Neural Correlates of Wakefulness, Sleep, and General Anesthesia An Experimental Study in Rat

作者:Pal Dinesh; Silverstein Brian H; Lee Heonsoo; Mashour George A
来源:Anesthesiology, 2016, 125(5): 929-942.
DOI:10.1097/ALN.0000000000001342

摘要

Background: Significant advances have been made in our understanding of subcortical processes related to anesthetic-and sleep-induced unconsciousness, but the associated changes in cortical connectivity and cortical neurochemistry have yet to be fully clarified. Methods: Male Sprague-Dawley rats were instrumented for simultaneous measurement of cortical acetylcholine and electroencephalographic indices of corticocortical connectivity-coherence and symbolic transfer entropy-before, during, and after general anesthesia (propofol, n = 11; sevoflurane, n = 13). In another group of rats (n = 7), these electroencephalographic indices were analyzed during wakefulness, slow wave sleep (SWS), and rapid eye movement (REM) sleep. Results: Compared to wakefulness, anesthetic-induced unconsciousness was characterized by a significant decrease in cortical acetylcholine that recovered to preanesthesia levels during recovery wakefulness. Corticocortical coherence and frontal-parietal symbolic transfer entropy in high. band (85 to 155 Hz) were decreased during anesthetic-induced unconsciousness and returned to preanesthesia levels during recovery wakefulness. Sleep-wake states showed a state-dependent change in coherence and transfer entropy in high. bandwidth, which correlated with behavioral arousal: high during wakefulness, low during SWS, and lowest during REM sleep. By contrast, frontal-parietal. connectivity during sleep-wake states was not correlated with behavioral arousal but showed an association with well-established changes in cortical acetylcholine: high during wakefulness and REM sleep and low during SWS. Conclusions: Corticocortical coherence and frontal-parietal connectivity in high. bandwidth correlates with behavioral arousal and is not mediated by cholinergic mechanisms, while. connectivity correlates with cortical acetylcholine levels.

  • 出版日期2016-11