Journal
JOURNAL OF NEUROPHYSIOLOGY
Volume 126, Issue 4, Pages 1090-1100Publisher
AMER PHYSIOLOGICAL SOC
DOI: 10.1152/jn.00303.2021
Keywords
etomidate; GABA(A) receptors; general anesthesia; learning and memory
Categories
Funding
- National Institutes of Health (NIH) [GM118801, AA010422, AA020889]
- Ralph M. Waters Professorship of the Department of Anesthesiology, University of Wisconsin-Madison
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This study found that a specific genetic mutation in mice can resist the inhibitory effects of the general anesthetic etomidate on the formation of new memories. Furthermore, the research suggests that different subunits of GABA(A) receptors play important roles in controlling long-term potentiation and inhibiting neuronal activity. These findings have implications for understanding how anesthetics block memory formation and how inhibitory circuits regulate learning and memory.
The general anesthetic etomidate, which acts through gamma-aminobutyric acid type A (GABA(A)) receptors, impairs the formation of new memories under anesthesia. This study addresses the molecular and cellular mechanisms by which this occurs. Here, using a new line of genetically engineered mice carrying the GABA(A) receptor (GABA(A)R) beta 2-N265M mutation, we tested the roles of receptors that incorporate GABA(A) receptor beta 2 versus beta 3 subunits to suppression of long-term potentiation (LTP), a cellular model of learning and memory. We found that brain slices from beta 2-N265M mice resisted etomidate suppression of LTP, indicating that the beta 2-GABA(A)Rs are an essential target in this model. As these receptors are most heavily expressed by interneurons in the hippocampus, this finding supports a role for interneuron modulation in etomidate control of synaptic plasticity. Nevertheless, beta 2 subunits are also expressed by pyramidal neurons, so they might also contribute. Therefore, using a previously established line of beta 3-N265M mice, we also examined the contributions of beta 2- versus b3-GABA(A)Rs to GAB(A)A, slow dendritic inhibition, because dendritic inhibition is particularly well suited to controlling synaptic plasticity. We also examined their roles in long-lasting suppression of population activity through feedforward and feedback inhibition. We found that both beta 2- and beta 3-GABAARs contribute to GABA(A, slow) inhibition and that both beta 2- and beta 3-GABA(A)Rs contribute to feedback inhibition, whereas only beta 3-GABA(A)Rs contribute to feedforward inhibition. We conclude that modulation of beta 2-GABA(A)Rs is essential to etomidate suppression of LTP. Furthermore, to the extent that this occurs through GABAARs on pyramidal neurons, it is through modulation of feedback inhibition. NEW & NOTEWORTHY Etomidate exerts its anesthetic actions through GABAA receptors. However, the mechanism remains unknown. Here, using a hippocampal brain slice model, we show that beta 2-GABA(A)Rs are essential to this effect. We also show that these receptors contribute to long-lasting dendritic inhibition in feedback but not feedforward inhibition of pyramidal neurons. These findings hold implications for understanding how anesthetics block memory formation and, more generally, how inhibitory circuits control learning and memory.
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