scholarly journals Potency of nondepolarizing muscle relaxants on muscle-type acetylcholine receptors in denervated mouse skeletal muscle

2010 ◽  
Vol 31 (12) ◽  
pp. 1541-1546 ◽  
Author(s):  
Hong Wang ◽  
Bin Yang ◽  
Guang-wei Han ◽  
Shi-tong Li
Keyword(s):  
Skeletal Muscle ◽  
Acetylcholine Receptors ◽  
Muscle Relaxants ◽  
Muscle Type ◽  
Mouse Skeletal Muscle ◽  
Nondepolarizing Muscle Relaxants

The Potency of New Muscle Relaxants on Recombinant Muscle-Type Acetylcholine Receptors

2002 ◽  
Vol 95 (5) ◽  
pp. 1459
Author(s):  
Matthias Paul ◽  
Christoph H. Kindler ◽  
C. Spencer Yost
Keyword(s):  
Acetylcholine Receptors ◽  
Muscle Relaxants ◽  
Muscle Type

scholarly journals Effects of age and exercise on mouse skeletal muscle type I collagen gene promoter activity

2007 ◽  
Vol 21 (6) ◽  
Author(s):  
Ashley Ann Anderson ◽  
Shelley Lietzau‐Mourer ◽  
Adam Pearson ◽  
Brittany Bolt ◽  
Benjamin F Timson ◽  
...  
Keyword(s):  
Skeletal Muscle ◽  
Promoter Activity ◽  
Type I Collagen ◽  
Gene Promoter ◽  
Type I ◽  
Collagen Gene ◽  
Muscle Type ◽  
Mouse Skeletal Muscle

Prolonged d-Tubocurarine Infusion and/or Immobilization Cause Upregulation of Acetylcholine Receptors and Hyperkalemia to Succinylcholine in Rats

1996 ◽  
Vol 84 (2) ◽  
pp. 384-391. ◽  
Author(s):  
P. Yanez ◽  
J. A. J. Martyn
Keyword(s):  
Acetylcholine Receptors ◽  
Chronic Administration ◽  
Treated Group ◽  
Muscle Relaxants ◽  
Muscle Membrane ◽  
Control Group ◽  
Nondepolarizing Muscle Relaxants ◽  
Osmotic Pumps ◽  
Blood Potassium ◽  
Alpha Bungarotoxin

Background Hyperkalemic cardiac arrest after the administration of succinylcholine (SCh) to critically ill intensive care patients has been attributed to changes in the acetylcholine receptors (AChRs) at the muscle membrane. The current study attempts to characterize the contributory roles of chronic administration of nondepolarizing muscle relaxants typified by d-tubocurarine (dTC) and/or of immobilization on AChR upregulation and the relationship of these AChR changes to SCh-induced hyperkalemia. Methods Rats received chronic subparalytic infusion of saline or dTC for 28 days via subcutaneous osmotic pumps inserted while they were under anesthesia. Approximately half of the saline- or dTC-treated rats underwent bilateral hind-limb immobilization with plaster casts for the same duration as the infusion. After 4 weeks, the osmotic pumps were removed, and 24-48 h later, the blood potassium concentrations were measured at baseline and at 1, 3, 5, 7, and 10 min after SCh (3 mg/kg). At the end of this period, the gastrocnemius muscle was excised for quantitation of AChR number using (125)I-alpha-bungarotoxin. Results At 28 days, the weight gain in mobile animals receiving saline or dTC infusion did not differ, nor did that in immobilized animals receiving saline or dTC infusion, confirming that infusion of dTC did not unduly affect the ability of the animals to feed. The maximal potassium change after SCh occurred at 5 min. Potassium responses to SCh changed (mean +/- SE): (1) from 3.9 +/- 0.04 to 4.5 +/- 0.1 mEq/1 in the mobile saline- treated control group, where the AChR concentration was 18.4 +/- 2 fmol/mg protein; (2) from 3.9 +/- 0.03 to 5.1 +/- 0.1 in the mobile dTC-infused group (AChRs = 48.6 +/- 7); (3) from 3.8 +/- 0.1 to 5.5 +/- 0.3 in the immobilized saline- treated group (AChRs = 107.4 +/- 14); and (4) from 3.8 +/- 0.1 to 6.3 +/- 0.2 in the immobilized-dTC-treated group (AChRs = 183.5 +/- 23). There was a significant positive correlation between maximal change in blood potassium concentration and the respective AChR concentration in the gastrocnemius of the same animal (r = 0.81, P<0.01). Conclusions Subtherapeutic (subparalytic) doses of chronic infusion of dTC (with no immobilization) or immobilization alone (with no dTC) independently increased number of AChRs. The infusion of dTC with immobilization caused the greatest upregulation of AChRs. The magnitude of the increase in blood potassium to SCh was directly dependent on AChR number. This study shows direct evidence and confirms previous speculation that AChR number plays an important role in the magnitude of the hyperkalemic response to SCh. Presuming this represents an appropriate model for patients who are immobilized and/or receiving nondepolarizing muscle relaxants for prolonged periods, exaggerated blood potassium responses to SCh are possible when either or both of these perturbations are present in patients.

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