The Effect of Phenobarbitone Anaesthesia Upon Some Organic Phosphates, Glycolytic Metabolites and Citric Acid Cycle‐associated Intermediates of the Rat Brain

In order to study the effect of phenobarbitone anaesthesia upon the energy metabolism of the brain, organic phosphates, glycolytic metabolites and citric acid cycle intermediates were measured in rats anaesthetized with 175‐200 mg/kg of phenobarbitone, and the results were compared to those obtained in rats anaesthetized with halo‐thane or with nitrous oxide. An attempt was made to separate the effects of the phenobarbitone anaesthesia from those caused by the accompanying intracellular alkalosis by exposing one group of animals to hypercapnia of such a degree that normalization of the intracellular pH was achieved. Phenobarbitone anaesthesia did not alter the tissue concentrations of ATP, ADP or AMP, but led to a moderate increase in the phosphocreatine concentration. However, since this increase was reversed in the hypercapnic group it is concluded that it may be due partly to a pH‐dependent shift in the creatine phosphokinase equilibrium. There was a decrease in the tissue concentrations of all measured substrates from pyruvate and onwards. The results indicate that phenobarbitone leads to a primary inhibition of glycolysis, which cannot be related to detectable changes in ATP, ADP or AMP. The resulting lowering of the tissue concentrations of a number of metabolic acids may be part of the explanation why barbiturate anaesthesia is associated with an intracellular alkalosis.