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
- 1British journal of anaesthesia · 2021
- 2
- 3British journal of anaesthesia · 2022
Publications
Funding
Active
1 grant- MPIR01GM058055-24Synaptic Mechanisms of General Anesthetic ActionNational Institute of General Medical Sciences · 2010–2026· 5 renewals
Completed grants (4)
- KPR01GM130722-01A1Mechanisms of anesthetic-induced synaptic plasticityNational Institute of General Medical Sciences · 2019–2025
- MPIBJA 170713-02General Anaesthetic Interactions With the Voltage-Gated Sodium Channel NavMsBritish Journal of Anaesthesia · 2017–2019
- PISA 183699-01ROTEM sigma External Reproducibility StudyInstrumentation Laboratory · 2018–2019Contract
- PIR01NS056315-05 EWRole of Protein Phosphatase-1 in Cerebral Ischemia and Cell DeathNational Institute of Neurological Disorders and Stroke · 2009–2015
Honors & distinctions
- Member · National Academy of Medicine · 2021
Clinical research
Completed & closed trials (1)
- PINCT02379104ROTEM® Sigma Performance Evaluation - Method Comparison With Predicate Device and Reference IntervalsInstrumentation Laboratory · IRB STUDY CLOSURE (as of 2022)Blood Coagulation Disorders
News mentions
- Demystifying the Molecular Mechanisms of General AnesthesiaJuly 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 MedicineOctober 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.
Mentoring
- DZDonghang ZhangPostdoc mentee · 2023–2024
- JTJiabin TangPostdoc mentee · 2023–2026
- ASAlexander SimonPostdoc mentee · 2021–2023
- SCSayan ChakrabortyPostdoc mentee · 2020–2023
- TOTanzilya OrenPostdoc mentee · 2022–2023
- ABAikaterini BritzolakiPostdoc mentee · 2021–2022
- ISIris SpeigelPostdoc mentee · 2021–2022
- NSNattakan SukomonPostdoc mentee · 2021–2022
- VOVanessa OsmanPharmacology (PhD) · Class of 2022
- BZBela ZimmerPostdoc mentee · 2019–2020
- CZCheng ZhouPostdoc mentee · 2015–2017
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