Competition Between Acetylcholine and a Nondepolarizing Muscle Relaxant for Binding to the Postsynaptic Receptors at the Motor End Plate: Simulation of Twitch Strength and Neuromuscular Block

2003 ◽  
Vol 30 (1) ◽  
pp. 23-51 ◽  
Author(s):  
Vladimir Nigrovic ◽  
Anton Amann
1995 ◽  
Vol 132 (2) ◽  
pp. 97-104
Author(s):  
Naoko Tetsuo ◽  
Mitsuhiro Tsujihata ◽  
Akira Satoh ◽  
Toshiro Yoshimura ◽  
Tatsufumi Nakamura ◽  
...  

1963 ◽  
Vol 157 (969) ◽  
pp. 536-561 ◽  

Resting potentials, action potentials, and miniature end-plate potentials have been re­corded from isolated phrenic-diaphragm preparations of the rat during and after irradiation with X-rays. Relatively small doses of a few thousand roentgens have no obvious effect on the preparation for many hours but larger doses, of the order of 70 to 150 kr irreversibly block neuromuscular transmission. The block is not accompanied by any change in the size of action potentials, resting potentials, membrane constants or miniature potentials recorded in the muscle with intracellular electrodes, or in the size of action potentials recorded in the nerve. Records made at the motor end-plate show that the cause of the block is a ‘pre-synaptic ’ failure of impulse propagation in the intramuscular part of the nerve. The time course of the failure depends largely on the rate at which X-rays are delivered to the pre­paration: at a high dose-rate (70kr/min) the block develops rapidly and is accompanied by an increase in the frequency of miniature potentials; at a low dose-rate (7 kr/min) larger doses are required, the latency is longer and the miniature potentials continue at a normal frequency. The sequence in which different parts of the muscle become blocked, the abrupt nature of the failure at an individual motor end-plate, and the increase in frequency of the miniature potentials together suggest that the action of X-rays is to block conduction in the nerve near its terminals, possibly by depolarizing points where the axons branch and the safety factor for the propagation of impulses is low. The results reported in this paper do not support the hypotheses that small doses of X-rays at a high or a low dose-rate lead to an initial 'enhancement' of function or that they produce immediate and reversible changes in the permeability of excitable membranes to ions.


2003 ◽  
Vol 27 (4) ◽  
pp. 426-434 ◽  
Author(s):  
Frank Spaans ◽  
Jan-Willem Vredeveld ◽  
Humphrey H.E. Morré ◽  
Bart C. Jacobs ◽  
Marc H. De Baets

1981 ◽  
Vol 51 (1) ◽  
pp. 69-79 ◽  
Author(s):  
Ryuji Hazama ◽  
Mitsuhiro Tsujihata ◽  
Masataka Mori ◽  
Masaharu Takamori ◽  
Kazutake Mori ◽  
...  

1993 ◽  
Vol 26 (1) ◽  
pp. 50
Author(s):  
Jin Seung Lee ◽  
Jang Weon Lee ◽  
Si Young Ok ◽  
Yoo Jae Kim ◽  
Wook Park ◽  
...  

1960 ◽  
Vol 198 (5) ◽  
pp. 939-942 ◽  
Author(s):  
Norimoto Urakawa ◽  
Toshio Narahashi ◽  
Takehiko Deguchi ◽  
Yoshio Ohkubo

Maltoxin, an amine obtained from brew malt rootlet, causes a neuromuscular block in the frog. Its mode of action on the frog's sartorius muscle has been studied mainly with the aid of intracellular microelectrodes. Maltoxin of 10–5 concentration caused an over-all depolarization of the muscle fibers; therefore, direct and indirect stimulations of the muscle were ineffective in producing muscle action potential. Progressive repolarization took place thereafter and the muscle became excitable by direct stimulation, though indirect stimulation remained ineffective for a long period of time. Small end-plate potentials observed could not be explained in terms of depolarization. It was found that the sensitivity of the end-plate membrane to acetylcholine was effectively depressed by maltoxin, and that this is responsible for the persistent neuromuscular block. The initial over-all depolarization caused by maltoxin was fairly antagonized by a previous treatment with d-tubocurarine. It is concluded that maltoxin has a dual mode of action, having some resemblance to acetylcholine, decamethonium, succinylcholine and nicotine.


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