Abstract
General anesthesia is induced by a large group of structurally unrelated compounds. Hans Meyer and Ernest Overton, working independently, observed at the end of the 19th century that the potencies of general anesthetics are directly proportional to their hydrophobicities (Fig. 1). This seminal observation became known as the Meyer-Overton rule, and it has influenced all subsequent research into the mechanisms of general anesthesia. Early theories of anesthesia postulated that general anesthetics interacted with membrane lipids and embraced the notion that anesthesia might result from indirect effects on membrane protein. Lipid-based theories of anesthesia fail because anesthetic induced effects are small, and modern work focuses on interactions between anesthetics and proteins. Despite the change in proposed targets of anesthetic action, the Meyer-Overton correlation still holds true, and any theory of anesthetic action, whether membrane-or protein-based, must account for it.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Bernard, C. (1875) Lecons sur les Anesthetiques et sur l’Asphyxie., Paris: Bailliere.
Kita, Y., Bennett, L., and Miller, K. (1981) The Partial Molar Volumes of Anesthetics in Lipid Bilayers. Biochim. Biophys. Acta 647, 130–139.
Miller, K., et al. (1973) The Pressure Reversal of General Anesthesia and the Critical Volume Hypothesis. Mol. Pharmacol. 9, 131–143.
Seeman, P. (1969) Temperature Dependence of Erythrocyte Membrane Expansion by Alcohol Anesthetics. Possible Support for the Partition Theory of Anesthesia. Biochim. Biophys. Acta 183, 520–529.
Melchior, D., Scavitto, F., and Steim, J. (1980) Dilatometry of Diplamitoyllecithin-Cholesterol Bilayers. Biochemistry 19, 4828–4834.
Rand, R. and Pangborn, W. (1973) A Structural Transition in Egg Lecithin-Cholesterol Bilayers at 12°C. Biochim. Biophys. Acta 318, 299–305.
Metcalfe, J., Seeman, P., and Burgen, A. (1968) The Proton Relaxation of Benzyl Alcohol in Erythrocyte Membranes. Mol. Pharmacol. 4, 87–95.
Trudell, J. R. (1977) A unitary theory of anesthesia based on lateral phase separations in nerve membranes. Anesthesiology 46, 5–10.
Mountcastle, D., Biltonen, R., and Halsey, M. (1978) Effect of Anesthetics and Pressure on the Thermotropic Behavior of Multilamellar Dipalmitoylphosphatidylcholine Liposomes. Proc. Nat. Acad. Sci. USA 75, 4906–4910.
Kamaya, H., et al. (1979) Antagonism Between High Pressure and Anesthetics in the Thermal Phase-transition of Dipalmitoyl Phosphatidylcholine Bilayer. Biochim. Biophys. Acta 550, 131–137.
Lieb, W., Kovalycsik, M., and Mendelsohn, R. (1982) Do Clinical Levels of General Anaesthetics Affect Lipid Bilayers? Evidence form Raman Scattering. Biochim. Biophys. Acta 688, 388–398.
Pang, K.-Y., et al. (1980) The Perturbation of Lipid Bilayers by General Anesthetics: A Quantitative Test of the Disordered Lipid Hypothesis. Mol. Pharmacol. 18, 84–90.
Bradley, D. and Richards, C. (1984) Temperature Dependence of the Action of Nerve Blocking Agents and Its Relationship to Membrane-buffer Partition Coefficients: Thermodynamic Implications for the Site of Action of Local Anesthetics. Brit. J. Pharmacol. 81, 161–167.
Eger, E., 2nd, Saidman, L., and Brandstater, B. (1965) Temperature Dependence of Halothane and Cyclopropane Anesthesia in Dogs: Correlation with Some Theories of Anesthetic Action. Anesthesiology 26, 764–770.
Steffey, E. and Eger, E., 2nd (1974) Hyperthermia and Halothane MAC in the Dog. Anesthesiology 41, 392–396.
Johnson, S. and Bangham, A. (1969) The Action of Anesthetics on Phospolipid Membranes. Biochim. Biophys. Acta 193, 92–104.
Johnson, S., Miller, K., and Bangham, A. (1973) The Opposing Effects of Pressure and General Anesthetics on the Cation Permeability of Liposomes of Varying Lipid Composition. Biochim. Biophys. Acta 307, 42–57.
Bangham, A., Standish, M., and Miller, N. (1965) Cation Permeability of Phospolipid Model Membranes: Effect of Narcotics. Nature 208, 1295–1297.
Bangham, A. and Mason, W. (1980) Anesthetics May Act by Collapsing pH Gradients. Anesthesiology 53, 135–141.
Akeson, M. and Deamer, D. (1989) Steady-State Catecholamine Distribution in Chromaffin Granule Preparations: A Test of the Pump-Leak Hypothesis of General Anesthesia. Biochemistry 28, 5120–5127.
Raines, D. E. and Cafiso, D. S. (1989) The enhancement of proton/hydroxyl flow across lipid vesicles by inhalation anesthetics. Anesthesiology 70, 57–63.
Raines, D. E. and Miller, K. W. (1994) On the importance of volatile agents devoid of anesthetic action. Anesth. Analg. 79, 1031–1033.
Pringle, M., Brown, K., and Miller, K. (1981) Can the Lipid Theories of Anesthesia Account for the Cutoff in Anesthetic Potency in Homologous Series of Alcohols? Mol. Pharmacol. 19, 49–55.
Raines, D. E., et al. (1993) Anesthetic cutoff in cycloalkanemethanols. A test of current theories. Anesthesiology 78, 918–927.
Liu, J., et al., (1994) A Cutoff in Potency Exists in the Perfluoroalkanes. Anesth. Analg. 79, 238–244.
Liu, J., et al. (1993) Is There a Cutoff in Anesthetic Potency for the Normal Alkanes. Anesth. Analg. 77, 12–18.
Franks, N. and Lieb, W. (1986) Partitioning of Long-chain Alcohols into Lipid Bilayers: Implications For Mechanisms of General Anesthesia. Proc. Natl. Acad. Sci. USA 83, 5116–5120.
Miller, K., et al. (1989) Nonanesthetic Alcohols Dissolve in Synaptic Membranes without Perturbing Their Lipids. Proc. Natl. Acad. Sci. USA 86, 1084–1087.
Bull, M., Brailsford, J., and Bull, B. (1982) Erythrocyte Membrane Expansion Due to the Volatile Anesthetics, the 1-Alkanols, and Benzyl Alcohol. Anesthesiology 57, 399–403.
Franks, N. and Lieb, W. (1984) Do General Anaesthetics Act by Competitive Binding to Specific Receptors? Nature 310, 599–601.
Alifimoff, J., Firestone, L., and Miller, K. (1989) Anesthetic Potencies of Primary Alkanols: Implications for the Molecular Dimensions of the Anesthetic Site. Brit. J. Pharmacol. 96, 9–16.
Eckenhoff, R. G., Tanner, J. W., and Johansson, J. S. (1999) Steric hindrance is not required for n-alkanol cutoff in soluble proteins. Mol. Pharmacol. 56 414–418.
Alifimoff, J., Firestone, L., and Miller, K. (1987) Anesthetic Potencies of Secondary Alcohol Enantiomers. Anesthesiology 66, 55–59.
Franks, N. and Lieb, W. (1991) Stereospecific Effects of Inhalational General Anesthetic Optical Isomers on Nerve Ion Channels Science 254, 427–430.
Dickinson, R., Franks, N. P., and Lieb, W. R. (1994) Can the stereoselective effects of the anesthetic isoflurane be accounted for by lipid solubility? Biophys. J. 66, 2019–2023.
Lysko, G., et al. (1994) The Stereopecific Effects of Isoflurane Isomers In vivo. Eur. J. Pharmacol. 263, 25–29.
Dickinson, R., et al. (2000) Stereoselective loss of righting reflex in rats by isoflurane. Anesthesiology 93, 837–843.
Eger, E.I., 2nd, et al. (1997) Minimum alveolar anesthetic concentration values for the enantiomers of isoflurane differ minimally. Anesth. Analg. 85, 188–192.
Harris, B. D., et al. (1994) Volatile anesthetics bidirectionally and stereospecifically modulate ligand binding to GABA receptors. Eur. J. Pharmacol. 267, 269–274.
Moody, E., Harris, B., and Skolnick, P. (1993) Stereospecific Actions of the Inhalation Anesthetic Isoflurane at the GABA,, Receptor Complex. Brain Res. 615, 101–106.
Olsen, R. W., Fischer, J. B., and Dunwiddie, T. V. (1986) Barbiturate enhancement of y-aminobutyric acid receptor binding and function as a mechanism of anesthesia, in Molecular and Cellular Mechanisms of Anesthesia ( Roth S. H., and Miller, K. W., eds.) Plenum, NY, pp. 165–178.
Huang, L.-Y. M. and Barker, J. L. (1980) Pentobarbital: Stereospecific Actions of (+) and (—) Isomers Revealed on Cultured Mammalian Neurons. Science 207, 195–197.
Akaike, N., et al. (1985) y-Aminobutyric-acid-and Pentobarbitone-gated Chloride Currents in Internally Perfused Frog Sensory Neurones. J. Physiol. 360, 367–386.
Roth, S. H., et al. (1989) Actions of pentobarbital enantiomers on nicotinic cholinergic receptors. Mol. Pharmacol. 36, 874–880.
Miller, K., Sauter, J., and Braswell, L. (1982) A Stereoselective Pentobarbital Binding Site in Cholinergic Membranes from Torpedo californica. Biochem. Biophys. Res. Comm. 105, 659–666.
Ashton, D. and Wauquier, A. (1985) Modulation of a GABA-ergic inhibitory circuit in the in vitro hippocampus by etomidate isomers. Anesth. Analg. 64, 975–980.
Tomlin, S., et al. (1998) Stereoselective Effects of Etomidate Optical Isomers on Gamma-aminobutyric Acid Type A Receptors and Animals. Anesthesiology 88, 708–717.
Taheri, S., et al. (1991) What solvent best represents the site of action of inhaled anesthetics in humans, rats, and dogs? Anesth. Analg. 72, 627–634.
Taheri, S., et al. (1993) Anesthesia by n-alkanes not consistent with the Meyer-Overton hypothesis: determinations of the solubilities of alkanes in saline and various lipids. Anesth. Analg. 77, 7–11.
Liu, J., et al. (1994) Effect of n-alkane kinetics in rats on potency estimations and the Meyer-Overton hypothesis. Anesth. Analg. 79, 1049–1055.
Fang, Z., et al. (1996) Anesthetic and convulsant properties of aromatic compounds and cycloalkanes: implications for mechanisms of narcosis. Anesth. Analg. 83, 1097–1104.
Fang, Z., et al. (1997) Anesthetic potencies of n-alkanols: results of additivity and solubility studies suggest a mechanism of action similar to that for conventional inhaled anesthetics. Anesth. Analg. 84, 1042–1048.
Koblin, D. D., et al. (1998) Minimum alveolar concentrations of noble gases, nitrogen, and sulfur hexafluoride in rats: helium and neon as nonimmobilizers (nonanesthetics). Anesth. Analg. 87, 419–424.
Eger, E. I., 2nd, et al. (1999) Minimum alveolar anesthetic concentration of fluorinated alkanols in rats: relevance to theories of narcosis. Anesth. Analg. 88, 867–876.
Koblin, D. D., et al. (1999) Polyhalogenated methyl ethyl ethers: solubilities and anesthetic properties. Anesth. Analg. 88, 1161–1167.
Zhang, Y., et al. (2000) The anesthetic potencies of alkanethiols for rats: relevance to theories of narcosis. Anesth. Analg. 91, 1294–1299.
Koblin, D., et al. (1994) Polyhalogenated and Perfluorinated Compounds that Disobey the Meyer-Overton Hypothesis. Anesth. Analg. 79, 1043–1048.
Eger II, E., et al. (1994) Molecular Properties of the “Ideal” Inhaled Anesthetic, Studies of Fluorinated Methanes, Ethanes, Propanes and Butanes. Anesth. Analg. 79, 245–251.
Franks, N. and Lieb, W. (1978) Where Do General Anesthetics Act? Nature 274, 339–342.
Janoff, A., Pringle, M., and Miller, K. (1981) Correlation of General Anesthetic Potency with Solubility in Membranes. Biochim. Biophys. Acta 649, 125–128.
Johansson, J. S. and Zou, H. (1999) Partitioning of four modern volatile general anesthetics into solvents that model buried amino acid side-chains. Biophys Chem. 79, 107–116.
Sandberg, W. S. and Terwilliger, T. C. (1989) Influence of interior packing and hydrophobicity on the stability of a protein. Science 245, 54–57.
Sandberg, W. S. and Terwilliger, T. C (1991) Energetics of repacking a protein interior. Proc. Natl. Acad. Sci. USA 88, 1706–1710.
Sandberg, W. S. and Terwilliger, T. C (1991) Repacking protein interiors. Trends Biotechnol. 9, 59–63.
Xu, J., et al. (1998) The response of T4 lysozyme to large-to-small substitutions within the core and its relation to the hydrophobic effect. Protein Sci. 7, 158–177.
Eriksson, A. E., et al. (1992) Response of a protein structure to cavity-creating mutations and its relation to the hydrophobic effect. Science 255, 178–183.
Zhang, H., et al. (1996) Context dependence of mutational effects in a protein: the crystal structures of the V35I, 147V and V35I/I47V gene V protein core mutants. J. Mol. Biol. 259, 148–159.
Tilton, R. F., Jr., et al. (1988) Protein-ligand dynamics. A 96 picosecond simulation of a myoglobin-xenon complex. J. Mol. Biol. 199, 195–211.
LaBella, F. and Queen, G. (1993) General Anesthetics Inhibit Cytochrome P450 Monooxygenases and Arachidonic Acid Metabolism. Can. J. Physiol. Pharmacol. 71, 48–53.
Slater, S., et al. (1993) Inhibition of Protein Kinase C by Alcohols and Anesthetics. Nature 364, 82–84.
Richards, F. M. (1977) Areas, Volumes, Packing, and Protein Structure. Ann. Rev. Biohphys. Bioeng. 6, 151–176.
Sleigh, S. H., et al. (1999) Crystallographic and calorimetric analysis of peptide binding to OppA protein. J. Mol. Biol. 291, 393–415.
Tilton, R. F., Jr., Kuntz, I. D., Jr., and Petsko, G. A. (1984) Cavities in proteins: structure of a metmyoglobin-xenon complex solved to 1.9 A. Biochemistry 23, 2849–2857.
Tilton, R. F., Jr. and Petsko, G. A. (1988) A structure of sperm whale myoglobin at a nitrogen gas pressure of 145 atmospheres. Biochemistry 27, 6574–6582.
Gursky, O., et al. (1994) Stereospecific dihaloalkane binding in a pH-sensitive cavity in cubic insulin crystals. Proc. Natl. Acad. Sci. USA 91(26), 12,388–12, 392.
Bhattacharya, A. A., Curry, S., and Franks, N. P. (2000) Binding of the General Anesthetics Propofol and Halothane to Human Serum Albumin. HIGH RESOLUTION CRYSTAL STRUCTURES. J. Biol. Chem. 275, 38,731–38, 738.
Franks, N. P., et al. (1998) Structural basis for the inhibition of firefly luciferase by a general anesthetic. Biophys. J. 75, 2205–2211.
Johansson, J. S., Zou, H., and Tanner, J. W. (1999) Bound volatile general anesthetics alter both local protein dynamics and global protein stability. Anesthesiology 90, 235–245.
Chothia, C. (1976) The Nature of the Accessible and Buried Surfaces in Proteins. J. Mol. Biol. 105, 1–14.
Eckenhoff, R. G. and Johansson, J. S. (1997) Molecular interactions between inhaled anesthetics and proteins. Pharmacol. Rev. 49, 343–367.
Eckenhoff, R. G. and Tanner, J. W. (1998) Differential halothane binding and effects on serum albumin and myoglobin. Biophys. J. 75, 477–483.
LaBella, F., et al. (1997) The Site of General Anaesthesia and Cytochrome P450 Oxygenases: Similarities Defined by Straight Chain and Cyclic Alcohols. Brit. J. Pharmacol. 120, 1158–1164.
Harris, B., et al. (1995) Different Subunit Requirements for Volatile and Nonvolatile Anesthetics at y-Aminobutyric Acid Type A Receptors. Mol. Pharmacol. 47, 363–367.
Moody, E., et al. (1997) Distinct Loci Mediate the Direct and Indirect Actions of the Anesthetic Etomidate at GABAA Receptors. J. Neurochem. 69, 1310–1313.
Wood, S., Forman, S., and Miller, K. (1991) Short Chain and Long Chain Alkanols Have Different Sites of Action on Nicotinic Acetylcholine Receptor Channels from Torpedo. Mol. Pharmacol. 39, 332–338.
Pratt, M. B., et al. (2000) Identification of Sites of Incorporation in the Nicotinic Acetylcholine Receptor of a Photoactivatible General Anesthetic. J. Biol. Chem. 275, 29,441–29, 451.
Colley, C. and Metcalfe, J. (1972) The Localisation of Small Molecules in Lipid Bilayers. FEBS Lett. 24, 241–246.
Pope, J., Walker, L., and Dubro, D. (1984) On the Ordering of N-Alkane and N-Alcohol Solutes in Phospholipid Bilayer Model Membrane Systems. Chem. Phys. Lipids 35, 259–277.
Jacobs, R. and White, S. (1984) Behavior of Hexane Dissolved in Dimyristoylphosphatidylcholine Bilayers: An NMR and Calorimetric Study. J. Amer. Chem. Soc. 106, 915–920.
Pohorille, A., et al. (1998) Concentrations of anesthetics across the water-membrane interface; the Meyer-Overton hypothesis revisited. Toxicol. Lett. 100–101, 421–30.
North, C. and Cafiso, D. S. (1997) Contrasting membrane localization and behavior of halogenated cyclobutanes that follow or violate the Meyer-Overton hypothesis of general anesthetic potency. Biophys. J. 72, 1754–1761.
Tang, P., Yan, B., and Xu, Y. (1997) Different distribution of fluorinated anesthetics and nonanesthetics in model membrane: a 19F NMR study. Biophys. J. 72, 1676–1682.
Baber, J., Ellena, J., and Cafiso, D. (1995) Distribution of General Anesthetics in Phospholipid Bilayers Determined Using 2H NMR and 1H–1H NOE Spectroscopy. Biochemistry 34, 6533–6539.
Qin, Z., Szabo, G., and Cafiso, D. (1995) Anesthetics Reduce the Magnitude of the Membrane Dipole Potential. Measurements in Lipid Vesicles Using Voltage Sensitive Spin Probes. Biochemistry 34, 5536–5543.
Cafiso, D. (1995) Influence of Charges and Dipoles on Macromolecular Adsorption and Permeability, in Permeability and Stability of Lipid Bilayers ( Disalvo, E. and Simon, S., eds.) CRC Press, Boca Raton, FL, pp. 179–195.
Cantor, R. (1997) The Lateral Pressure Profile in Membranes: A Physical Mechanism of General Anesthesia. Biochemistry 36, 2339–2344.
Goodman, D., et al. (1996) Anesthetics Modulate Phospholipase C Hydrolysis of Monolayer Phospholipids by Surface Pressure. Chem. Phys. Lipids 84, 57–64.
Gruner, S. and Shyamsunder, E. (1991) Is the Mechanism of General Anesthesia Related to Lipid Membrane Spontaneous Curvature? Ann. NY Acad. Sci. 625, 685–697.
Navarro, J., Toivo-Kinnucan, M., and Racker, E. (1984) Effect of Lipid Composition on the Calcium/Adenosine 5’-Triphosphate Coupling Ratio of the Ca2+-ATPase of Sarcoplasmic Reticulum. Biochemistry 23, 130–135.
Lundbaek, J., Maer, A., and Anderson, O. (1997) Lipid Bilayer Electrostatic Energy, Curvature Stress, and the Assembly of Gramicidin Channels. Biochemistry 36, 5695–5701.
Killian, J. A. (1992) Gramicidin and gramicidin-lipid interactions. Biochim. Biophys. Acta 1113, 391–425.
Ketchem, R. R., Hu, W., and Cross, T. A. (1993) High-resolution conformation of gramicidin A in a lipid bilayer by solid-state NMR. Science 261, 1457–1460.
Hu, W. and Cross, T. A. (1995) Tryptophan hydrogen bonding and electric dipole moments: functional roles in the gramicidin channel and implications for membrane proteins. Biochemistry 34, 14, 147–14, 155.
Hu, W., Lee, K. C., and Cross, T. A. (1993) Tryptophans in membrane proteins: indole ring orientations and functional implications in the gramicidin channel. Biochemistry 32, 7035–7047.
Woolf, T. B. and Roux, B. T (1997) The binding site of sodium in the gramicidin A channel: comparison of molecular dynamics with solid-state NMR data. Biophys. J. 72, 1930–1945.
Tang, P., et al. (1999) Distinctly different interactions of anesthetic and nonimmobilizer with transmembrane channel peptides. Biophys J. 77, 739–746.
Tang, P., Simplaceanu, V., and Xu, Y. (1999) Structural consequences of anesthetic and nonimmobilizer interaction with gramicidin A channels. Biophys J. 76, 2346–2350.
Tang, P., Eckenhoff, R. G. and Xu, Y. (2000) General anesthetic binding to gramicidin A: the structural requirements. Biophys J. 78, 1804–1809.
Langs, D. A., et al. (1991) Monoclinic uncomplexed double-stranded, antiparallel, left-handed beta 5.6-helix (increases decreases beta 5.6) structure of gramicidin A: alternate patterns of helical association and deformation. Proc. Nall. Acad. Sci. USA 88 (12), 5345–5349.
Marsh, D. and Barrantes, F. (1978) Immobilized Lipid in Acetylcholine Receptor-Rich Membranes from Torpedo marmorata. Proc. Natl. Acad. Sci. USA 75, 4329–4333.
Antollini, S., et al. (1996) Physical State of Bulk and Protein-Associated Lipid in Nicotinic Acetylcholine Receptor-Rich Membrane Studied by Laurdan Generalized Polarization and Fluorescence Energy Transfer. Biophys. J. 70, 1275–1284.
Dreger, M., et al. (1997) Interactions of the Nicotinic Acetylcholine Receptor Transmembrane Segments with the Lipid Bilayer in Native Receptor-Rich Membranes. Biochemistry 36, 839–847.
Raines, D. and Miller, K. (1993) The Role of Charge in Lipid Selectivity for the Nicotinic Acetylcholine Receptor. Biophys. J. 64, 632–641.
Fong, T. and McNamee, M. (1986) Correlation between Acetylcholine Receptor Function and Structural Properties of Membranes. Biochemistry 25, 830–840.
Jones, O. and McNamee, M. (1988) Annular and Nonannular Binding Sites for Cholesterol Associated with the Nicotinic Acetylcholine Receptor. Biochemistry 27, 2364–2374.
Raines, D. E. and McClure, K. B. (1997) Halothane interactions with nicotinic acetylcholine receptor membranes. Steady-state and kinetic studies of intrinsic fluorescence quenching. Anesthesiology 86, 476–486.
Sunshine, C. and McNamee, M. (1992) Lipid Modulation of Nicotinic Acetylcholine Receptor Function: the Role of Neutral and Negatively Charged Lipids. Biochim. Biophys. Acta 1108, 240–246.
Rankin, S., et al. (1997) The Cholesterol Dependence of Activation and Fast Desensitization of the Nicotinic Acetylcholine Receptor. Biophys. J. 73, 2446–2455.
Addona, G., et al. (1998) Where Does Cholesterol Act During Activation of the Nicotinic Acetylcholine Receptor? Biochim. Biophys. Acta In Press.
Firestone, L. L., Miller, J. C., and Miller, K. W. (1986) Tables of Physical and Pharmacological Properties of Anesthetics, in Molecular and Cellular Mechanisms of Anesthetics (Roth, S. H. and Miller, K. W., eds.) Plenum, NY 455–470.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2003 Springer Science+Business Media New York
About this chapter
Cite this chapter
Sandberg, W.S., Miller, K.W. (2003). The Meyer-Overton Relationship and Its Exceptions. In: Antognini, J.F., Carstens, E., Raines, D.E. (eds) Neural Mechanisms of Anesthesia. Contemporary Clinical Neuroscience. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-322-4_22
Download citation
DOI: https://doi.org/10.1007/978-1-59259-322-4_22
Publisher Name: Humana Press, Totowa, NJ
Print ISBN: 978-1-61737-294-0
Online ISBN: 978-1-59259-322-4
eBook Packages: Springer Book Archive