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Benzodiazepine receptor-dependent modulation of neutrophil (PMN) free amino- and alpha-keto acid profiles or immune functions
Authors:Mühling J  Gonter J  Nickolaus K A  Matejec R  Welters I D  Wolff M  Sablotzki A  Engel J  Krüll M  Menges T  Fuchs M  Dehne M G  Hempelmann G
Institution:(1) Department of Anaesthesiology, Intensive Care Medicine, Pain Therapy, University Hospital, Justus Liebig University, Giessen, Germany;(2) Dr. Ing. Herbert Knauer GmbH, Berlin, Germany;(3) Clinics of Anaesthesiology and Intensive Care Medicine, Martin Luther University, Halle-Wittenberg, Germany;(4) Department of Internal Medicine/Infectious Diseases, Charité, Medical School of Humboldt University, Berlin, Germany
Abstract:Summary. We have examined the effects of midazolam, Ro 5-4864 (agonist for ldquoperipheralrdquo p] benzodiazepine receptors BR]), PK 11195 (antagonist for pBR), flumazenil (antagonist for ldquocentralrdquo BR), naloxone (antagonist for opiate receptors) and the combination of midazolam and Ro 5-4864, PK 11195, flumazenil or naloxone on intracellular amino- and agr-keto acids and the immune function markers superoxide anion (O2), hydrogen peroxide (H2O2) and released myeloperoxidase (MPO) activity in neutrophils (PMN). Only midazolam and Ro 5-4864 led to significant changes in the dynamic PMN free amino- and agr-keto acid pools. Concerning PMN immune function markers, midazolam and Ro 5-4864 significantly decreased O2 and H2O2 formation and released MPO. When midazolam and Ro 5-4864 were applied together they appeared to act additively. Pre-incubation with PK 11195 partially neutralized the midazolam effects whereas flumazenil or naloxone showed no effects. We therefore believe that pBR are involved in the signal transmission of anesthetic-induced cellular metabolic changes in PMN.
Keywords:: Benzodiazepine receptors –  Neutrophil –  Amino acids –  agr-Keto acids –" target="_blank">gif" alt="agr" align="BASELINE" BORDER="0">-Keto acids –  Immune function
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