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Meeting Abstracts  |   September 2006
Tail Clamp Responses in Stomatin Knockout Mice Compared with Mobility Assays in Caenorhabditis elegans  during Exposure to Diethyl Ether, Halothane, and Isoflurane
Author Affiliations & Notes
  • Margaret M. Sedensky, M.D.
    *
  • Melissa A. Pujazon, M.D.
  • Phil G. Morgan, M.D.
  • * Professor, Departments of Anesthesiology and Genetics, ‡ Professor, Departments of Anesthesiology, Genetics, and Pharmacology, University Hospitals of Cleveland and Case School of Medicine, Cleveland, Ohio. † Resident, Department of Anesthesiology, University Hospitals of Cleveland, Cleveland, Ohio. Current position: Cleveland Clinic Foundation, Department of Pediatrics, Cleveland, Ohio.
Article Information
Meeting Abstracts   |   September 2006
Tail Clamp Responses in Stomatin Knockout Mice Compared with Mobility Assays in Caenorhabditis elegans  during Exposure to Diethyl Ether, Halothane, and Isoflurane
Anesthesiology 9 2006, Vol.105, 498-502. doi:
Anesthesiology 9 2006, Vol.105, 498-502. doi:
THE nematode Caenorhabditis elegans  can potentially serve as an excellent model organism for understanding fundamental cellular processes that are operative in mammalian cells.1,2 However, its usefulness as a model for unraveling the mechanism of action of volatile anesthetics in mammals has been questioned.3,4 This uncertainty has been primarily the result of two points. First, the dose required to immobilize C. elegans  is severalfold higher than that required for the minimum alveolar concentration (MAC) in mammals.5 Second, it is unclear whether even similar anesthetic endpoints in different organisms are caused by effects on similar physiologic functions. As a result, it would be useful to determine whether mutations in genes othologous to those that alter anesthetic sensitivity in nematodes also affect sensitivity in mammals.
We have previously reported a potential parallel between findings in C. elegans  and anesthetic sensitivity in human children.6,7 This previous report focused on the effects of mitochondrial dysfunction on anesthetic sensitivity. A second group of several genes, which does not obviously involve mitochondrial function, also controls anesthetic sensitivity in C. elegans  .5,8,9 One member of this group, the gene unc-1  , strongly affects the behavior of the nematode in volatile anesthetics. Loss of function mutations in unc-1  specifically increase sensitivity to diethyl ether, whereas gain of function mutations in the same gene increase sensitivity to a wide variety of volatile anesthetics.9 unc-1  encodes the nematode homolog of the protein stomatin. Antibody staining and mutant rescue with florescent fusion proteins have shown that unc-1  is primarily expressed in the nervous system of C. elegans  and localizes to microdomains called lipid rafts within the cell membrane.9–11 In mammals, stomatins are expressed in multiple tissues, including the nervous system; their function in neuronal tissue is under active investigation.12,13 There are multiple homologs of stomatin in both mouse (5) and C. elegans  (10).
In mice, stomatin is expressed in the sensory neurons of the dorsal root ganglion.14 Fricke et al.  15 have also shown that stomatin is expressed in the trigeminal neurons of rats. Stewart et al.  16 have shown that patients with stomatin deficiencies have severe neurologic deficits. Other stomatin-like proteins have been shown to be expressed in the mouse brain. These proteins are most closely similar to another stomatin-like protein in nematodes, UNC-24. Mutations in both unc-1  and unc-24  genes cause specific increases in sensitivity to diethyl ether. We have shown that in animals with unc-24  mutations, the UNC-1 protein does not leave the perinuclear area of neurons. Under normal conditions, UNC-1 is found in a punctuate pattern in the cell membrane and expressed only in the nervous system and the four vulva muscles.10 
Recently, a mouse strain was created in which the stomatin  gene is knocked out.17 This animal provides the opportunity to rigorously assess whether anesthetic sensitivity is altered in a mammal by a specific molecular defect uncovered in the nematode. It also allows us to determine whether anesthetic immobility in the nematode correlates with a well-accepted anesthetic endpoint in mammals. Using the tail clamp assay, we have measured the anesthetic sensitivity of mice in which the mouse stomatin  has been eliminated. We find that the behavior of this animal is exactly analogous to that seen in nematodes, using immobility as an endpoint.
Materials and Methods
Mouse Stomatin Knockout
All studies with mice were approved by the Institutional Animal Care and Use Committee at the Case School of Medicine (Cleveland, Ohio). Narla Mohandas, Ph.D. (New York Blood Center, New York, New York), provided the stomatin knockout mice. The strain contains a 637–base pair deletion of the stomatin  gene (also known as the 7.2b gene, SwissProt P54116) including the promoter and part of the first exon. The isolation of the strain is described in Zhu et al.  17 The knockout strain was rederived at our institution by isolating embryos and crossing the mutation into a 129/J background. All measurements in mice were performed in the knockout strain and in the background strain from which it had been isolated. A small piece of tissue was isolated from the tail of each mouse 3–4 weeks before the anesthetic exposure. DNA was isolated from the tissue and tested for the presence or absence of the mutation using polymerase chain reaction as described.17 
Nematode Techniques
Immobility was used as the anesthetic endpoint. The techniques for determining the anesthetic sensitivity in C. elegans  have been previously published.5,8 The conventions for C. elegans  nomenclature are followed throughout.18–20 Standard techniques were used for growing and maintaining cultures of C. elegans  .19 
The unc-1  allele fc53  was isolated in our laboratory after mutagenesis of N2 with ethylmethanesulfonate.10,21 The canonical allele of unc-1(e580)  was obtained from the Caenorhabditis  Genetics Center (Minneapolis, Minnesota). The UNC-1 protein (285 amino acids, SwissProt Q21190, X chromosome) has 285 amino acids and is 52% identical and 87% similar to the mouse stomatin (284 amino acids, SwissProt P54116, chromosome 2). The e580  mutation results in a missense mutation leading to an amino acid substitution (E188V). The fc53  mutation is a 13-bp deletion in exon 4 of the unc-1  gene which results in a truncated message and no discernible protein on Western blots. Of the stomatin-like proteins in the mouse, stomatin is the most closely related to the nematode stomatin UNC-1.
Anesthetic Exposure
Mice were anesthetized similar to the method described by Sonner et al.  22 and by Quasha et al.  23 In brief, spontaneously breathing animals were exposed to a volatile anesthetic under conditions in which the rectal temperature was maintained at 37°C. Mice were placed in semiclosed chambers with an entrance port and exhaust port for anesthetic gases and a small opening for the tail of the mouse. The mice were then exposed to continuous flows of diethyl ether, halothane, or isoflurane in humidified air. Mice were not restrained other than their tails were held in place through an opening in the chamber by a small piece of tape adhering to the tail. Clamping of the tail was done first at the most distal part of the tail and then moved proximal for subsequent measurements. Anesthetic concentration was increased stepwise by 0.2% after equilibration times as described previously.22,23 After approximate doses were established for each anesthetic, concentrations were changed by 0.1% during each change. Each animal was exposed to volatile anesthetics only once. Anesthetics were studied in groups, i.e.  , studies with halothane were performed first, followed by isoflurane and finally diethyl ether. Anesthetic concentrations were determined by sampling gases at the exhaust port with a glass syringe and determining concentrations by gas chromatography. Because the animals were not intubated, end-tidal concentrations were not determined.
Using lack of response to tail clamp as an endpoint, we determined the EC50s for the knockout strain compared with the nonmutated parental strain. To demonstrate this magnitude of difference, we studied 20–30 mice of both mutant and wild-type phenotype (20 for halothane and isoflurane, 30 for diethyl ether). Loss of response to a standard tail clamp was used as the anesthetic endpoint. Anesthetic sensitivities were determined for halothane (Halocarbon Laboratories, River Edge, NJ), isoflurane (Baxter Pharmaceutical Products, Liberty Corner, NJ), and diethyl ether (Sigma Chemicals, St. Louis, MO). All animals were between 6 and 10 weeks of age. Equal numbers of both sexes were included in the data after we determined that there were no sex-specific differences to anesthetic sensitivity in these animals. Animal weights were not recorded.
EC50s were determined in nematodes as described in detail previously. Briefly, the response of populations of nematodes was measured at multiple anesthetic concentrations. The percent of animals immobilized at each dose was compared with the anesthetic concentration to generate dose–response curves using the quantal data. EC50s for nematodes were determined as described by Waud.24 Anesthetic concentrations necessary for mouse MACs were determined by bracketing as previously described.22,23 The concentration midway between the highest dose at which animals moved and the lowest dose at which they did not move in response to tail clamping was taken as the MAC for each individual animal. The average of the individual values was used as the MAC for the population.
Statistical Analysis
Dose–response curves for nematodes were constructed as previously described.5,8 EC50s and SDs were determined by the method of Waud.21 For each organism, because multiple anesthetics were tested, a Bonferroni correction was applied (for n = 3) to test for significance. This decreased the acceptable P  value for significance to 0.05/3 or 0.016. For each anesthetic, percentage difference in EC50s from those of wild type were compared for four measurements (wild-type mouse and nematode, mutant mouse and nematode) using analysis of variance. Significance was defined as P  < 0.05.
Results
The stomatin deletion strain of C. elegans  (unc-1(fc53)  ) has an uncoordinated motion described as a kinker. The animals are capable of moving well in backward motion; however, in forward motion, the animals often assume “kinked” positions and are unable to move forward effectively. No other locomotion abnormalities have been noted. The stomatin knockout strain of the mouse has no obvious phenotypic abnormalities; in particular, motion seems normal.
Data regarding the EC50s of different strains of C. elegans  have previously been published.5,8 We obtained data for two different alleles of unc-1  animals again in the same time period in which the mouse data were being collected, in a manner previously described.5 These are the data that are reported in the table and agree with our previous report. As was previously reported, both alleles of unc-1  caused little to no change in sensitivity to halothane or isoflurane when compared with the wild-type nematode, N2. However, a 15% increase in sensitivity to diethyl ether was noted in both alleles (table 1).
Table 1. EC50s of Wild-type and Mutant Strains of Nematodes and Mice for Three Anesthetics 
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Table 1. EC50s of Wild-type and Mutant Strains of Nematodes and Mice for Three Anesthetics 
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The wild-type mouse strain showed EC50s for halothane and isoflurane similar to those reported by Sonner et al.  .22 The EC50for diethyl ether for this strain has not been reported previously. Overt behavioral or anatomical defects in the stomatin  strain of mice were not appreciated by any observers in our laboratory, nor were any defects reported in the previous description of this strain.17 They displayed an EC50for halothane of 1.23 ± 0.1% compared with 1.29 ± 0.09% for the wild type (table 1). The difference was not significant. The stomatin  strain had an EC50for isoflurane of 0.85 ± 0.06% compared with 0.88 ± 0.1% for the wild type (table 1). The difference was not significant. The stomatin  strain had an EC50for diethyl ether of 1.67 ± 0.09% compared with 1.95 ± 0.08% for the wild type (n = 30 for both strains; table 1). The difference was significant at the 0.01 level.
Comparison of differences between mutant and wild-type animals for both mice and nematodes are shown in figure 1. Similar to the nematode, stomatin  mice were approximately 14% more sensitive to diethyl ether than were wild-type animals. There were no differences in sensitivity to halothane or isoflurane between wild-type and stomatin  mice.
Fig. 1. Percent changes in EC50s compared with the wild-type strain in the mouse and  Caenorhabditis elegans  . The  zero line  refers to the EC50for the wild type, and the  bar graphs  give the percent change of the mutant animals. A negative change indicates a decrease in EC50(an increase in sensitivity). Conversely, a positive change indicates an increase in EC50(a decrease in sensitivity). Note that the pattern of change is similar for mouse and nematode. * Significant difference from the value for the respective wild type animal  , P  < 0.05. Analysis of variance was used to evaluate the differences for multiple measurements. VA = volatile anesthetic. 
Fig. 1. Percent changes in EC50s compared with the wild-type strain in the mouse and  Caenorhabditis elegans  . The  zero line  refers to the EC50for the wild type, and the  bar graphs  give the percent change of the mutant animals. A negative change indicates a decrease in EC50(an increase in sensitivity). Conversely, a positive change indicates an increase in EC50(a decrease in sensitivity). Note that the pattern of change is similar for mouse and nematode. * Significant difference from the value for the respective wild type animal 
	, P  < 0.05. Analysis of variance was used to evaluate the differences for multiple measurements. VA = volatile anesthetic. 
Fig. 1. Percent changes in EC50s compared with the wild-type strain in the mouse and  Caenorhabditis elegans  . The  zero line  refers to the EC50for the wild type, and the  bar graphs  give the percent change of the mutant animals. A negative change indicates a decrease in EC50(an increase in sensitivity). Conversely, a positive change indicates an increase in EC50(a decrease in sensitivity). Note that the pattern of change is similar for mouse and nematode. * Significant difference from the value for the respective wild type animal  , P  < 0.05. Analysis of variance was used to evaluate the differences for multiple measurements. VA = volatile anesthetic. 
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Discussion
In a manner exactly analogous to the worm model that prompted this study, knockout of a neuronal stomatin in mice causes the animal to be specifically hypersensitive to the volatile anesthetic diethyl ether. Loss of this gene does not change the sensitivity of the animal to halothane or isoflurane and thus cannot represent a general decrease in nociception or mechanosensation. The ability to correlate a finding in nematodes to the behavior of a mouse in volatile anesthetics is striking and lends strength to the use of C. elegans  as a model system for the action of anesthetics in mammals. In addition, these findings indicate that immobility in the nematode is predictive of an accepted anesthetic endpoint in the mouse, i.e.  , response to tail clamp.22 
Our findings do not indicate that stomatin represents a unique target for volatile anesthetics. In particular, only sensitivity to diethyl ether is affected by a loss of function mutation in the stomatin genes studied. However, in nematodes, other alleles of unc-1  affect sensitivity to all volatile anesthetics studied.9 In addition, in the presence of other mutations that alter anesthetic sensitivity, loss of function alleles of unc-1  affect sensitivity to multiple anesthetics.8 Therefore, stomatin seems to play a role in a physiologic process affected by volatile anesthetics. What is most important is that mutations in stomatin are capable of altering anesthetic sensitivity across phylogenetic boundaries. This finding lends strength to the use of the nematode as a useful model for anesthetic action in mammals.
Stomatins are integral membrane proteins that are thought to direct trafficking of membrane components and lipid rafts25,26 as well as to physically interact with ion channels.12,27,28 unc-1  encodes a stomatin that is widely expressed in the nervous system of the nematode at all stages of development.10 The alleles whose anesthetic sensitivities are reported here are null alleles, i.e.  , little to no functional UNC-1 protein is made in this animal.10 unc-1  was the first uncoordinated mutant mapped in the nematode; loss of function alleles confer a striking “kinked” motion in room air.18 The predicted protein in worms is 87% similar to the protein that is encoded by the mouse gene that we studied (see also Materials and Methods). Stomatins are also widely expressed in mammalian neurons. For example, it has been shown that stomatin is expressed in all neurons within the mouse dorsal root ganglion,14 in the rat trigeminal neurons, and in whisker follicles.15 
The precise mechanisms by which stomatin mutations alter anesthetic sensitivity remain unclear. Work in nematodes as well as in other systems reveal an important interaction of stomatins with receptor ion channels known variably as degenerins/epithelial sodium channels (DEG/ENaCs) and acid-sensing ion channels.9,12,27–29 This superfamily of receptor channels has been implicated in modulating nociception and mechanosensation in peripheral tissues, as well as playing a role in learning and synaptic plasticity in the central nervous system (for a review, see Waud24). In nematodes, a stomatin-like protein, MEC-2, has been well characterized in its interaction with ENaCs in the mediation of mechanosensation.28 (In C. elegans  terminology, genes affecting mechanosensation are termed mec  genes; their protein products are termed MECs.) Electrophysiologic studies from the same group showed that the stomatin-like protein MEC-2 strongly affected the function of the MEC-4/MEC-10 ENaCs.
UNC-1 also interacts with a member of the DEG/ENaC superfamily, UNC-8, to control both anesthetic sensitivity and motion in air.9 UNC-8 is known as a degenerin; mutations in unc-8  lead to a specific pattern of degeneration in select motorneurons.29 unc-8  animals have their own profile of anesthetic response that is allele specific; however, the gain of function alleles have the same specific increase in sensitivity to diethyl ether as do loss of function alleles of unc-1  . Both UNC-1 and UNC-8 have been shown to localize to lipid raft microdomains in the cell membrane and to coimmunoprecipitate with each other.27 However, the precise nature of the interaction of these proteins remains unknown. We showed that a subset of the DEG/ENaC class of channels is sensitive to volatile anesthetics and that different mutations affecting these channels are therefore capable of causing specific changes in sensitivity.9 Alternatively, these channels may affect other downstream molecules, which are themselves anesthetic targets. The latter model is more fitting with the involvement of unc-1  and unc-8  as suppressors of multiple other mutations altering anesthetic sensitivity.8,9 
Stomatins are known to interact with DEG/ENaCs in mammals and mammalian cell lines. Stomatin colocalizes with α-, β-, and γ-ENaC subunits in the trigeminal ganglion and in mechanoreceptive nerve terminals in whisker follicles of the rat.15 The interaction of the two proteins is postulated to be important in transducing mammalian mechanosensation. Stomatins also interact with acid-sensing ion channels, channels important for both mechanoreception as well as nociception. Stomatins colocalize and coimmunoprecipitate with acid sensing ion channels when heterologously expressed in COS-7 cells. Stomatin altered the function of acid-sensing ion channel gating when expressed in Chinese hamster ovary cells.12 
The similarity of the interaction of mammalian stomatin with DEG/ENaCs compared with that of nematode proteins MEC-2/MEC-4/MEC-10 has strengthened the conclusion that stomatins are important proteins that mediate mechanosensation in mammals. However, until this study, no one has investigated whether stomatin is important in controlling anesthetic sensitivity in the mouse. This study shows a near-identical behavior in mouse and nematode knockouts of neuronal stomatin. Whether this occurs through a direct interaction of anesthetics with stomatin, through the effects of stomatin on DEG/ENaCs, or through an effect of volatile anesthetics on a protein complex that includes these molecules is not known. It is important to be cognizant of the differences between nematodes and mammals. Although deficiencies in stomatin lead to similar changes in anesthetic sensitivities in these two animals, it remains possible that the molecular causes of these changes may differ greatly. It is possible that stomatin interacts with widely different targets in the two organisms to cause these changes, for example. It is also important to note that compensatory changes are often seen in mouse knockout models, although seen less often in nematodes. As a result, changes in the expression of other genes may actually underlie the alterations in anesthetic responses. However, the results lend plausibility to the use of immobility in C. elegans  as a model for MAC in mammals and indicate that findings in invertebrate model systems are likely to be of use in understanding physiologic mechanisms of anesthetic action in mammals.
The authors thank Qiao-yun Jiang, Ph.D. (Research Assistant, Department of Anesthesiology, Case School of Medicine, Cleveland, Ohio), for her excellent technical assistance in the care of the mouse strains and for her assistance in performing the dose–response curves. They also thank Daniel Sun-Woo and David Corn (Undergraduate Students, Case Western Reserve University, Cleveland, Ohio) for their efforts with anesthetizing the mice.
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Fig. 1. Percent changes in EC50s compared with the wild-type strain in the mouse and  Caenorhabditis elegans  . The  zero line  refers to the EC50for the wild type, and the  bar graphs  give the percent change of the mutant animals. A negative change indicates a decrease in EC50(an increase in sensitivity). Conversely, a positive change indicates an increase in EC50(a decrease in sensitivity). Note that the pattern of change is similar for mouse and nematode. * Significant difference from the value for the respective wild type animal  , P  < 0.05. Analysis of variance was used to evaluate the differences for multiple measurements. VA = volatile anesthetic. 
Fig. 1. Percent changes in EC50s compared with the wild-type strain in the mouse and  Caenorhabditis elegans  . The  zero line  refers to the EC50for the wild type, and the  bar graphs  give the percent change of the mutant animals. A negative change indicates a decrease in EC50(an increase in sensitivity). Conversely, a positive change indicates an increase in EC50(a decrease in sensitivity). Note that the pattern of change is similar for mouse and nematode. * Significant difference from the value for the respective wild type animal 
	, P  < 0.05. Analysis of variance was used to evaluate the differences for multiple measurements. VA = volatile anesthetic. 
Fig. 1. Percent changes in EC50s compared with the wild-type strain in the mouse and  Caenorhabditis elegans  . The  zero line  refers to the EC50for the wild type, and the  bar graphs  give the percent change of the mutant animals. A negative change indicates a decrease in EC50(an increase in sensitivity). Conversely, a positive change indicates an increase in EC50(a decrease in sensitivity). Note that the pattern of change is similar for mouse and nematode. * Significant difference from the value for the respective wild type animal  , P  < 0.05. Analysis of variance was used to evaluate the differences for multiple measurements. VA = volatile anesthetic. 
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Table 1. EC50s of Wild-type and Mutant Strains of Nematodes and Mice for Three Anesthetics 
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Table 1. EC50s of Wild-type and Mutant Strains of Nematodes and Mice for Three Anesthetics 
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