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异丙酚麻醉浓度而非突然的行为无反应线性降低大鼠初级听觉皮层的反应。

Propofol anesthesia concentration rather than abrupt behavioral unresponsiveness linearly degrades responses in the rat primary auditory cortex.

机构信息

Department of Physiology and Pharmacology, Sackler School of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel.

Department of Neurosurgery, Tel Aviv Sourasky Medical Center, Tel Aviv 6423906, Israel.

出版信息

Cereb Cortex. 2022 Nov 9;32(22):5005-5019. doi: 10.1093/cercor/bhab528.

Abstract

Despite extensive knowledge of its molecular and cellular effects, how anesthesia affects sensory processing remains poorly understood. In particular, it remains unclear whether anesthesia modestly or robustly degrades activity in primary sensory regions, and whether such changes are linked to anesthesia drug concentration versus behavioral unresponsiveness, which are typically confounded. Here, we used slow gradual intravenous propofol anesthesia induction together with auditory stimulation and intermittent assessment of behavioral responsiveness while recording epidural electroencephalogram, and neuronal spiking activity in primary auditory cortex (PAC) of eight rats. We found that all main components of neuronal activity including spontaneous firing rates, onset response magnitudes, onset response latencies, postonset neuronal silence duration, late-locking to 40 Hz click-trains, and offset responses, gradually changed in a dose-dependent manner with increasing anesthesia levels without showing abrupt shifts around loss of righting reflex or other time-points. Thus, the dominant factor affecting PAC responses is the anesthesia drug concentration rather than any sudden, dichotomous behavioral state changes. Our findings explain a wide array of seemingly conflicting results in the literature that, depending on the precise definition of wakefulness (vigilant vs. drowsy) and anesthesia (light vs. deep/surgical), report a spectrum of effects in primary regions ranging from minimal to dramatic differences.

摘要

尽管人们对其分子和细胞效应有了广泛的了解,但麻醉如何影响感觉处理仍知之甚少。特别是,目前尚不清楚麻醉是否适度或强烈降低初级感觉区域的活动,以及这些变化是否与麻醉药物浓度与行为无反应性相关,而这两者通常是混淆的。在这里,我们使用缓慢逐渐的静脉注射异丙酚麻醉诱导,同时进行听觉刺激,并在记录硬膜外脑电图和 8 只大鼠初级听觉皮层 (PAC) 的神经元放电活动的同时间歇性评估行为反应性。我们发现,神经元活动的所有主要成分,包括自发放电率、起始反应幅度、起始反应潜伏期、起始后神经元沉默持续时间、对 40 Hz 点击序列的后期锁定以及偏移反应,都随着麻醉水平的增加呈剂量依赖性逐渐变化,而不会在失去翻正反射或其他时间点周围出现突然变化。因此,影响 PAC 反应的主要因素是麻醉药物浓度,而不是任何突然的、二分法的行为状态变化。我们的发现解释了文献中广泛存在的看似相互矛盾的结果,这些结果根据清醒(警觉与困倦)和麻醉(浅与深/手术)的精确定义而有所不同,报告了初级区域从最小到显著差异的一系列影响。

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