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Cyclic Nucleotides

The production of cyclic nucleotides may be influenced by neurotransmitters and anesthetics, and cyclic


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nucleotides may serve as second messengers in altering neurotransmission. The effect of anesthetics on cyclic adenosine monophosphate (cAMP) content varies with the species and tissues examined.[74] Most studies demonstrate an increase in brain cAMP content of rodents during the administration of volatile anesthetics, with the magnitude of the increase varying among species and among brain regions.[74] In contrast, levels of cyclic guanosine monophosphate (cGMP) in brain are decreased by volatile agents.[75] Nitric oxide activates guanylyl cyclase to form cGMP, and nitric oxide production can be enhanced by excitatory neurotransmitters. It has been suggested that volatile anesthetics decrease brain cGMP by interfering with the neuronal nitric oxide-cGMP pathway.[75] Such alterations in brain cyclic nucleotide content may chemically alter (e.g., through phosphorylation) macromolecules that are important in neurotransmission.

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