Alessandra Di Loreto
Prediction of the effects of Volatile Anesthetics on GABAA receptor in complex with GABA by Molecular Modelling.
Rel. Marco Agostino Deriu, Eric Adriano Zizzi. Politecnico di Torino, Corso di laurea magistrale in Ingegneria Biomedica, 2025
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Abstract
Anesthesia, the reversible pharmacological suspension of conscious brain activity, is a cornerstone of modern surgery and has been one of the main drivers of its progress, as it allows patients to undergo procedures without feeling pain (analgesia) or anxiety (due to unconsciousness), nor having memory of the surgical procedure (amnesia). Despite these considerations, the molecular mechanism by which anesthetics exert their action is still not fully understood and remains an active subject of study: over the years, several hypotheses have been proposed by the scientific community. Initially, the so-called “lipid theory” had a substantial support, according to which anesthetics, being lipophilic drugs, would exert their action by penetrating biological membranes and thereby altering its physical-chemical characteristics and permeability.
Most recently, the currently widely accepted hypothesis is the ion channel and protein theory, which suggests that the mechanism by which anesthetics act is related to their interaction with ion channels on the membrane of nerve cells as well as their interaction with receptors, that allosterically influence ion channels
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