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Overview

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Neuropharmacology and Cell Signalling

Elucidation of the molecular mechanisms by which general anesthetics act is an important goal in neuropharmacology. This is necessary for the development of safer and more specific anesthetic agents. Electrophysiological evidence indicates that general anesthetics act primarily on synaptic transmission without major effects on axonal conduction or neuronal excitability. At clinically relevant concentrations, most general anesthetics depress excitatory synaptic transmission, while some, including propofol and barbiturates, facilitate inhibitory synaptic transmission. There is good evidence for both presynaptic and postsynaptic mechanisms for these effects, including presynaptic reductions in excitatory neurotransmitter release, inhibition of postsynaptic responses to excitatory neurotransmitters, and facilitation of postsynaptic responses to inhibitory neurotransmitters. However, the precise molecular mechanisms involved in these effects are unknown. In my laboratory. The effects of various general anesthetics on neurotransmitter release (e.g., glutamate, GABA, norepinephrine, dopamine, neuropeptides) and on the interactions between specific presynaptic proteins involved in the control of neurotransmitter release (e.g., SNAREs) are being studied in isolated nerve terminals and using purified recombinant proteins. The effects of general anesthetics on presynaptic ion channels are being characterized in isolated neurohypophysial nerve terminals by patch clamp electrophysiological analysis. The role of protein kinase (PKC) as a target of general anesthetic actions is being studied using biochemical and imaging techniques. The basic biochemical mechanisms involved in the regulation of protein phosphatase activity in neurons are also being investigated. Previous studies have identified an endogenous neuronal protein phosphatase inhibitor that is an important molecular integrator of multiple converging cellular signals in dopaminoceptive neurons. We are currently identifying and characterizing specific targeting subunits for protein phosphatase-1 in neurons. Current studies focus on the regulation and interactions of one such protein, neurabin. For further information: Pharmacology Home Page

Highlights

  1. 1
    British journal of anaesthesia · 2021
    PMID: 34384592PMCID: PMC8524390DOISenior author15 citations
  2. 2
    eNeuro · 2023
    PMID: 37591734PMCID: PMC10467020DOISenior author6 citations
  3. 3
    British journal of anaesthesia · 2022
    PMID: 35164969PMCID: PMC9204660DOISenior author11 citations

Publications

232 publications

Active

1 grant
  • MPI
    Synaptic Mechanisms of General Anesthetic Action
    National Institute of General Medical Sciences · 2010–2026· 5 renewals
    R01GM058055-24
Completed grants (4)
  • KP
    Mechanisms of anesthetic-induced synaptic plasticity
    National Institute of General Medical Sciences · 2019–2025
    R01GM130722-01A1
  • MPI
    General Anaesthetic Interactions With the Voltage-Gated Sodium Channel NavMs
    British Journal of Anaesthesia · 2017–2019
    BJA 170713-02
  • PI
    ROTEM sigma External Reproducibility Study
    Instrumentation Laboratory · 2018–2019Contract
    SA 183699-01
  • PI
    Role of Protein Phosphatase-1 in Cerebral Ischemia and Cell Death
    National Institute of Neurological Disorders and Stroke · 2009–2015
    R01NS056315-05 EW

Honors & distinctions

1 honor
  • Member · National Academy of Medicine · 2021

Clinical research

1 study
Completed & closed trials (1)
  • PI
    ROTEM® Sigma Performance Evaluation - Method Comparison With Predicate Device and Reference Intervals
    Instrumentation Laboratory · IRB STUDY CLOSURE (as of 2022)
    Blood Coagulation Disorders
    NCT02379104

News mentions

  • Demystifying the Molecular Mechanisms of General Anesthesia
    July 9, 2026

    Researchers at Weill Cornell Medicine and Birkbeck, University of London, have identified where a commonly used anesthetic binds to sodium ion channels, revealing a molecular mechanism that may explain how these drugs dampen communication between neurons.

  • Dr. Hugh Hemmings Elected to National Academy of Medicine
    October 18, 2021

    Dr. Hugh C. Hemmings, senior associate dean for research and chair of the Department of Anesthesiology at Weill Cornell Medicine, has been elected to the National Academy of Medicine, one of the highest recognitions in health and medicine.

3 PhD students · 11 Postdocs

External relationships

Leadership Roles

British Journal of Anaesthesia

Professional Services

NIH Center for Scientific Review

Other Interest

Northwest Anesthesia Seminars INC · Stanford University Medical Center