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异丙酚抑制大鼠皮质网状丘脑回路核团的局部活动和连接。

Propofol inhibits the local activity and connectivity of nuclei in the cortico-reticulo-thalamic loop in rats.

机构信息

Department of Anesthesiology, Chinese People's Liberation Army (PLA) General Hospital, No. 28 Fuxing Road, Beijing, 100853, China.

Department of Orthopedics, Chinese People's Liberation Army (PLA) General Hospital, Beijing, 100853, China.

出版信息

J Anesth. 2019 Oct;33(5):572-578. doi: 10.1007/s00540-019-02667-9. Epub 2019 Jul 30.

Abstract

PURPOSE

The present study aimed to investigate the effects of different dosages of propofol, that induced different depths of anesthesia, on the local activity and connectivity of nuclei within the cortico-reticulo-thalamic loops, as well as the release of amino acids in those nuclei.

METHODS

The nonlinear dynamics analysis of electroencephalogram, including approximate entropy (ApEn) and cross-ApEn (C-ApEn), was used to analyze the effects of different dosages of propofol on the local activity and connectivity of the important nuclei, including the primary somatosensory cortex (S1), ventroposteromedial thalamic nucleus (VPM), reticular thalamic nucleus (RTN), and oral part of the pontine reticular nucleus (PnO). The levels of glutamate (Glu), γ-aminobutyric acid (GABA), and glycine (Gly) in the S1, VPM, and RTN were detected using cerebral microdialysis.

RESULTS

ApEn was more significantly reduced in the cortex than in the subcortical nuclei from awake to deep anesthesia state induced by propofol, and C-ApEn was also more significantly reduced between cortical nucleus and subcortical nucleus than between subcortical nuclei from awake to deep anesthesia state induced by propofol. Propofol inhibited the levels of Glu in S1 and VPM, but elevated the levels in RTN. Gly level decreased in S1, and GABA level increased in S1 after infusion of propofol.

CONCLUSIONS

The cortex rather than the subcortical structures, and the cortex-subcortical connectivity instead of subcortical connectivity might be the more vulnerable targets of propofol during anesthesia.

摘要

目的

本研究旨在探讨不同剂量异丙酚诱导的不同麻醉深度对皮质-网状-丘脑回路核团局部活动和连接性的影响,以及这些核团中氨基酸的释放。

方法

采用脑电图非线性动力学分析,包括近似熵(ApEn)和交叉近似熵(C-ApEn),分析不同剂量异丙酚对重要核团(包括初级体感皮层[S1]、腹后内侧丘脑核[VPM]、网状丘脑核[RTN]和桥脑网状核口部[PnO])局部活动和连接性的影响。采用脑微透析技术检测 S1、VPM 和 RTN 中谷氨酸(Glu)、γ-氨基丁酸(GABA)和甘氨酸(Gly)的水平。

结果

异丙酚诱导的麻醉状态下,皮层的 ApEn 比皮质下核团更显著降低,C-ApEn 也比皮质下核团之间的连接性更显著降低。异丙酚抑制 S1 和 VPM 中 Glu 的水平,但升高 RTN 中的 Glu 水平。异丙酚输注后 S1 中 Gly 水平降低,S1 中 GABA 水平升高。

结论

麻醉期间,异丙酚的作用靶点可能是皮层而非皮质下结构,作用部位可能是皮层-皮质下连接而非皮质下连接。

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