12Inhaled anesthetics are a chemically diverse collection of hydrophobic molecules that robustly 13 activate TWIK related K+ channels (TREK-1) and reversibly induce loss of consciousness. For a 14 hundred years anesthetics were speculated to target cellular membranes, yet no plausible 15 mechanism emerged to explain a membrane effect on ion channels. Here we show that inhaled 16 anesthetics (chloroform and isoflurane) activate TREK-1 through disruption of palmitate-17 mediated localization of phospholipase D2 (PLD2) to lipid rafts and subsequent production of 18 signaling lipid phosphatidic acid (PA). Catalytically dead PLD2 robustly blocks anesthetic TREK-19 1 currents in cell patch-clamp. Localization of PLD2 renders the anesthetic-insensitive TRAAK 20 channel sensitive. General anesthetics chloroform, isoflurane, diethyl ether, xenon, and propofol 21 disrupt lipid rafts and activate PLD2. In the whole brain of flies, anesthesia disrupts rafts and 22 PLD null flies resist anesthesia. Our results establish a membrane mediated target of inhaled 23 anesthesia and suggest PA helps set anesthetic sensitivity in vivo. 24 25 12 chemical environment (10) ( Supplementary Fig. S1b-c). PLD2 actives Twik related potassium 13 channel-1 (TREK-1). If inhaled anesthetics can disrupt lipid domains to activate a channel, this 14 would constitute a mechanism distinct from the usual receptor-ligand interaction and establish a 15 definitive membrane mediated mechanism for an anesthetic. 16 17 TREK-1 is an anesthetic-sensitive two-pore-domain potassium (K2P) channel. Xenon, diethyl 18 ether, halothane, and chloroform robustly activate TREK-1 at concentrations relevant to their 19 clinical use (11, 12) and genetic deletion of TREK-1 decreases anesthesia sensitivity in mice (13).20 Here we show inhaled anesthetics disrupt palmitate-mediated localization in the membranes of 21 cultured neuronal, muscle cells, and in the whole brain of anesthetized flies. The disruption 22 releases PLD2 from muscle and neuronal cells which signal downstream to activate TREK-1 23 channels. This result establishes the membrane as a pertinent target of inhaled anesthetics.24 25 Anesthetics perturb nanoscale lipid heterogeneity (GM1 domains).
3The best studied lipid domains contain saturated lipids cholesterol and sphingomyelin (e.g.