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丘脑深部电刺激可恢复非人灵长类动物模型的意识特征。

Deep brain stimulation of the thalamus restores signatures of consciousness in a nonhuman primate model.

机构信息

Cognitive Neuroimaging Unit, CEA, INSERM, Université Paris-Saclay, NeuroSpin Center, 91191 Gif/Yvette, France.

Department of Anesthesiology and Critical Care, Necker Hospital, AP-HP, Université de Paris, Paris, France.

出版信息

Sci Adv. 2022 Mar 18;8(11):eabl5547. doi: 10.1126/sciadv.abl5547.


DOI:10.1126/sciadv.abl5547
PMID:35302854
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8932660/
Abstract

Loss of consciousness is associated with the disruption of long-range thalamocortical and corticocortical brain communication. We tested the hypothesis that deep brain stimulation (DBS) of central thalamus might restore both arousal and awareness following consciousness loss. We applied anesthesia to suppress consciousness in nonhuman primates. During anesthesia, central thalamic stimulation induced arousal in an on-off manner and increased functional magnetic resonance imaging activity in prefrontal, parietal, and cingulate cortices. Moreover, DBS restored a broad dynamic repertoire of spontaneous resting-state activity, previously described as a signature of consciousness. None of these effects were obtained during the stimulation of a control site in the ventrolateral thalamus. Last, DBS restored a broad hierarchical response to auditory violations that was disrupted under anesthesia. Thus, DBS restored the two dimensions of consciousness, arousal and conscious access, following consciousness loss, paving the way to its therapeutical translation in patients with disorders of consciousness.

摘要

意识丧失与长程丘脑皮质和皮质皮质脑通讯中断有关。我们检验了这样一个假设,即深部脑刺激(DBS)中央丘脑可能会在意识丧失后恢复觉醒和意识。我们应用麻醉来抑制非人类灵长类动物的意识。在麻醉过程中,中央丘脑刺激以开-关的方式诱导觉醒,并增加前额叶、顶叶和扣带回皮质的功能磁共振成像活动。此外,DBS 恢复了广泛的自发静息状态活动的动态范围,先前被描述为意识的特征。在腹外侧丘脑的对照部位刺激时,没有获得这些效果。最后,DBS 恢复了对听觉违规的广泛分层反应,而这种反应在麻醉下被打断。因此,DBS 在意识丧失后恢复了意识的两个维度,即觉醒和意识通达,为其在意识障碍患者中的治疗转化铺平了道路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f24/8932660/a40733e31830/sciadv.abl5547-f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f24/8932660/f498bd8b09d5/sciadv.abl5547-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f24/8932660/f034a47e2099/sciadv.abl5547-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f24/8932660/4c4ace7d8712/sciadv.abl5547-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f24/8932660/bf6083ff11b8/sciadv.abl5547-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f24/8932660/391261d3cab2/sciadv.abl5547-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f24/8932660/cbe810021ebe/sciadv.abl5547-f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f24/8932660/a40733e31830/sciadv.abl5547-f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f24/8932660/f498bd8b09d5/sciadv.abl5547-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f24/8932660/f034a47e2099/sciadv.abl5547-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f24/8932660/4c4ace7d8712/sciadv.abl5547-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f24/8932660/bf6083ff11b8/sciadv.abl5547-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f24/8932660/391261d3cab2/sciadv.abl5547-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f24/8932660/cbe810021ebe/sciadv.abl5547-f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f24/8932660/a40733e31830/sciadv.abl5547-f7.jpg

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引用本文的文献

[1]
Widespread, perception-related information in the human brain scales with levels of consciousness.

Imaging Neurosci (Camb). 2024-7-29

[2]
Detection of EEG dynamic complex patterns in disorders of consciousness.

Commun Biol. 2025-8-12

[3]
A role for the thalamus in danger evoked awakening during sleep.

Nat Commun. 2025-7-31

[4]
Evolutionary Trajectories of Consciousness: From Biological Foundations to Technological Horizons.

Brain Sci. 2025-7-9

[5]
A human brain network linked to restoration of consciousness after deep brain stimulation.

Nat Commun. 2025-7-21

[6]
Thalamus and consciousness: a systematic review on thalamic nuclei associated with consciousness.

Front Neurol. 2025-6-18

[7]
Thalamic burst and tonic firing selectively indicate patients' consciousness level and recovery.

Innovation (Camb). 2025-2-25

[8]
Convergent effects of different anesthetics on changes in phase alignment of cortical oscillations.

Cell Rep. 2025-5-27

[9]
Shared subcortical arousal systems across sensory modalities during transient modulation of attention.

Neuroimage. 2025-5-15

[10]
Comprehensive profiling of anaesthetised brain dynamics across phylogeny.

bioRxiv. 2025-3-24

本文引用的文献

[1]
Explanatory profiles of models of consciousness - towards a systematic classification.

Neurosci Conscious. 2021-8-27

[2]
Cholinergic-Induced Specific Oscillations in the Medial Prefrontal Cortex to Reverse Propofol Anesthesia.

Front Neurosci. 2021-5-26

[3]
Neural effects of propofol-induced unconsciousness and its reversal using thalamic stimulation.

Elife. 2021-4-27

[4]
Consciousness depends on integration between parietal cortex, striatum, and thalamus.

Cell Syst. 2021-4-21

[5]
Does the Prefrontal Cortex Play an Essential Role in Consciousness? Insights from Intracranial Electrical Stimulation of the Human Brain.

J Neurosci. 2021-3-10

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Trends Cogn Sci. 2020-10

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Temporal circuit of macroscale dynamic brain activity supports human consciousness.

Sci Adv. 2020-3-11

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Sci Rep. 2020-3-9

[9]
Conscious Processing and the Global Neuronal Workspace Hypothesis.

Neuron. 2020-3-4

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General Anesthesia Decouples Cortical Pyramidal Neurons.

Cell. 2020-2-20

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