaptic GABA release in the developing brain. [ABSTRACT FROM AUTHOR]- Published
- 2020
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