In an attempt to understand the cellular mechanisms underlying volatile anesthetic-induced myocardial depression, halothane-induced negative inotropy was investigated in an animal model through continuous monitoring of intracellular Ca2+ concentration ([Ca2+](i)) in rat ventricular myocytes loaded with fura-2. Single cells were stimulated with 15 mM caffeine or 50 mM extracellular K+ (K+(O)) or were paced by extracellular glass suction pipette electrode. With each stimulus modality, halothane (0.6-1.5%) caused a significant (P < 0.05) and dose-dependent depression of the Ca2+ transient. Caffeine and electrically stimulated Ca2+ transients were reduced, in 1.5% halothane, to 35 ± 14 and 42 ± 8% of control, respectively. Resting or basal [Ca2+](i) was unaffected by halothane. Halothane did not elicit spontaneous Ca2+ transients in these cells. Single cells stimulated by trains of electrical stimuli at 1.0, 1.5, and 2.0 Hz showed a change in [Ca2+](i) from prestimulus levels to a stimulated baseline steady state that appeared to increase with stimulus frequency. Halothane at 0.7% increased the change in resting to stimulated baseline [Ca2+](i) and depressed net transients (P < 0.05) at 1.0 and 1.5 Hz. In contrast, 0.1 μM ryanodine depressed the Ca2+ transients in myocytes stimulated by trains of stimuli, but did not potentiate the change in stimulated baseline [Ca2+](i) at any pacing rate. The results are consistent with the hypothesis that halothane reduces Ca2+(i) availability by causing a net loss of Ca2+ from the sarcoplasmic reticulum. The results from experiments using onset of pacing to induce a sudden increase in Ca2+(i) load in previously quiescent myocytes suggest that halothane may act to limit sarcoplasmic reticulum and/or sarcolemmal uptake/extrusion mechanisms, as compared to ryanodine, which depletes sarcoplasmic reticulum Ca2+ stores without affecting reuptake and extrusion.
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Wilde, D. W., Knight, P. R., Sheth, N., & Williams, B. A. (1991). Halothane alters control of intracellular Ca2+ mobilization in single rat ventricular myocytes. Anesthesiology, 75(6), 1075–1086. https://doi.org/10.1097/00000542-199112000-00020