毒理性
两种不同类型的局部麻醉药(LAs)之前已被发现能够阻断蝙蝠毒素(BTX)修饰的Na+通道:类型1 LAs,如可卡因和布比卡因,优先与开放通道相互作用,而类型2 LAs,如苯佐卡因和三卡因,与失活通道相互作用。本文中,我们描述了第三种类型的LA,以四卡因为代表的的双重阻断剂,它与关闭通道强烈结合,但当膜去极化时,也会在一定程度上与开放通道结合。通过稳态失活测量和剂量反应曲线确定了四卡因增强BTX修饰Na+通道的失活。在稳态失活最大的-70 mV时,50%抑制浓度(IC50)估计为5.2微M,希尔系数为0.98,表明一个四卡因分子与一个失活通道结合。当膜去极化时,四卡因也与Na+通道有效相互作用;在+50 mV时的IC50估计为39.5微M,希尔系数为0.94。出乎意料的是,发现带电的四卡因是阻断失活通道的主要活性形式。此外,外部Na+离子似乎拮抗了四卡因对失活通道的阻断。与这些结果一致,N-丁基四卡因季铵盐,一种永久带电的四卡因衍生物,仍然是一个强烈的失活增强剂。另一种四卡因衍生物,2-(二甲基氨基)乙基苯甲酸盐,在苯环上缺少4-丁氨基功能团,其阻断作用比四卡因弱大约100倍。我们推测:1)失活增强剂的结合位点位于Na+渗透途径内,2)外部Na+离子通过静电排斥拮抗失活增强剂的阻断,3)苯环上的4-丁氨基功能团对于阻断和增强失活至关重要,4)Na+孔内可能存在失活增强剂和开放通道阻断剂的重叠结合位点。
Two distinct types of local anesthetics (LAs) have previously been found to block batrachotoxin (BTX)-modified Na+ channels: type 1 LAs such as cocaine and bupivacaine interact preferentially with open channels, whereas type 2 LAs, such as benzocaine and tricaine, with inactivated channels. Herein, we describe our studies of a third type of LA, represented by tetracaine as a dual blocker that binds strongly with closed channels but also binds to a lesser extent with open channels when the membrane is depolarized. Enhanced inactivation of BTX-modified Na+ channels by tetracaine was determined by steady-state inactivation measurement and by the dose-response curve. The 50% inhibitory concentration (IC50) was estimated to be 5.2 microM at -70 mV, where steady-state inactivation was maximal, with a Hill coefficient of 0.98 suggesting that one tetracaine molecule binds with one inactivated channel. Tetracaine also interacted efficiently with Na+ channels when the membrane was depolarized; the IC50 was estimated to be 39.5 microM at +50 mV with a Hill coefficient of 0.94. Unexpectedly, charged tetracaine was found to be the primary active form in the blocking of inactivated channels. In addition, external Na+ ions appeared to antagonize the tetracaine block of inactivated channels. Consistent with these results, N-butyl tetracaine quaternary ammonium, a permanently charged tetracaine derivative, remained a strong inactivation enhancer. Another derivative of tetracaine, 2-(di-methylamino) ethyl benzoate, which lacked a 4-butylamino functional group on the phenyl ring, elicited block that was approximately 100-fold weaker than that of tetracaine. We surmise that 1) the binding site for inactivation enhancers is within the Na+ permeation pathway, 2) external Na+ ions antagonize the block of inactivation enhancers by electrostatic repulsion, 3) the 4-butylamino functional group on the phenyl ring is critical for block and for the enhancement of inactivation, and 4) there are probably overlapping binding sites for both inactivation enhancers and open-channel blockers within the Na+ pore
来源:Hazardous Substances Data Bank (HSDB)