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http://dx.doi.org/10.1016/j.janh.2015.07.011DOI Listing

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Article Synopsis
  • General anesthesia can be triggered by different chemical molecules, and this study explores why some structurally similar substances do not cause anesthesia at all.
  • The research utilizes molecular dynamics simulations to examine how anesthetics like diethyl ether and chloroform, as well as non-anesthetics like pentane and carbon tetrachloride, interact with dipalmitoylphosphatidylcholine (DPPC) membranes under various pressures.
  • Findings suggest that anesthetics are more likely to occupy specific regions of the membrane, leading to changes in the density and mobility of lipid molecules, which may be linked to the anesthetic effect; these changes are reversed when pressure is increased.
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Article Synopsis
  • Volatile anesthetics (VAs) are commonly used in medical settings, but their exact mechanisms and potential impacts, particularly on neonatal brain development, are not fully understood.
  • In neonatal mice, VAs quickly deplete a key metabolic compound, β-hydroxybutyrate (β-HB), at lower concentrations than needed for anesthesia, while adults show no such depletion.
  • The depletion of β-HB in neonates is linked to metabolic processes involving citrate accumulation and changes in fatty acid metabolism, highlighting significant differences in metabolic responses between neonates and adults.
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Objective: Acquired epilepsy is a devastating long-term risk of various brain insults, including trauma, stroke, infections, and status epilepticus (SE). There is no preventive treatment for patients at risk. Attributable to the complex alterations involved in epileptogenesis, it is likely that multitargeted approaches are required for epilepsy prevention.

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The detailed action mechanism of volatile general anesthetics is still unknown despite their effect has been clinically exploited for more than a century. Long ago it was also assessed that the potency of an anesthetic molecule well correlates with its lipophilicity and phospholipids were eventually identified as mediators. As yet, the direct effect of volatile anesthetics at physiological relevant concentrations on membranes is still under scrutiny.

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