2015
DOI: 10.1213/ane.0000000000000568
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Irritant Volatile Anesthetics Induce Neurogenic Inflammation Through TRPA1 and TRPV1 Channels in the Isolated Mouse Trachea

Abstract: Our results confirm the clinical experience that desflurane is more irritating than isoflurane at equal anesthetic gas concentration, whereas sevoflurane does not activate tracheobronchial sensory nerves to release neuropeptides and induce neurogenic inflammation. Both irritant receptor channels, TRPA1 more than TRPV1, are involved in mediating the adverse effects that may even extend to systemic proinflammatory sequelae.

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Cited by 29 publications
(30 citation statements)
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“…Indeed, isoflurane was shown to inhibit muscarinic receptors (14-16), to disrupt muscarinic receptor - G protein coupling (16-18) and to inhibit gastrointestinal motility in rats following even a brief exposure (19). In addition, there is accumulating evidence that inhalation anesthetics act on several TRP channels, such as TRPV1, TRPA1 and TRPM8 (20-22), although canonical TRPC channels have not been yet investigated in this respect. It should be noted that sevoflurane at clinically relevant concentrations strongly inhibited thapsigargin-induced current in ventricular myocytes.…”
Section: Introductionmentioning
confidence: 99%
“…Indeed, isoflurane was shown to inhibit muscarinic receptors (14-16), to disrupt muscarinic receptor - G protein coupling (16-18) and to inhibit gastrointestinal motility in rats following even a brief exposure (19). In addition, there is accumulating evidence that inhalation anesthetics act on several TRP channels, such as TRPV1, TRPA1 and TRPM8 (20-22), although canonical TRPC channels have not been yet investigated in this respect. It should be noted that sevoflurane at clinically relevant concentrations strongly inhibited thapsigargin-induced current in ventricular myocytes.…”
Section: Introductionmentioning
confidence: 99%
“…The neuroinflammation produced by activation of transient receptor potential A1 (TRPA1) and V1 (TRPV1) channels on primary afferent fibers or peripheral nociceptors was thought to be involved in part in hyperalgesia induced by low doses of volatile irritant anesthetics such as isoflurane and desflurane. 13,41,42 The TRPA1 channel, a nonselective cation channel, is Figure 7. The effects of sevoflurane and desflurane on the sedation and pain thresholds for thermal stimuli.…”
Section: Discussionmentioning
confidence: 99%
“…Anesthesia induces post-anesthetic distress with a variety of causes. Isoflurane has a pungent odor [54] and induces irritant effects in the airways by activating nociceptive ion channels [55,56]. In humans, the inhalation of isoflurane causes coughing and subjective sensations of burning as well as irritation [57].…”
Section: Plos Onementioning
confidence: 99%