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Huang Y, Xiao Y, Li L, Feng X, Ding W, Cai F. Propofol-induced anesthesia involves the direct inhibition of glutamatergic neurons in the lateral hypothalamus. Front Neurosci 2024; 18:1327293. [PMID: 38282977 PMCID: PMC10811086 DOI: 10.3389/fnins.2024.1327293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2023] [Accepted: 01/02/2024] [Indexed: 01/30/2024] Open
Abstract
Propofol is the most widely used intravenous general anesthetic; however, the neuronal circuits that mediate its anesthetic effects are still poorly understood. Glutamatergic neurons in the lateral hypothalamus have been reported to be involved in maintenance of arousal and consciousness. Using Vglut2-Cre transgenic mice, we recorded this group of cells specifically and found that propofol can directly inhibit the glutamatergic neurons, and enhance inhibitory synaptic inputs on these cells, thereby reducing neuronal excitability. Through chemogenetic interventions, we found that inhibition of these neurons increased the duration of propofol-induced anesthesia and reduced movement in the animals after the recovery of right reflex. In contrast, activating this group of cells reduced the duration of propofol anesthesia and increased the animals' locomotor activity after the recovery of right reflex. These results suggest that propofol-induced anesthesia involves the inhibition of glutamatergic neurons in the lateral hypothalamus.
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Affiliation(s)
- Yan Huang
- Department of Anesthesiology, Nanchong Central Hospital, Second Clinical Medical College of North Sichuan Medical College, Nanchong, China
| | - Yong Xiao
- Emergency Department of the General Hospital of the Tibet Military Region, Lhasa, China
| | - Linji Li
- Department of Anesthesiology, Nanchong Central Hospital, Second Clinical Medical College of North Sichuan Medical College, Nanchong, China
| | - Xinglong Feng
- Department of Anesthesiology, Nanchong Central Hospital, Second Clinical Medical College of North Sichuan Medical College, Nanchong, China
| | - Weixing Ding
- Qujing Secend Peopie's Hospital, Department of Pain, Qujing, Yunnan, China
| | - Feng Cai
- Department of Urologyand Neurocardiothoracic Surgery, 927 Hospital of the Joint Logistics Support Force of the Chinese People's LiberationArmy, Puer, China
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Zhang B, Zhang P, L T, Cao Y, Chen T, Chen C, Zhang Z, Zhong Q. P2X7 Receptor in microglia contributes to propofol-induced unconsciousness by regulating synaptic plasticity in mice. Neuroscience 2023:S0306-4522(23)00223-3. [PMID: 37211083 DOI: 10.1016/j.neuroscience.2023.05.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Revised: 04/16/2023] [Accepted: 05/14/2023] [Indexed: 05/23/2023]
Abstract
Propofol infusion is processed through the wake-sleep cycle in neural connections, and the ionotropic purine type 2X7 receptor (P2X7R) is a nonspecific cation channel implicated in sleep regulation and synaptic plasticity through its regulation of electric activity in the brain. Here, we explored the potential roles of P2X7R of microglia in propofol-induced unconsciousness. Propofol induced loss of the righting reflex in male C57BL/6 wild-type mice and increased spectral power of the slow wave and delta wave of the medial prefrontal cortex (mPFC), all of which were reversed with P2X7R antagonist A-740003 and strengthened with P2X7R agonist Bz-ATP. Propofol increased the P2X7R expression level and P2X7R immunoreactivity with microglia in the mPFC, induced mild synaptic injury and increased GABA release in the mPFC, and these changes were less severe when treated with A-740003 and were more obvious when treated with Bz-ATP. Electrophysiological approaches showed that propofol induced a decreased frequency of sEPSCs and an increased frequency of sIPSCs, A-740003 decrease frequency of sEPSCs and sIPSCs and Bz-ATP increase frequency of sEPSCs and sIPSCs under propofol anesthesia. These findings indicated that P2X7R in microglia regulates synaptic plasticity and may contribute to propofol-mediated unconsciousness.
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Affiliation(s)
- Bo Zhang
- Department of Anesthesiology, Institute of Anesthesiology and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China, 430022
| | - Panpan Zhang
- Department of Anesthesiology, Zhongnan Hospital, Wuhan University, East Lake Road, Wuhan, Hubei, China, 430071; Department of Anesthesiology, Institute of Anesthesiology and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China, 430022
| | - Tingting L
- Department of Anesthesiology, Zhongnan Hospital, Wuhan University, East Lake Road, Wuhan, Hubei, China, 430071
| | - Yue Cao
- Department of Anesthesiology, Zhongnan Hospital, Wuhan University, East Lake Road, Wuhan, Hubei, China, 430071
| | - Ting Chen
- Department of Anesthesiology, Zhongnan Hospital, Wuhan University, East Lake Road, Wuhan, Hubei, China, 430071
| | - Chang Chen
- Department of Anesthesiology, Zhongnan Hospital, Wuhan University, East Lake Road, Wuhan, Hubei, China, 430071
| | - Zongze Zhang
- Department of Anesthesiology, Zhongnan Hospital, Wuhan University, East Lake Road, Wuhan, Hubei, China, 430071.
| | - Qi Zhong
- Department of Anesthesiology, Zhongnan Hospital, Wuhan University, East Lake Road, Wuhan, Hubei, China, 430071.
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Perrusquia-Hernández E, Andrade-González RD, Cifuentes-Mendiola SE, Montes-Angeles CD, Zepeda-Reyes KI, Pérez-Martínez IO. Chemosensory representation of first-time oral exposure to ethanol in the orbitofrontal cortex of mice. Exp Brain Res 2023; 241:417-425. [PMID: 36571635 DOI: 10.1007/s00221-022-06529-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Accepted: 12/07/2022] [Indexed: 12/27/2022]
Abstract
Intermittent ethanol consumption changes the neuronal activity of the orbitofrontal cortex (OFC) in rodents, which has been attributed to important participation in the development of addiction, particularly alcoholism. The OFC participates in gustatory sensory integration. However, it is unknown whether this region can encode chemosensory elements of oral ethanol administration independently of the consumption movement (orofacial motor response) when administered for the first time (naïve mice). To answer this question, we used a sedated mouse model and a temporary analysis protocol to register extracellular neuronal responses during the oral administration of ethanol. Our results show an increase in neuronal frequency (in the first 500 ms) when low (0.6, 1, and 2.1 M) and high (3.2, 4.3, and 8.6 M) concentrations of ethanol are orally administered. The modulatory effect of ethanol was observed from low and high concentrations and differed from the tastants. There was consistent neuronal activity independent of the concentration of ethanol. Our results demonstrate a sensory representation of oral ethanol stimulation in the OFC neurons of naïve mice under sedation.
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Affiliation(s)
- E Perrusquia-Hernández
- Sección de Neurobiología de las Sensaciones Orales, Laboratorio de Investigación Odontológica, Facultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de México, San Sebastián Xhala, 54714, Cuautitlán Izcalli, Mexico.,Sección de Estudios de Posgrado e Investigación, Escuela Superior de Medicina del Instituto Politécnico Nacional, Mexico City, Mexico
| | - R D Andrade-González
- Sección de Neurobiología de las Sensaciones Orales, Laboratorio de Investigación Odontológica, Facultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de México, San Sebastián Xhala, 54714, Cuautitlán Izcalli, Mexico.,Sección de Estudios de Posgrado e Investigación, Escuela Superior de Medicina del Instituto Politécnico Nacional, Mexico City, Mexico
| | - S E Cifuentes-Mendiola
- Sección de Osteoinmunología e Inmunidad Oral, Laboratorio de Investigación Odontológica, Facultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - C D Montes-Angeles
- Sección de Neurobiología de las Sensaciones Orales, Laboratorio de Investigación Odontológica, Facultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de México, San Sebastián Xhala, 54714, Cuautitlán Izcalli, Mexico
| | - K I Zepeda-Reyes
- Sección de Neurobiología de las Sensaciones Orales, Laboratorio de Investigación Odontológica, Facultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de México, San Sebastián Xhala, 54714, Cuautitlán Izcalli, Mexico
| | - Isaac Obed Pérez-Martínez
- Sección de Neurobiología de las Sensaciones Orales, Laboratorio de Investigación Odontológica, Facultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de México, San Sebastián Xhala, 54714, Cuautitlán Izcalli, Mexico.
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Propofol downregulates the activity of glutamatergic neurons in the basal forebrain via affecting intrinsic membrane properties and postsynaptic GABAARs. Neuroreport 2020; 31:1242-1248. [PMID: 33075002 DOI: 10.1097/wnr.0000000000001540] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Propofol anesthesia rapidly causes loss of consciousness, while the neural mechanism underlying this phenomenon is still unclear. Glutamatergic neurons in the basal forebrain play an important role in initiation and maintenance of wakefulness. Here, we selectively recorded the activity of glutamatergic neurons in vGlut-2-Cre mice. Propofol induced outward currents in a concentration-dependent manner. Bath application of propofol generated membrane hyperpolarization and suppressed the firing rates in these neurons. Propofol-induced stable outward currents persisted after blockade of the action potentials, implying a direct postsynaptic effect of propofol. Furthermore, propofol selectively increased the GABAergic inhibitory synaptic inputs via affecting the GABAARs, but did not affect the glutamatergic transmissions. Together, propofol inhibits the excitability of the glutamatergic neurons via direct influencing the membrane intrinsic properties and the inhibitory synaptic transmission. This inhibitory effect might provide a novel mechanism for the propofol-induced anesthesia.
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Shi Y, Xiao D, Dai L, Si Y, Fang Q, Wei X. The hypnotic effect of propofol involves inhibition of GABAergic neurons in the lateral hypothalamus. Neuroreport 2019; 30:927-932. [PMID: 31469720 DOI: 10.1097/wnr.0000000000001292] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Propofol is widely used for induction and maintenance of anaesthesia, which causes a rapid loss of consciousness. So far the mechanisms underlying the effect of propofol are still largely unknown. Here, we found that microinjection of propofol in the lateral hypothalamus caused a significant decrease in wakefulness and an increase in the amount of non-rapid eye movement sleep and rapid eye movement sleep. Application of propofol in the lateral hypothalamus affected the electroencephalogram power spectra with a decrease in theta oscillations and an increase in the delta oscillations. Additionally, using whole-cell patch clamp recording, we found propofol inhibited the excitability of the GABAergic neurons in the lateral hypothalamus, which plays a critical role in controlling wakefulness. Altogether, these findings indicate that propofol targets lateral hypothalamus and generates a hypnotic state, which might involve the inhibition of GABAergic neurons. These results provide a novel mechanism to explain propofol-elicited anaesthesia.
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Affiliation(s)
- Yihua Shi
- Department of General Surgery, The First People's Hospital of WenLing, Wenling, Zhejiang
| | - Deshuang Xiao
- Department of General Surgery, The First People's Hospital of WenLing, Wenling, Zhejiang
| | - Lingbo Dai
- Department of General Surgery, The First People's Hospital of WenLing, Wenling, Zhejiang
| | - Yongyu Si
- Department of Anesthesiology, The Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China
| | - Qian Fang
- Department of General Surgery, The First People's Hospital of WenLing, Wenling, Zhejiang
| | - Xing Wei
- Department of General Surgery, The First People's Hospital of WenLing, Wenling, Zhejiang
- Department of Anesthesiology, The Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China
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