Department of Anesthesiology, Experimental Anesthesiology Section, University Hospital of Tübingen, Tübingen, Germany.
Department of Anesthesiology, University of Wisconsin, Madison, WI, USA.
Br J Anaesth. 2017 Oct 1;119(4):685-696. doi: 10.1093/bja/aex199.
Actions of general anaesthetics on activity in the cortico-thalamic network likely contribute to loss of consciousness and disconnection from the environment. Previously, we showed that the general anaesthetic isoflurane preferentially suppresses cortically evoked synaptic responses compared with thalamically evoked synaptic responses, but how this differential sensitivity translates into changes in network activity is unclear.
We investigated isoflurane disruption of spontaneous and stimulus-induced cortical network activity using multichannel recordings in murine auditory thalamo-cortical brain slices.
Under control conditions, afferent stimulation elicited short latency, presumably monosynaptically driven, spiking responses, as well as long latency network bursts that propagated horizontally through the cortex. Isoflurane (0.05-0.6 mM) suppressed spiking activity overall, but had a far greater effect on network bursts than on early spiking responses. At isoflurane concentrations >0.3 mM, network bursts were almost entirely blocked, even with increased stimulation intensity and in response to paired (thalamo-cortical + cortical layer 1) stimulation, while early spiking responses were <50% blocked. Isoflurane increased the threshold for eliciting bursts, decreased their propagation speed and prevented layer 1 afferents from facilitating burst induction by thalamo-cortical afferents.
Disruption of horizontal activity spread and of layer 1 facilitation of thalamo-cortical responses likely contribute to the mechanism by which suppression of cortical feedback connections disrupts sensory awareness under anaesthesia.
全身麻醉药物对皮质丘脑网络活动的作用可能导致意识丧失和与环境脱节。先前,我们发现全身麻醉剂异氟醚优先抑制皮质诱发的突触反应,而不是丘脑诱发的突触反应,但这种差异敏感性如何转化为网络活动的变化尚不清楚。
我们使用多通道记录在鼠听觉丘脑皮质脑片中研究异氟醚对自发和刺激诱导的皮质网络活动的干扰。
在对照条件下,传入刺激引发短潜伏期,推测为单突触驱动的,爆发反应,以及长潜伏期网络爆发,在皮质中水平传播。异氟醚(0.05-0.6 mM)总体上抑制了爆发活动,但对网络爆发的影响远大于对早期爆发反应的影响。在异氟醚浓度>0.3 mM 时,网络爆发几乎完全被阻断,即使增加刺激强度和对成对(丘脑皮质+皮质第 1 层)刺激,而早期爆发反应的阻断率<50%。异氟醚增加了爆发的触发阈值,降低了它们的传播速度,并阻止了第 1 层传入纤维通过丘脑皮质传入纤维促进爆发的诱导。
破坏水平活动的传播和皮层反馈连接对麻醉下感觉意识的破坏机制可能起作用。