Modulation of chemical signalling: Current problems after four decades of research Symposium 5-HT3 receptors and emesis Martin Barann1,2, Michael Bruess2, Marion Brinkmann1, Isabelle Linden1, Mina Lyutenska1, Marc Schneider1, Jan Walkembach1, Maria Wittmann1 Clinics of Anaesthesiology and Operative Intensive Care, University of Bonn, Sigmund-Freud-Str. 25, D-53105 Bonn, Germany; Institute of Pharmacology and Toxicology, University of Bonn, Reuterstr. 2b, D-53113 Bonn, Germany; e-mail:
[email protected] Nausea and vomiting. Nausea and vomiting is a ma- mechanisms. In recent studies, the molecular mecha- jor problem which occurs during and after the treat- nisms of (anti)emetic drugs at this receptor have been ment with certain drugs like anesthetics, opioid- studied [Barann, et al., Naunyn Schmiedebergs Arch analgesics or cytostatics. Postoperative nausea and Pharmacol, 2000; Barann et al., Neuropharmacology, vomiting (PONV) is called the “big” little problem. 2000; Barann et al., Br J Pharmacol, 2002; Walkem- As a consequence, the choice of the anesthetic drug(s) bach et al., Br J Pharmacol, 2005; Barann et al., Eur J plays a role in preventing PONV [Apfel et al., Anes- Pharamacol, 2006]. For this purpose, excised thesiology, 1999; Eberhart et al., Eur J Anaesthesiol, outside-out patches of HEK293 cells, stably trans- via 1999]. Nausea and vomiting can be mediated pe- fected with the human 5-HT3A receptor cDNA were ripheral and/or central nervous pathways. Within the formed (voltage-clamp mode) and fast solution exchange peripheral nervous system, vagal afferents, which are systems were used. In addition, radioligand binding stud- stimulated by 5-HT released from enterochromaffin ies and [3H]5-HT uptake measurements (study of the cells, are of importance.