Fig. 10. Analysis of the effective inhibitor concentrations of CaMKII and mitogen-activated kinase p38 with respect to anesthetic concentrations and proposed signaling pathways. Effective [Inhibitor] (μm) = effective inhibitor concentration in μm to prevent the relaxation induced by the anesthetics derived from figs. 5, 6, and 8; KN-93 (open circles ) = a CaMKII inhibitor competing at the calmodulin site; CKIINtide (filled circles ) = the peptide of the inhibitor protein of CaMKII binding to the catalytic site of autophosphorylated CaMKII (CaMKII-p); SB20358 (x ) = an inhibitor of p38 MAP kinase; MLCK-p(−) = phosphorylated myosin light chain kinase (MLCK-p), resulting in decreased MLCK activity; MLC-p(−) = decreased phosphorylated myosin light chains. A  and B  show a similar pattern of effective concentrations of KN-93 and SB20358 as a direct function of isoflurane (A ), those of CKIINtide and SB20358 as a direct function of halothane (B ). This similarity in patterns between inhibitors of CaMKII and p38 suggests that Ca2+activates CaMKII via  p38 signaling leading to relaxation (C ). In contrast, at higher Ca2+(released by halothane), CaMKII undergoes autophosphorylation to a higher CaMKII activity, 10which phosphorylates MLCK, resulting in decreased MLCK activity and decreased myosin light chain phosphorylation, 30leading to relaxation (D ).

Fig. 10. Analysis of the effective inhibitor concentrations of CaMKII and mitogen-activated kinase p38 with respect to anesthetic concentrations and proposed signaling pathways. Effective [Inhibitor] (μm) = effective inhibitor concentration in μm to prevent the relaxation induced by the anesthetics derived from figs. 5, 6, and 8; KN-93 (open circles ) = a CaMKII inhibitor competing at the calmodulin site; CKIINtide (filled circles ) = the peptide of the inhibitor protein of CaMKII binding to the catalytic site of autophosphorylated CaMKII (CaMKII-p); SB20358 (x ) = an inhibitor of p38 MAP kinase; MLCK-p(−) = phosphorylated myosin light chain kinase (MLCK-p), resulting in decreased MLCK activity; MLC-p(−) = decreased phosphorylated myosin light chains. A  and B  show a similar pattern of effective concentrations of KN-93 and SB20358 as a direct function of isoflurane (A ), those of CKIINtide and SB20358 as a direct function of halothane (B ). This similarity in patterns between inhibitors of CaMKII and p38 suggests that Ca2+activates CaMKII via  p38 signaling leading to relaxation (C ). In contrast, at higher Ca2+(released by halothane), CaMKII undergoes autophosphorylation to a higher CaMKII activity, 10which phosphorylates MLCK, resulting in decreased MLCK activity and decreased myosin light chain phosphorylation, 30leading to relaxation (D ).

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