From the Center for Consciousness Science, Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, Michigan.
Anesthesiology. 2020 May;132(5):1080-1090. doi: 10.1097/ALN.0000000000003179.
Neurocognitive investigations suggest that conscious sensory perception depends on recurrent neuronal interactions among sensory, parietal, and frontal cortical regions, which are suppressed by general anesthetics. The purpose of this work was to investigate if local interactions in sensory cortex are also altered by anesthetics. The authors hypothesized that desflurane would reduce recurrent neuronal interactions in cortical layer-specific manner consistent with the anatomical disposition of feedforward and feedback pathways.
Single-unit neuronal activity was measured in freely moving adult male rats (268 units; 10 animals) using microelectrode arrays chronically implanted in primary and secondary visual cortex. Layer-specific directional interactions were estimated by mutual information and transfer entropy of multineuron spike patterns within and between cortical layers three and five. The effect of incrementally increasing and decreasing steady-state concentrations of desflurane (0 to 8% to 0%) was tested for statistically significant quadratic trend across the successive anesthetic states.
Desflurane produced robust, state-dependent reduction (P = 0.001) of neuronal interactions between primary and secondary visual areas and between layers three and five, as indicated by mutual information (37 and 41% decrease at 8% desflurane from wakeful baseline at [mean ± SD] 0.52 ± 0.51 and 0.53 ± 0.51 a.u., respectively) and transfer entropy (77 and 78% decrease at 8% desflurane from wakeful baseline at 1.86 ± 1.56 a.u. and 1.87 ± 1.67 a.u., respectively). In addition, a preferential suppression of feedback between secondary and primary visual cortex was suggested by the reduction of directional index of transfer entropy overall (P = 0.001; 89% decrease at 8% desflurane from 0.11 ± 0.18 a.u. at baseline) and specifically, in layer five (P = 0.001; 108% decrease at 8% desflurane from 0.12 ± 0.19 a.u. at baseline).
Desflurane anesthesia reduces neuronal interactions in visual cortex with a preferential effect on feedback. The findings suggest that neuronal disconnection occurs locally, among hierarchical sensory regions, which may contribute to global functional disconnection underlying anesthetic-induced unconsciousness.
神经认知研究表明,意识感觉知觉依赖于感觉、顶叶和额叶皮质区域之间的神经元反复相互作用,而全身麻醉会抑制这些相互作用。本研究旨在探讨麻醉是否也会改变感觉皮层中的局部相互作用。作者假设,地氟醚将以与顺行和逆行通路解剖结构相一致的方式,以皮质层特异性的方式减少神经元的反复相互作用。
使用慢性植入初级和次级视觉皮层的微电极阵列,在自由移动的成年雄性大鼠(268 个单位;10 只动物)中测量单个神经元的活动。通过互信息和多神经元尖峰模式在皮层 3 层和 5 层内和层间的转移熵来估计层特异性的方向相互作用。递增地增加和减少稳态地氟醚浓度(0 至 8%至 0%)对连续麻醉状态下的二次趋势进行了统计学显著的检验。
地氟醚产生了强大的、状态依赖的降低(P = 0.001),表现为初级和次级视觉区域之间以及 3 层和 5 层之间的神经元相互作用,这表明互信息(在 8%地氟醚时分别比清醒基线降低 37%和 41%,为[平均值±标准差]0.52±0.51 和 0.53±0.51 a.u.)和转移熵(在 8%地氟醚时分别比清醒基线降低 77%和 78%,为 1.86±1.56 a.u.和 1.87±1.67 a.u.)。此外,通过转移熵的整体方向性指数的降低(P = 0.001;在 8%地氟醚时比清醒基线降低 89%,为 0.11±0.18 a.u.),以及在特定的 5 层(P = 0.001;在 8%地氟醚时比清醒基线降低 108%,为 0.12±0.19 a.u.),提示了对次级和初级视觉皮层之间反馈的选择性抑制,这表明在感觉层次结构中局部发生了神经元的断开,这可能有助于麻醉诱导无意识状态下的全局功能断开。
地氟醚麻醉降低了视觉皮层中的神经元相互作用,对反馈的影响具有选择性。这些发现表明,在全身麻醉下,神经元的断开发生在局部,发生在分层的感觉区域之间,这可能有助于麻醉诱导的无意识状态下的全局功能断开。