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JOURNAL OF PHYSIOLOGY AND PHARMACOLOGY 2011, 62, 1, 119-124 www.jpp.krakow.pl D. TURINA1,3, K. BJORNSTROM1,3, T. SUNDQVIST2, C. EINTREI1,3 PROPOFOL ALTERS VESICULAR TRANSPORT IN RAT CORTICAL NEURONAL CULTURES 1 Department of Medical and Health Sciences, Division of Anaesthesiology, Linkoping University, Linkoping, Sweden; 2Department of Clinical and Experimental Medicine, Division of Medical Microbiology, Linkoping University, Linkoping, Sweden; 3Faculty of Health Sciences, Linkoping University, and the Anaesthetic Department, Linkoping University Hospital, Linkoping, Sweden Neuronal intracellular transport is performed by motor proteins, which deliver vesicles, organelles and proteins along cytoskeletal tracks inside the neuron. We have previously shown that the anesthetic propofol causes dose- and timedependent, reversible retraction of neuronal neurites. We hypothesize that propofol alters the vesicular transport of cortical neurons due to this neurite retraction. Primary cultures of co-cultivated rat cortical neurons and glial cells were exposed to either 2 µM propofol, control medium or the lipid vehicle, in time-response experiments. Reversibility was tested by washing propofol off the cells. The role of the GABAA receptor (GABAAR) was assessed with the GABAAR antagonist gabazine. Vesicles were tracked using differential interference contrast video microscopy. Propofol caused a retrograde movement in 83.4±5.2% (mean±S.E.M.) of vesicles, which accelerated over the observed time course (0.025±0.012 µm.s-1). In control medium, vesicles moved predominantly anterograde (84.6±11.1%) with lower velocity (0.011±0.004 µm.s-1). Cells exposed to the lipid vehicle showed the same dynamic characteristics as cells in control medium. The propofol-induced effect on vesicle transport was reversible and blocked by the GABAAR antagonist gabazine in low concentration. Our results show that propofol causes a reversible, accelerating vesicle movement toward the neuronal cell body that is mediated via synaptic GABAAR. We have previously reported that propofol initiates neurite retraction, and we propose that propofol causes vesicle movement by retrograde flow of cytoplasm from the narrowed neurite. K e y w o r d s : anesthetics intravenously, brain, cellular mechanisms, cerebral cortex, neurotransmission effects, pharmacology, propofol, theories of anesthetic action, vesicular transport INTRODUCTION Neurons are characterized by a complex transport mechanism that provides the cell periphery with organelles and macromolecular complexes and also return break-down products to the cell body. This transport is essential for communication, growth and survival of axons and dendrites (collectively referred to as neurites). Neuronal transport is driven by motor proteins, which move vesicles, organelles and macromolecular complexes bi-directionally along the neuron (1). Microtubules are cytoskeletal elements that the motor proteins use like trails for long-distance delivery of cellular cargos and actin filaments are used as trails for the local movement and positioning of organelles and vesicles (2). The motor protein kinesin drives transport in the anterograde direction (3, 4), whereas the motor protein dynein drives mainly retrograde transport (5, 6). Membranous organelles are the carrier structures for fast axonal transport at average velocities of 50-400 mm day-1 (~0.5-5 µm s-1) and, in contrast, the slow components of axonal transport consist of the movement of cytoskeletal and cytosolic proteins at average velocities of 0.3-8 mm day-1 (~0.004-0.09 µm s-1) (7). Synaptic cargo trafficking is essential for synapse formation, function and plasticity (8). General anesthetics preferentially affect synaptic transmission rather than axonal conduction (9) by agent-specific postsynaptic and/or presynaptic mechanisms (10- 12). The molecular mechanisms by which general anesthetics produce their effects are still being elucidated (13). Intracellular transport is essential for proper neuronal function and communication between neurons, and interaction of anesthetics with vesicle transport could be part of their cellular actions. We have previously demonstrated that propofol (a general anesthetic) causes a dose- and time-dependent retraction of cultured cortical neuronal neurites and this retraction is GABAAR mediated, reversible, and dependent on actin and myosin II. Retracted neurites leave a retraction bulb and a thin trailing remnant on the retracted path (14). The effects of propofol on neuronal vesicle transport have not been studied yet and to further elucidate the molecular mechanisms of anesthesia, the aim of this study was to investigate if the neural retraction caused by propofol alters vesicular transport and if the thin trailing remnant prevents vesicle transport to the neurite periphery. MATERIALS AND METHODS Reagents Reagents were purchased from the following sources: propofol in the commercially available solution Lipuro® (10 mg·mL-1) and its lipid vehicle as the commercially available 120 solution Vasolipid (20 mg·mL-1), (Braun, Melsungen, Germany); cell culture equipment (Sarstedt, Numbrecht, Germany); penicillin, streptomycin, glutamine and foetal calf serum (FCS) (Invitrogen, Paisley, UK); gabazine, basic chemicals and cell culture media (Sigma Chemical Co., St. Louis MO, USA). Cell culture The study was approved by the Ethics Committee for Animal Research at Linkoping University. Primary cultures of rat neurons were obtained essentially as described by Hansson & Rönnbäck (15). In short, newborn Sprauge-Dawley rats (Scanbur A/S, Stockholm, Sweden or Taconic Europe, Lilla Skensved, Denmark) were decapitated and the cortex dissected. The cortex tissue was sieved through a nylon mesh (80 µm) into Dulbecco's modified Eagle's medium (high glucose, 4500 mg·L-1) supplemented with glucose (30 mM), insulin (5 µg·mL-1), glutamine (2 mM), penicillin (50 U·mL-1), streptomycin (50 µg·mL-1), and 20% FCS. The cells were cultured on poly-L-lysine-coated 25 mm φ sterile cover-slips in Petri dishes at 37°C in a humidified atmosphere of 95% air and 5% CO2. After 24 hours, the FCS concentration of the medium was changed to 10% and maintained at that level for 6 days. 10 µM cytosine-1-β-D arabinofuranoside was added to fresh medium containing 10% FCS on the sixth day for 24 hours, to suppress glial cell growth. Thereafter, the cultures received new medium containing 5% FCS every second day. The cells were used during day 10-30, when the cultures comprised 7580% neurons (15). Video microscopy Before use, each cover slip was rinsed twice in a buffer- Ca2+containing medium (CCM)- composed of (mM) CaCl2 (1.1), NaCl (136), KCl (4.7), KH2PO4 (1.2), MgSO4 (1.2), CaCl2 (1.1), NaHCO3 (5.0), Hepes (20), EGTA (0.1), glucose (5.5); pH adjusted to 7.40 with NaOH (16). Cover slips with cell cultures were mounted in a closed bath imaging chamber and observed by light microscopy using a Zeiss Axiovert 135M (Gottingen, Germany) equipped with a 40x 1.3 numerical aperture (N.A.) oil immersion objective (Carl Zeiss, Microimaging GmbH, Gottingen, Germany). To obtain 37°C in the buffer covering the cells, they were placed in a heated stage. Differential interference contrast images of cells were captured and transformed into video images using a ProgRes C10plus CCD camera (Jenoptik, Jena, Germany) and a video image processor (Hammamatsu Photonics, Tokyo, Japan). Video images were displayed on a video monitor and stored on tape using a video recorder. We analyzed only superficial cells that grew on a glial cell layer. Final processing of all images was done using Adobe PhotoShop 6.0 (Adobe Systems, San Jose, CA, USA) and ImageJ (Rasband, W.S., ImageJ, U. S. National Institutes of Health, Bethesda, MD, USA, http://rsb.info.nih.gov/ij/, 1997-2005). Tracking and data quantification Time-lapse series were captured from video images and the interval between measurements was 1 min. The velocity of individual vesicles was determined using the Manual Tracking plug-in for ImageJ software. Vesicle movement was analyzed by tracking of clearly visible vesicles (not clustered) in cultured cortical neurone neurites before and during pharmacological manipulation. The distance between two consecutive frames or between the initial and the final tracking points was used to determine speed and average speed. The mean velocity for each vesicle is calculated and then the mean velocity for all tracked vesicles in one cell was used for further analysis. Anterograde vesicle movement in neurites was defined as vesicles moving toward the cell periphery, and retrograde movement as vesicles moving toward the cell body. Bi-directional vesicle movement was defined as equal number of movements in both directions. For each cell, the percentage of vesicles in each direction (anterograde, retrograde or bidirectional) was calculated. Cells were exposed to propofol, CCM or the lipid vehicle. The dynamics of vesicle movement were observed each min, starting with 5 min in CCM to determine normal vesicle movement. Thereafter either propofol (2 µM (propofol-group)), or CCM buffer (control group) was added, and the vesicles were followed for 10 min. Propofol was added 10 sec before time zero when images were captured. To observe reversibility, the medium containing propofol was removed after a 2 min exposure and replenished by CCM and the cells were observed for further 18 min. In the GABAAR blocking experiments, the cell culture was obtained from rats bred by Taconic Europe. The vesicles were studied after first 5 min in CCM, followed by gabazine (7 µM) for 5 min prior to a 10 min exposure of propofol (2 µM), (gabazine-propofol-group). The propofol group (P2) was treated as described above, and control cells were exposed to gabazine (7 µM) for a total of 15 min (gabazine-group). Statistical analysis All measurements obtained from a single neuron is defined as an experiment (n=1) and the neurons were obtained from six different rat litters. Overall significant differences between conditions were determined by analysis of variance for repeated measurements (ANOVA). Our decision to use ANOVA is due to multiple comparisons of time and treatment to avoid false significance. Post hoc analyses were performed using the Bonferroni's post hoc test for multiple comparisons. A p value of <0.05 was considered statistically significant. The values were expressed as the mean ± standard error of the mean (S.E.M.), since the measures are mean of means, then the calculated S.D. is actually the same as S.E.M. All statistical analyses and graphing were done using Prism 4.0 software (GraphPad Software, San Diego, USA). RESULTS Propofol causes retrograde vesicle movement A comparison of vesicle movement characteristics in propofol and control group (CCM) showed significant differences for percentage of anterograde and retrograde moving vesicles and average velocity. In cells only exposed to CCMbuffer, vesicles moved predominately (84.6±11.1% (mean ±S.E. M.), n=5, 46 vesicles) outward to the cell periphery (anterograde) for the studied time period, as compared to propofol-treated cells where 5.5±2.8% (n=8, 74 vesicles) moved anterograde (p<0.0001). After addition of 2 µM propofol, 83.4±5.2% (n=8, 74 vesicles) of vesicles changed direction and moved inwardly to the cell body (retrograde), vs. 11.2±8.3% vesicles in cells only exposed to CCM-buffer, (n=5, 46 vesicles; p<0.0001, Table 1). The vesicles exposed to propofol continued to move retrograde for 10 min (Fig. 1A and B). Bi-directional movement was seen in 11.1±5.6% of vesicles in propofol treated neurons, vs. 4.2±2.8% (n.s) in untreated cells. Propofol treatment initially decelerated the anterograde moving vesicles, then increased the average retrograde velocity of vesicles (0.025±0.012 µm.s-1, n=8, 74 vesicles). This was significant higher then in CCM-treated neurons (0.011±0.004 µm.s-1 n=5, 46 vesicles; p<0.01, Table 1)). The highest recorded velocity of a retrograde vesicle in the propofol group was 0.3 µm·s-1. There 121 Table 1. Propofol causes retrograde vesicular transport and increase vesicular velocity in neurons. Velocities and percentage of vesicles for each direction, in neurons treated with propofol (2 µM) or with calcium containing medium (CCM) (control group). Data based on n=8 cells, 74 vesicles tracked in the propofol group and n=5 cells, 46 vesicles tracked in the control group. For each cell, the percentage of vesicles moving in a certain direction was calculated. Values presented as mean ±S.E.M. Statistical analysis was done with 2-way ANOVA with Bonferroni post hoc correction, with individual p values as shown. n.s=non significant. + - ++, ! "#$ ! % &!&$'!( ! ")$ ! ) ()!%$""!" ! '&$ ! "' (#!)$&!' ! ""$ ! ) ""!'$(!# ! "*$ ! ' ""!"$&!% ! "#$ ! & )!'$'!( ! . ! " . ! " ! ! . ! " Fig. 1. Propofol induces retrograde vesicle movement and increase vesicular velocity in neurons. (A) A neuron in Ca2+-containing medium (CCM) is shown 5 minutes (time -5) before exposure to propofol in a differential interference contrast image, with the cell body to the left and a branched neurite stretching out to the right. Cortical cell cultures in CCM were observed for 5 min, then exposed to 2 µM propofol 10 seconds before time 0 and further observed for 10 min. Part of the neurite (within the inset box) is shown as time-lapse images to the left of the main image. The dynamics of vesicle transport is shown at time -5, -1, 0, 2, 4, 8 and 10 min (with their corresponding numbers in each image) after the start of application of propofol. Arrows indicate individual vesicles. Vesicles move anterograde (towards the right of the picture) between time -5 and -1, and change to retrograde direction (towards the left of the picture) immediately after propofol application at time 0, which continues throughout the experiment. Scale bar =10 µm. (B) Time-lapse data of the vesicular velocity obtained from the experiments described above, with data obtained each minute, from time -5 min to time 10 min, where propofol (2 µM) was added 10 seconds before time 0, as shown by the arrow. The propofol treated cells are shown with filled symbols. Cells only treated with CCM (control group, unfilled symbols) were observed for a total of 15 min. The mean velocity for each vesicle was calculated and then the mean velocity for all tracked vesicles in one cell at a given time-point was used for the analysis. At each time-point, the values are shown as mean, and because raw data are mean values of the vesicle velocity of each cell, the error bars show standard error of the mean (S.E.M.). Control cells in CCM continued to move anterograde at a steady velocity throughout the experiment (n=5, 46 vesicles tracked), whereas propofol-treated cells increased their velocity and changed to a retrograde direction (n=8,74 vesicles tracked). The horizontal line is drawn at zero velocity. The propofol-treated cells showed a significant difference in velocity compared to control cells (p<0.001 for the overall 2-way ANOVA), with significant (p<0.05) differences between groups seen from time 3 min. was no significant difference in the average anterograde or bidirectional velocity between the two groups. Intralipid-exposed neurites showed the same vesicle movement as vesicles in untreated cells (n=16, data not shown). after removing propofol from the cells (n=6, 45 vesicles; Fig. 2A and 2B). Propofol-induced retrograde vesicle movement is reversible To study if the changes in vesicular dynamics were mediated via the GABAA-receptor, the antagonist gabazine (7 µM) was added 5 min prior to exposure to propofol. When propofol was added after gabazine pretreatment, no retrograde vesicle movement was observed. The average vesicle velocity in gabazine-pretreated cells after propofol addition was 0.001±0.0005 µm·s-1, (n=6, 46 vesicles), compared to only propofol-treated cells where vesicles had an average velocity of -0.009±0.0009 µm·s-1 (n=6; 38 vesicles; p<0.001), i.e. a retrograde transport. Gabazine itself did not alter vesicle movement (0.002±0.0007 µm·s-1 (n=5, 39 vesicles, Fig. 3). To determine whether propofol-induced retrograde vesicle movement is reversible, we observed vesicle movements first for 5 min in untreated cells, during which vesicles moved at low anterograde velocity. After exposure to propofol (2 µM), vesicles first decelerated and then accelerated in retrograde direction, as described above. Propofol was washed off two min after the exposure and the cells replenished with CCM. Initially vesicles continued to move retrograde with the same velocity, decelerated after 9 min and began to move anterograde 12 min Gabazine inhibits propofol-induced retrograde vesicle movement 122 Fig. 2. The propofol-induced retrograde vesicle movement is reversible. (A) A neuron in Ca2+-containing medium (CCM) is shown 5 min (time -5) before exposure to propofol in a differential interference contrast image, with the cell body in the center. Part of the neurite pointing at 12 o'clock (within the inset box) is shown as time-lapse images to the below the main image. Cortical cell cultures in CCM were observed for 5 min, then exposed to 2 µM propofol 10 seconds before time 0. Propofol was washed away with CCM after 2 minutes. The dynamics of vesicle transport is shown at time -5, -1, 0, 2, 5, 10, 15 and 20 min (with their corresponding numbers in each image) after the start of application of propofol. Arrows indicate individual vesicles. Vesicles initially move anterograde, and retraction starts direct after propofol addition at time 0. Thereafter the vesicles retract up to 10 min when some of the vesicles have started to move anterograde again. At time 20 min, the majority of vesicles move anterograde. Scale bar =10 µm. (B) Time-lapse data of the vesicular velocity obtained from the experiments described above, with data obtained each minute, from time 5 min to time 20 min. Propofol (2 µM - filled squares) was added 10 seconds before time 0 (solid arrow) for 2 min and then washed off the cells with CCM (dashed arrow) and the cells assessed for further 18 min. The mean velocity for each vesicle was calculated and then the mean velocity for all tracked vesicles in one cell at a given time-point was used for the analysis. At each time-point, the values are shown as mean, and because raw data are mean values of the vesicle velocity of each cell, the error bars show standard error of the mean (S.E.M). The horizontal line is drawn at zero velocity. Propofol caused retrograde vesicle movement, and when propofol was washed off the cells after 2 min treatment, the vesicles initially continued to move retrograde with the same velocity. They decelerated at time 11 min, and began to move anterograde 12 min after removing propofol from the cells (at time 14 min). Data from n=6 neurons (45 vesicles tracked). Fig. 3. The GABAAreceptor antagonist gabazine inhibits propofol-induced retrograde vesicle movement. Time-lapse data of the vesicular velocity, with data obtained each minute, from time -5 min to time 15 min. Cell cultures obtained from Taconic rats were observed in CCM for 5 min and then incubated with 7 µM gabazine (dashed arrow) at time 0 for 5 min (gabazine (unfilled rings)) and gabazine+propofol group (solid triangle)). The gabazine+propofol group then received 2 µM propofol 10 sec before time 5 min (solid arrow). Cells were subsequently assessed for 10 min. The cells in the propofol group (P2, - filled squares) were first observed in CCM for 5 min (starting at time 0), and were then treated with 2 µM propofol at 10 seconds before time 5 min, and subsequently assessed for 10 min. The mean velocity for each vesicle was calculated and then the mean velocity for all tracked vesicles in one cell at a given time-point was used for the analysis. At each time-point, the values are shown as mean, and because raw data are mean values of the vesicle velocity of each cell, the error bars show standard error of the mean (S.E.M.). The horizontal line is drawn at zero velocity. Data based on n=8 cells, 46 vesicles tracked in the gabazine+propofol group, n=6 cells, 38 vesicles tracked in the propofol group and n=6 cells, 39 vesicles tracked in the gabazine group. Gabazine did not have any intrinsic effect on vesicular movement (no changes compared to baseline velocity in CCM only) and pre-treatment with gabazine reversed the effect of 2 µM propofol, causing the vesicles to continue their anterograde movement at low velocity (0.001±0.0005 µm·s-1 vs. retrograde movement at 0.009±0.0009 µm·s-1 for the P2 group); p<0.001 with 2 way ANOVA. 123 DISCUSSION We have studied propofol's effects on neurite vesicle transport in vitro using rat cortical mixed neuronal cultures. Live-cell imaging demonstrates distinct differences in the dynamics of vesicle movement between the propofol group and the control group. The concentration of propofol (2 µM) used in the cell cultures is within a clinically relevant range (17). Propofol causes loss of consciousness (LOC) in patients even at sub-micromolar concentrations (0.4 µM) and there is an excellent correlation between LOC and loss of the righting reflex (LORR) in animals (18). After fifteen min of intravenous infusion of propofol, the concentration of propofol in whole brain tissue was 8.5 times that in plasma in adult male SpragueDawley rats (19). This suggests that the propofol concentration that causes LOC would be 3.4 µM in brain tissue. We show that following propofol treatment, neurite vesicles move retrograde (Fig. 1), and as previously reported (14), the neurites retract. Vesicles in the control group move anterograde over the same time course with no retraction. The response to propofol is prompt and already ten seconds after the addition of propofol (time 0), the vesicles decelerate and start to move toward the cell body. The propofol-induced effect on vesicle transport is reversible and dependent on synaptic GABAAR, since transport is blocked by a low dose gabazine, a competitive GABAAR antagonist (20), (Fig. 3). A small proportion of cells showed bi-directional movement, but there was no significant difference between the propofol and the control-treated group. We also demonstrated that vesicles increase their retrograde velocity in neurons exposed to propofol. There was no difference in the anterograde and bi-directional velocity between the propofol and the control group. This shows that the increasing velocity is a direction-specific effect of propofol. The vesicles in our cell cultures moved at an average speed of 0.025 µm·s-1 that corresponds to the movement of cytoskeletal and cytosolic proteins as slow components of axonal transport. In our cultures we did not observe fast vesicular transport (>0.5 µm·s-1) (7) that is characteristic of the transport of membranous organelles. The highest recorded speed of retrograde moving vesicle was 0.3 µm·s-1. Our study is performed in vitro, which may not fully correlate with in vivo conditions. The cell culture consists of a mixture of 80% neurons and about 20% glia. For methodological reasons, in our live cell recordings we used only superficial cells with neurites that contained clearly visible, non-clustered vesicles, suitable for tracking, which may not fully represent the in vivo cellular organization. Mechanisms of pre-synaptic actions of general anesthetics are unclear but it is known that anesthetics have inhibitory effects on synaptic transmission (11). In addition to propofol's postsynaptic effects (21) on the GABAAR, it has been shown that propofol enhances presynaptic inhibitory synaptic transmission (12). In mice, propofol anesthesia is reversed by the GABAAR antagonist bicuculline (22), and gabazine antagonized the immobilizing effect of propofol in rats (23). At low concentrations (7 µM) gabazine abolishes synaptic currents (20). It was therefore used in this study over bicuculline to test whether it could block propofol mediated retrograde vesicle transport. As shown in Fig. 3, the propofol effect on vesicle transport was completely blocked by 7 µM gabazine. This suggests that the retrograde vesicle transport caused by propofol is mediated via synaptic GABAA receptors without affecting extrasynaptic GABAA receptors. We have previously shown that the propofol induced retraction of neurites is blocked by bicuculline (14). This demonstrates that in propofol's cell signaling, the GABAAR is involved both in regulation of neurite retraction and vesicle transport. Our results support a model of co-ordinated neurite retraction and regulation of vesicle transport caused by propofol. We have previously demonstrated that propofol mediates actin reorganization. This reorganization is calcium-dependent, reversible, GABAAR-mediated and concentration-dependent (24, 25). Propofol also causes tyrosine phosphorylation of actin in the cell membrane and cytoskeletal fraction (26), and increases the content of F-actin in the neurons (27). We have also shown that propofol causes a dose- and time-dependent, reversible retraction of neuronal neurites. The retracted neurites leave a thin trailing remnant and a retraction bulb (14). A natural occurring retraction is seen in hibernating squirrel's neurons. These neurons exhibit a dramatic form of plasticity during torpor, with dendritic arbors retracting as body temperature cools, and then re-growing rapidly as body temperature rises (28). The retraction caused by propofol in our model-system is dependent on the GABAAR, actin and myosin II (14). In this study, the propofol-induced effect on vesicle transport was reversible (Fig. 2). After washing propofol off the cells, vesicles continued to move retrograde, decelerated after 9 min, and began to move anterograde again 12 min after replacing propofol with CCM. The observed divergence in vesicular transport caused by propofol correlates well with the time frame of propofol induced neurite retraction (14). Both the neurite retraction and the retrograde vesicle transport are reversible, suggesting that the processes are based on disassembling and reassembling of cytoskeletal proteins. Together, these findings lead us to suggest a new model for the anesthetic mechanism of propofol. Neurite retraction is caused by the contractility of actin/myosin and reorganization of actin due to the actions of propofol via the GABAAR. This retraction initiates movement of the neurite cytoplasm towards the cell body, which thereby leads to retrograde vesicle movement. Such a mechanism can explain the time-course to restore vesicle transport direction, since the restoration occurs between 10 and 20 min after propofol replacement and correlates well with recovery after propofolinduced neurite retraction (14). We cannot distinguish between GABAergic and glutaminergic neurons in our model system, but most neurons have GABAAR. Therefore our proposed cellular signal model is plausible for both excitatory and inhibitory neurons. Considering two possible mechanisms whereby propofol can interact with neuronal transport, (I) active vesicle transport driven by molecular motors, or (II) passive movement of the neurite cytoplasm towards the cell body, which drives passive retrograde vesicle transport; our studies support the second mechanism. In conclusion, we have demonstrated that in rat brain cortical mixed cultures, propofol caused a rapid change in direction of vesicle movement from anterograde to retrograde, and increased their velocity. This alteration of vesicle transport was reversible and blocked by the GABAAR antagonist gabazine. Based on findings in our previous work, we propose that this is due to the narrowing of the neurite caused by propofol, where propofol increases the contractility of myosin via the GABAAR, induces a reorganization of actin causing neurite retraction, and initiates movement of the neurite cytoplasm towards the cell body. 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Oscarsson A, Juhas M, Sjolander A, Eintrei C. The effect of propofol on actin, ERK-1/2 and GABAA receptor content in neurones. Acta Anaesthesiol Scand 2007; 51: 1184-1189. 28. von der Ohe CG, Darian-Smith C, Garner CC, Heller HC. Ubiquitous and temperature-dependent neural plasticity in hibernators. J Neurosci 2006; 26: 10590-10598. R e c e i v e d : November 22, 2010 A c c e p t e d : February 28, 2011 Author's address: Prof. Karin Björnström, Department of Medical and Health Sciences, Division of Anaesthesiology, Faculty of Health Sciences, Linköping University, 58185 Linköping, Sweden; Phone + 46 10 103 0000; Fax +46 10 103 2836; E-mail: [email protected]