Department of Anesthesiology, The First Medical Centre, Chinese PLA General Hospital, Beijing 100853, China.
Department of Automation, Tsinghua University, Beijing 100084, China.
Biomed Pharmacother. 2024 Jun;175:116751. doi: 10.1016/j.biopha.2024.116751. Epub 2024 May 15.
Anesthesia inhibits neural activity in the brain, causing patients to lose consciousness and sensation during the surgery. Layers 2/3 of the cortex are important structures for the integration of information and consciousness, which are closely related to normal cognitive function. However, the dynamics of the large-scale population of neurons across multiple regions in layer 2/3 during anesthesia and recovery processes remains unclear. We conducted simultaneous observations and analysis of large-scale calcium signaling dynamics across multiple cortical regions within cortical layer 2/3 during isoflurane anesthesia and recovery in vivo by high-resolution wide-field microscopy. Under isoflurane-induced anesthesia, there is an overall decrease in neuronal activity across multiple regions in the cortical layer 2/3. Notably, some neurons display a paradoxical increase in activity during anesthesia. Additionally, the activity among multiple cortical regions under anesthesia was homogeneous. It is only during the recovery phase that variability emerges in the extent of increased neural activity across different cortical regions. Within the same duration of anesthesia, neural activity did not return to preanesthetic levels. To sum up, anesthesia as a dynamic alteration of brain functional networks, encompassing shifts in patterns of neural activity, homogeneousness among cortical neurons and regions, and changes in functional connectivity. Recovery from anesthesia does not entail a reversal of these effects within the same timeframe.
麻醉抑制大脑中的神经活动,导致患者在手术过程中失去意识和感觉。皮层 2/3 层是信息整合和意识的重要结构,与正常认知功能密切相关。然而,在麻醉和恢复过程中,多个皮层区域的皮层 2/3 层中大规模神经元群体的动力学仍然不清楚。我们通过高分辨率宽场显微镜在体内对异氟烷麻醉和恢复过程中多个皮层区域的皮层 2/3 层中大规模钙信号动力学进行了同时观察和分析。在异氟烷诱导的麻醉下,皮层 2/3 多个区域的神经元活动总体减少。值得注意的是,一些神经元在麻醉期间表现出反常的活性增加。此外,麻醉下多个皮层区域的活动是均匀的。只有在恢复阶段,不同皮层区域的神经活动增加程度才会出现差异。在相同的麻醉持续时间内,神经活动并没有恢复到麻醉前的水平。总之,麻醉是大脑功能网络的动态改变,包括神经活动模式的改变、皮层神经元和区域的均匀性以及功能连接的改变。在相同的时间内,从麻醉中恢复并不意味着这些效应会逆转。