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The effect of general anaesthetics on brain lactate release.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

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  • Anna Hadjihambi
  • A Karagiannis
  • SM Theparambil
  • L. Ackland PhD FRCA FFICM FHEA Gareth
  • AV Gourine
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Article number173188
<mark>Journal publication date</mark>15/08/2020
<mark>Journal</mark>European Journal of Pharmacology
Volume881
Publication StatusPublished
<mark>Original language</mark>English

Abstract

The effects of anaesthetic agents on brain energy metabolism may explain their shared neurophysiological actions but remain poorly understood. The brain lactate shuttle hypothesis proposes that lactate, provided by astrocytes, is an important neuronal energy substrate. Here we tested the hypothesis that anaesthetic agents impair the brain lactate shuttle by interfering with astrocytic glycolysis. Lactate biosensors were used to record changes in lactate release by adult rat brainstem and cortical slices in response to thiopental, propofol and etomidate. Changes in cytosolic nicotinamide adenine dinucleotide reduced (NADH) and oxidized (NAD+) ratio as a measure of glycolytic rate were recorded in cultured astrocytes. It was found that in brainstem slices thiopental, propofol and etomidate reduced lactate release by 7.4 ± 3.6% (P +] ratio in astrocytes, indicative of a reduction in glycolytic rate. These data suggest that anaesthetic agents inhibit astrocytic glycolysis and reduce the level of extracellular lactate in the brain. Similar reductions in brain lactate release occur during natural state of sleep, suggesting that general anaesthesia may recapitulate some of the effects of sleep on brain energy metabolism.