Tandospirone prevents anesthetic-induced respiratory depression through 5-HT1A receptor activation in rats

Abstract Respiratory depression is a side effect of anesthetics. Treatment with specific antagonists or respiratory stimulants can reverse respiratory depression caused by anesthetics; however, they also interfere with the sedative effects of anesthetics. Previous studies have suggested that tandosp...

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Main Authors: Meng-ran Song, Ming-zhi Huang, Wei-jie Tao, Zheng Yong, Rui-bin Su
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-84440-x
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author Meng-ran Song
Ming-zhi Huang
Wei-jie Tao
Zheng Yong
Rui-bin Su
author_facet Meng-ran Song
Ming-zhi Huang
Wei-jie Tao
Zheng Yong
Rui-bin Su
author_sort Meng-ran Song
collection DOAJ
description Abstract Respiratory depression is a side effect of anesthetics. Treatment with specific antagonists or respiratory stimulants can reverse respiratory depression caused by anesthetics; however, they also interfere with the sedative effects of anesthetics. Previous studies have suggested that tandospirone may ameliorate respiratory depression without affecting the sedative effects of anesthetics. Therefore, we evaluated whether tandospirone (0.1–8 mg/kg) ameliorates respiratory depression in a rat model under anesthesia. The protein kinase A redistribution method was used to determine whether tandospirone activates α2a/2c and µ receptors. The effects of tandospirone (10 µM) on α1β2γ2 and α4β2δ GABA receptor current modulation were explored by two-electrode voltage clamping. Prophylactic tandospirone administration reduced respiratory depression caused by anesthetics in rats. Tandospirone (0.1–8 mg/kg) increased SaO2 in rats treated with fentanyl (80 µg/kg) or midazolam (80 mg/kg) (P < 0.05). The ability of tandospirone to prevent respiratory depression was inhibited by the 5-hydroxytryptamine (5-HT)1 A receptor antagonist WAY100635 (1 mg/kg) (P < 0.05). Co-administration of tandospirone with dexmedetomidine or fentanyl did not affect α2a/2c or µ receptors activation. Tandospirone (10 µM) did not affect α1β2γ2 and α4β2δ GABA receptor modulation (P < 0.05). Overall, tandospirone ameliorated respiratory depression caused by anesthetics in rats through 5-HT1A receptor activation.
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spelling doaj-art-f0beb24be6e34dea8876ba564ea029942025-01-05T12:22:33ZengNature PortfolioScientific Reports2045-23222025-01-0115111310.1038/s41598-024-84440-xTandospirone prevents anesthetic-induced respiratory depression through 5-HT1A receptor activation in ratsMeng-ran Song0Ming-zhi Huang1Wei-jie Tao2Zheng Yong3Rui-bin Su4Beijing Key Laboratory of Neuropsychopharmacology, State Key Laboratory of Toxicology and Medical Countermeasures, Beijing Institute of Pharmacology and ToxicologyBeijing Key Laboratory of Neuropsychopharmacology, State Key Laboratory of Toxicology and Medical Countermeasures, Beijing Institute of Pharmacology and ToxicologyBeijing Key Laboratory of Neuropsychopharmacology, State Key Laboratory of Toxicology and Medical Countermeasures, Beijing Institute of Pharmacology and ToxicologyBeijing Key Laboratory of Neuropsychopharmacology, State Key Laboratory of Toxicology and Medical Countermeasures, Beijing Institute of Pharmacology and ToxicologyBeijing Key Laboratory of Neuropsychopharmacology, State Key Laboratory of Toxicology and Medical Countermeasures, Beijing Institute of Pharmacology and ToxicologyAbstract Respiratory depression is a side effect of anesthetics. Treatment with specific antagonists or respiratory stimulants can reverse respiratory depression caused by anesthetics; however, they also interfere with the sedative effects of anesthetics. Previous studies have suggested that tandospirone may ameliorate respiratory depression without affecting the sedative effects of anesthetics. Therefore, we evaluated whether tandospirone (0.1–8 mg/kg) ameliorates respiratory depression in a rat model under anesthesia. The protein kinase A redistribution method was used to determine whether tandospirone activates α2a/2c and µ receptors. The effects of tandospirone (10 µM) on α1β2γ2 and α4β2δ GABA receptor current modulation were explored by two-electrode voltage clamping. Prophylactic tandospirone administration reduced respiratory depression caused by anesthetics in rats. Tandospirone (0.1–8 mg/kg) increased SaO2 in rats treated with fentanyl (80 µg/kg) or midazolam (80 mg/kg) (P < 0.05). The ability of tandospirone to prevent respiratory depression was inhibited by the 5-hydroxytryptamine (5-HT)1 A receptor antagonist WAY100635 (1 mg/kg) (P < 0.05). Co-administration of tandospirone with dexmedetomidine or fentanyl did not affect α2a/2c or µ receptors activation. Tandospirone (10 µM) did not affect α1β2γ2 and α4β2δ GABA receptor modulation (P < 0.05). Overall, tandospirone ameliorated respiratory depression caused by anesthetics in rats through 5-HT1A receptor activation.https://doi.org/10.1038/s41598-024-84440-x5-HT1ATandospironeRespiratory depressionFentanylMidazolamDexmedetomidine
spellingShingle Meng-ran Song
Ming-zhi Huang
Wei-jie Tao
Zheng Yong
Rui-bin Su
Tandospirone prevents anesthetic-induced respiratory depression through 5-HT1A receptor activation in rats
Scientific Reports
5-HT1A
Tandospirone
Respiratory depression
Fentanyl
Midazolam
Dexmedetomidine
title Tandospirone prevents anesthetic-induced respiratory depression through 5-HT1A receptor activation in rats
title_full Tandospirone prevents anesthetic-induced respiratory depression through 5-HT1A receptor activation in rats
title_fullStr Tandospirone prevents anesthetic-induced respiratory depression through 5-HT1A receptor activation in rats
title_full_unstemmed Tandospirone prevents anesthetic-induced respiratory depression through 5-HT1A receptor activation in rats
title_short Tandospirone prevents anesthetic-induced respiratory depression through 5-HT1A receptor activation in rats
title_sort tandospirone prevents anesthetic induced respiratory depression through 5 ht1a receptor activation in rats
topic 5-HT1A
Tandospirone
Respiratory depression
Fentanyl
Midazolam
Dexmedetomidine
url https://doi.org/10.1038/s41598-024-84440-x
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