James P. Dilger, Ph.D.


Lab People
Collaborators
Publications
updated: 01/10/2013
Anesthetic Mechanisms
Ion Channels
Competitive Antagonism



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IV Curve Tutorial
Science Debate 2008
What is a five o-clock patch?






Professor
Departments of Anesthesiology and
Physiology & Biophysics
University at Stony Brook
School of Medicine
Stony Brook, New York 11794-8480
phone: 631-444-3458
fax: 631-444-2907
e-mail: James.Dilger@stonybrook.edu


 
Public
Service
Announcements

Internet hoax information
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Lab Personnel

Ms. Kathrin Groeneveld, Doctoral Student (Bonn)
 
 
Mr. Michael Gurevich, Undergraduate Student

Ms. Gloria Zheng, Ward Melville High School

Ms. Noshin Khan, High School
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Former Lab Members
Dr. Man
Liu, Postdoctoral Associate Emerita
Ms. Yuson Chong, Technician Emerita
Ms. Claire Mettewie, Technician Emerita
Ms. Ana Maria Vidal, Technician Emerita
ppl


Lab News!

January 2013 - Gloria Zheng named semi-finalist in INTEL Science Talent Search Competition

June 2012 - Gloria Zheng accepted as a Simons Summer Research Program Fellow

June 2011 - Nidhi Mann accepted as a Simons Summer Research Program Fellow

January 2011 - Sarah Toledano named semi-finalist in INTEL Science Talent Search Competition

January 2010 - Georgios Mourdoukoutas named semi-finalist in INTEL Science Talent Search Competition

January 2009 - Michael Gurevich named semi-finalist in INTEL Science Talent Search Competition

June 2008 -  Deeptankar (Deep) Demazumder accepted to John's Hopkins clinical cardiology training program

June 2008 - Amy Varghese accepted as a Simons Summer Reseearch Program Fellow

January 2008 - Mandy Liu moves to University of Illinois, Chicago

August 2007 - Yuson Chong steps down to begin NYU Nursing School

May 25, 2006 - Lab awards at Departmental Research Evening:

High School/Undergraduate First Place: James Smithy
High School/Undergraduate Honorable Mention: Bonnie Lam and Lana Castor
Postdoc/Resident First Place: Mandy Liu

March 10, 2006 - Claire Mettewie retires after 21 outstanding years

March 8, 2006 - Bonnie Lam and Lana Castor advance to LISEF finals

October 31, 2005 - Bonnie Lam and Lana Castor named as Siemens Westinghouse Competition Middle States Regional Finalists

October 21, 2005 - Bonnie Lam and Lana Castor named as Siemens Westinghouse Competition semifinalists

October 18, 2005 - Yuson Chong joins the group as a Research Support Specialist

August 18, 2005 - Ana Maria Vidal retires after 16 outstanding years

 Collaborators at the University of Bonn

Bernd W. Urban
Martin Barann
Ingobert Wenningmann


Molecular Mechanisms of General Anesthesia

My research concerns the mechanisms by which general anesthetics affect cells in the central nervous system. Despite decades of study, the mechanisms by which general anesthetics produce unconsciousness are unknown. Because ion channels mediate communication within and between cells, they are considered to be likely "targets" of anesthetics. We use patch clamp electrophysiological techniques to record the currents flowing through ion channels in vitro in the presence and absence of anesthetics. We also use a method for rapid (less than 1 millisecond) drug application. The strategy is to construct kinetic models of synaptic ion channels such as the nicotinic acetylcholine (ACh) receptor-channel and the gamma-amino butyric acid (GABAA)-receptor channel and then to determine whether simple modifications of these models can be used to understand channel behavior in the presence of anesthetics. The central, long-term goal is to discriminate among competing theories of anesthetic action.

High time-resolution records showing inhibition of acetylcholine (ACh)-activated currents by 100 µM pentobarbital (PB).

The trace labeled "Control" was obtained by applying ACh in the absence of PB.
The trace labeled "Equilibrium" was obtained when both normal (ACh-free) and test (ACh-containing) solutions contained 100 µM PB.
The trace labeled "Onset" was obtained when only the test solution contained PB.

The close similarity between the "equilibrium" and "onset" traces indicates that PB does not interact strongly with closed channels. 300 µM ACh, -50 mV, outside-out patch from BC3H-1 cell.

From Dilger et al, 1997.



Ion Channels: Permeation and Kinetics

The activation of ligand-gated ion channels at a neuronal synapse can be mimickedin vitro by rapidly applying the ligand to a cell or patch and recording the current. We use a rapid perfusion system that can apply a substance to an outside-out patch within 0.1 ms.

superposition and histogram

 The traces on the left side of the figure were obtained by perfusing 100 µM acetylcholine (ACh) onto a patch containing 7 ACh receptor channels. Channel openings are downward transitions at this potential of -100 mV. The black and red traces are 2 single sweeps; the gray dots show currents from 38 other sweeps. The blue trace is the ensemble average of the 40 sweeps.

The rectangular steps seen in the black and red traces arise from the random opening and closing of single ion channels. There is a great variation in the duration of the channel currents (rectangle width) but the amplitude of the currents (rectangle height) is quite uniform - giving rise to bands of points at uniformly spaced levels of current.

The right side of the figure is an amplitude histogram turned on its side (red dots) turned on its side generated from the 40 sweeps. The uppermost peak corresponds to the baseline current. The other peaks correspond to 1, 2, ... and 7 open channels. The histogram was fit to an 8 peaked gaussian function (blue line).

The ensemble average current (blue trace) exhibits a rapid rising phase (0.2 ms), a slow decay due to desensitization (30 ms) and a faster decay due to the closing of channels after removal of ACh (5 ms).

We also calculated the ensemble variance of the 40 sweeps.  A plot of the variance vs the average (blue diamonds) reveals information about the time-dependence of channel open proabability. Time proceeds clockwise around the curve. At the peak current (negative currents), the variance is relatively low. As the channels desensitize (current decreases towards zero), the variance initially rises and then falls. The point at which the variance is maximal corresponds to an open channel probability of 50%.

The red curve is a binomial function that should describe the data if there are 7, identical, non-interacting channels with a single channel current of -3.8 pA.

variance vs mean


Competitive Antagonism


Selected Publications

Y. Liu and J.P. Dilger.
Opening rate of acetylcholine receptor channels.
Biophysical Journal 60: 424-432, 1991. [abstract]

J.P. Dilger and Y. Liu.
Desensitization of acetylcholine receptors in BC3H-1 cells.
Pflügers Archiv 420: 479-485, 1992. [abstract]

Y. Liu, J.P. Dilger.
Decamethonium is a partial agonist at the nicotinic acetylcholine receptor channel.
Synapse 13: 57-62, 1993. [abstract]

J.P Dilger, R.S. Brett and L. A. Lesko.
Effects of isoflurane on acetylcholine receptor channels: 1. Single-channel currents.
Molecular Pharmacology41:127-133, 1992. [abstract]

Y. Liu and J.P. Dilger.
Application of the one- and two-dimensional Ising models to studies of cooperativity between ion channels.
Biophysical Journal 64: 26-35, 1993. [abstract]

J.P Dilger, R.S. Brett and H.I. Mody.
The effects of isoflurane on acetylcholine receptor channels: 2. Currents elicited by rapid perfusion of acetylcholine.
Molecular Pharmacology44:1056-1063, 1993. [abstract]

J.P. Dilger, A.M. Vidal, H.I. Mody and Y. Liu.
Evidence for direct actions of general anesthetics on an ion channel protein: A new look at a unified mechanism of action.
Anesthesiology 81: 431-442, 1994. [abstract]

Y. Liu, J.P. Dilger and A.M. Vidal.
Effects of alcohols and volatile anesthetics on the activation of nicotinic acetylcholine receptor channels.
Molecular Pharmacology 45: 1235-1241, 1994. [abstract]

J.P. Dilger and A.M. Vidal.
Cooperative interactions between general anesthetics and QX-222 within the pore of the ACh receptor ion channel.
Molecular Pharmacology 46: 169-175, 1994. [abstract]

J.P. Dilger, Y. Liu and A.M. Vidal.
Interactions of general anaesthetics with single acetylcholine receptor channels.
European Journal of Anaesthesiology 12: 31-39, 1995. [abstract]

J.P. Dilger, R. Boguslavsky, M. Barann, T. Katz and A.M. Vidal.
Mechanisms of barbiturate inhibition of acetylcholine receptor channels.
Journal of General Physiology 109:401-414, 1997. [abstract]

G.R. Manecke, J.P. Dilger, L.J. Kutner and P.J. Poppers.
Auscultation revisited: The waveform and spectral characteristics of breath sounds during general anesthesia.
International Journal of Clinical Monitoring and Computing 14:231-240, 1997. [abstract]

M. Barann, I. Wenningmann and J.P. Dilger.
Interactions of general anesthetics within the pore of an ion channel.
Toxicology Letters 100-101: 155-161, 1998. [abstract]

M. Barann, J.P. Dilger, H. Bönisch, M. Göthert, A. Dybek, and B.W. Urban.
Inhibition of 5-HT3 receptors by propofol: Equilibrium and kinetic measurements.
Neuropharmacology. 39:1064-1074, 2000. [PMID: 10727717] [abstract]

I. Wenningmann and J.P. Dilger.
Die Kinetik der Inhibition nichtdepolarisierender Muskelrelaxantien am nikotinergen Acetylcholinrezeptor.
Anasthesiol Intensivmed Notfallmed Schmerzther. 35:607-608, 2000 [PMID: 11050974] [German text]

J.P Dilger.
Basic Pharmacology of Volatile Anesthetics. In: Molecular Bases of Anesthesia,
E. Moody and P. Skolnick, eds, CRC Press, Boca Raton, FL, 2001, pp. 1-35. [book]

E.I. Eger, D.M. Fisher, J.P. Dilger, J.M. Sonner, A. Evers, N.P. Franks, R.A. Harris, J.J. Kendig, W.R. Leib and T. Yamakura.
Relevant concentrations of inhaled anesthetics for in vitrostudies of anesthetic mechanisms.
Anesthesiology 94:915-921, 2001. [PMID: 11388545] [abstract]

G. Spitzmaul, J.P. Dilger and C. Bouzat.
The noncompetitive inhibitor quinacrine modifies the desensitization kinetics of muscle acetylcholine receptors.
Molecular Pharmacology 60:235-243, 2001. [PMID: 11455009] [abstract]  [full text] [pdf]

I. Wenningmann, M. Barann, A.M. Vidal and J.P. Dilger.
The Effects of Isoflurane on Acetylcholine Receptor Channels: 3. Effects of Conservative Polar-to-Nonpolar Mutations within the Channel Pore.
Molecular Pharmacology 60: 584-594, 2001. [PMID: 11502891] [abstract]  [full text] [pdf]

I. Wenningmann and J.P. Dilger.
The kinetics of inhibition of nicotinic acetylcholine receptors by (+)-tubocurarine and pancuronium.
Molecular Pharmacology 60: 790-796, 2001. [PMID: 11562442] [abstract]  [full text] [pdf]

D. Demazumder and J.P. Dilger.
The kinetics of competitive antagonism by cisatracurium of embryonic and adult nicotinic acetylcholine receptors.
Molecular Pharmacology 60: 797-807, 2001. [PMID: 11562443] [abstract]  [full text] [pdf]

J.P. Dilger
The effects of general anaesthetics on ligand-gated ion channels.
British Journal of Anaesthesia 89: 41-51, 2002. [PMID: 12173240] [Abstract]  [Full Text] [pdf]

Friederich P, Dilger JP, Isbrandt D, Sauter K, Pongs O, Urban BW.
Biophysical properties of Kv3.1 channels in SH-SY5Y human neuroblastoma cells.
Receptors and Channels. 9: 387-96, 2003 [PMID: 14698966] [Abstract]

Dilger JP.
Lines of miscommunication.
Anesthesia and Analgesia. 2004 Oct;99(4):1261

Dilger JP, Shah N.
How long does it take for your favorite drug to diffuse into and out of a tight spot?
International Congress Series 1283: 290-291 (2005) [Book info]

Saunders TA, Stein DJ, Dilger JP.
Informed consent for labor epidurals: a survey of Society for Obstetric Anesthesia and Perinatology anesthesiologists from the United States.
Int J Obstet Anesth. 2006 Apr;15(2):98-103 [PMID: 16434182] [Abstract]

Dilger JP.
From individual to population: the minimum alveolar concentration curve.
Curr Opin Anaesthesiol. 2006 Aug;19(4):390-6 [PMID: 16829720] [Abstract]

Dilger JP, Vidal AM, Liu M, Mettewie C, Suzuki T, Pham A, Demazumder D.   
Roles of amino acids and subunits in determining the inhibition of nicotinic acetylcholine receptors by competitive antagonists.
Anesthesiology. 2007 Jun;106(6):1186-1195 [PMID: 17525594] [Abstract]

Demazumder D, Dilger JP.
The kinetics of competitive antagonism of nicotinic acetylcholine receptors at physiological temperature.
Journal of Physiology. 2008 586:951-63 [PMID: 18063662] [Abstract]

Liu M, Dilger JP.
Synergy between Pairs of Competitive Antagonists at Adult Human Muscle Acetylcholine Receptors.
Anesthesia and Analgesia. 2008 Aug;107(2):525-33 [PMID: 18633030] [Abstract]

Liu M, Dilger JP.
Site selectivity of competitive antagonists for the mouse adult muscle nicotinic acetylcholine receptor.
Molecular Pharmacology 2009 Jan;75(1):166-73. Epub 2008 Oct 8 [PMID: 18842832] [Abstract]

Spitzmaul G,  Gumilar F, Dilger JP, Bouzat C
The local anesthetics proadifen and adiphenine inhibit the nicotinic receptor by different mechanisms.
Br J Pharmacol. 2009 Jul;157(5):804-17. Epub 2009 Apr 30 [PMID: 19422391] [Abstract]

Dilger JP, Steinbach JH
Inhibition of muscle acetylcholine receptors by nondepolarizing drugs: humans are not unique. (letter)
Anesthesiology. 2010 Jan;112(1):247-9 [PMID: 20032711] [PubMed]

Dilger JP
Monte Carlo simulation of buffered diffusion into and out of a model synapse.
Biophys J. 2010 Mar 17;98(6):959-67 [PMID: 20303853] [Abstract]

Dilger JP
Simulation of the kinetics of neuromuscular block: Implications for speed of onset.
(accepted by Anesthesia and Analgesia)