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Toda Hiroshi MD; Nakamura, Kumi MD; Hatano, Yoshio MD; Nishiwada, Makoto MD; Kakuyama, Masahiro MD; Mori, Kenjiro MD, FCANAES
Anesthesia & Analgesia: August 1992
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The purpose of this study was to determine whether volatile anesthetics modify the release of endothelium-derived relaxing factor. We examined the effects of halothane and isoflurane on endothelium-dependent relaxation and 3′,5′-cyclic guanosine monophosphate formation elicited by acetylcholine and ionophore A23187 in isolated rat aorta. Halothane and isoflurane (1%--2%) significantly attenuated acetylcholine-induced relaxation of the phenylephrine-contracted aorta but had no significant effect on relaxation induced by A23187, nitroprusside, and nitroglycerin. Basal and A23187 (10−7 M)-stimulated levels of 3′,5′-cyclic guanosine monophosphate were slightly lowered by halothane and isoflurane (2%). In contrast, the increase of 3′, 5′-cyclic guanosine monophosphate elicited by acetylcholine (10−5 M) was significantly attenuated by halothane (2%) and abolished by isoflurane (2%). These findings indicate that halothane and isoflurane strongly inhibit the release of endothelium-derived relaxing factor elicited by acetylcholine.

Address correspondence to Dr. Nakamura, Department of Anesthesia, Kyoto University Hospital, Sakyo-ku, Kyoto 606–01, Japan.

© 1992 International Anesthesia Research Society